Lfk with coxarthrosis of the hip joint of the third degree

Effective curative gymnastics with coxarthrosis of the hip joint

The destruction of the joint is due to the depletion of cartilaginous tissue in it and traumatic friction of the bones

Joint destruction occurs due to depletion of cartilaginous tissue in it and traumatic friction of bones

In the mornings, I do not always want to get up. But if this reluctance is associated with lethargy and stiffness of the joints, if you need some time to feel the confidence in the hands and feet, you need to call the doctor. Coxarthrosis is a scourge of our time, it belongs to the palm tree among diseases of the musculoskeletal system. In most cases, this disease affects people who have crossed the 40-year mark. And in women, this disease develops much more often.

Coxarthrosis of the hip joint can be one-sided and two-sided. And with the bilateral form of the joints are affected not simultaneously, but one after another. The insidiousness of coxarthrosis is that at the initial stage, when the disease can be easily cured, it manifests itself as a minor symptom. In the morning, only stiffness manifests, walking can cause pelvic or knee joints, but it quickly passes. And only then there is a characteristic crunch in the bones. Medical gymnastics with coxarthrosis of the hip joint can successfully combat this disease.

Symptoms and causes of the development of the disease

The disease develops in 3 stages. At 1 degree of coxarthrosis the articular space narrows, small changes begin in the bones. The mobility and performance of a person during the day is not affected.

As practice shows, most often diagnosed coxarthrosis of the hip joint, spine or knee joint in the 2 stages of the disease. Due to active internal changes, pain intensifies and from episodic to frequent( especially at night).He walks more hard, he begins to spare his aching leg, takes a cane in his hands. In the muscles of the leg, deprived of the usual load, blood supply worsens, dystrophy develops and, as a result, a person has lameness. All this is due to the rapidly progressing lesion of the interarticulate tissue. The cartilaginous tissue is thinned, and the inflammation of the periosteum begins.

The difference between a patient and a healthy hip joint is the depletion of the cartilaginous

The difference between a patient and a healthy hip is the depletion of the cartilaginous "cushion"

. In coxarthrosis of the 3rd degree, the radiograph shows significant bone growth around the head of the large femur and the top of the acetabulum, and the extension of the cervix is ​​also seen. The joint gap is almost absent. The posture and gait of the patient change. The walking stick becomes not an auxiliary, but an obligatory means for movement. The pain does not stop day nor night, only their intensity changes. The fourth degree - the most severe form of coxarthrosis - is characterized by complete immobility of the joints.

It is impossible to say unambiguously what influences the appearance of this disease. There are a number of reasons for the development of the disease. Any of them or a combination of several factors are capable of provoking the appearance of the disease.

Coxarthrosis in childhood can appear as a consequence of congenital degenerative changes in the hip joint. Its development in an adult person is facilitated by excess weight, excessive strain on the joints, injuries received earlier, arthritis, osteoporosis, congenital changes in the head of the femur, heredity.

Treatment and prevention of coxarthrosis

As there is no single reason for the appearance of coxarthrosis, so there is no one and only true method of treatment. At different stages of the disease, different drugs are prescribed, designed to stop pain and cramps, remove inflammation and help preserve or build up cartilage tissue. But, as a rule, some medicamental measures are not enough.

When treating a disease of any stage is a therapeutic gymnastics. Regular and correct execution of it returns the joints mobility, and the muscles - the ability to function normally. The most effective methods are recognized joint exercises of Dr. Pilyuyko, the technique of exercises Dikul and gymnastics Dr. Bubnovsky. By the way, the author of adaptive gymnastics SM Bubnovsky wears a hip joint implant.

Before starting the exercise, you should know that gymnastics with coxarthrosis of the hip joint is a healing remedy. And he, like anyone else, also has contraindications. Therapeutic gymnastics is designed to develop joints and restore their lost mobility.

When charging, it is important to remember the following rules:

Gymnastics are performed only during the period of remission of the disease
  • any physical activity is contraindicated in the period of exacerbations;
  • all exercises are performed not dynamically, but softly and smoothly;
  • no sharp slopes or deep squats;
  • if in the performance of certain exercises there were painful sensations, the affected area needs a gentle massage with coxarthrosis.

The complex of exercises of any kind of gymnastics should be selected separately for each patient. It is necessary to take into account the individual characteristics of the patient: the degree of the disease, general physical development and well-being.

Physiotherapy exercises by the method of Bubnovsky

Patient monitoring allowed to create a complex of therapeutic exercises that have beneficial effects on the musculoskeletal system. Thanks to gymnastics with coxarthrosis of the hip joint, the muscles retain their elasticity for a long time. To begin with, you should learn the gymnastics for a beginner. It will help prepare the body for basic exercises and further work.

Adaptive exercises for beginners( performed 20 times each).

  1. It is necessary to sit on your heels, completely relax and perform breathing exercises. Then, moving his arms around in a circle and breathing in, slowly rises. Exhale to do in the starting position.
  2. Put your palms on your stomach and through the tightly compressed lips produce a "PF" sound when you exhale.
  3. Lie on your back, put your hands behind your head, legs bend at your knees. On exhalation tear the body off the floor, and on inhalation return to the starting position.
  4. Lie on your back, put your hands behind your head and bend your knees. On exhalation maximally raise the pelvis and move the knees.
  5. Lying on your back, try to close with your knees and elbows at one point.
  6. Lie on your right side and rest your right hand on the floor. You need to group, pulling your knees to your chest.

LFK with coxarthrosis of the hip joint, as well as diseases of the knee joints( the first 5 exercises are performed lying on the back).

  1. Pull out your legs, then slowly bend your foot in the knee without taking it off the floor. Take the initial position and do the exercise with the other leg.
  2. Raise the upper part of the body above the floor and lower it after a few seconds.
  3. Bent legs in the knees alternately pull your hands to the trunk. After holding in this position, return in a few seconds to the starting position.
  4. Raise the legs alternately over the floor, not bending at the knees, to a height of 20-30 cm.
  5. Straighten the legs, then lift one of them to a height of 20-30 cm, hold in this position for a few seconds and gently lower it. Do the exercise with the other leg.
  6. Sit on a chair and lean forward, trying to touch the feet with your hands.
  7. In the standing position alternately swing legs. Forward-backward and aside.
  8. Sitting on the floor, you need to grip the soles with your hands and lean forward more firmly.

Gymnastics in the treatment of intervertebral hernia

  1. In the position on all fours you need to relax the muscles, take a deep breath and slowly bend your back. After that, slowly make an exhalation, simultaneously bending the back( 20 times).
  2. Lie on your back, straightening your arms along the body. Deeply inhale, after which, slowly exhaling and leaning on the feet and shoulders, as high as possible to lift the pelvis above the floor. Exhale simultaneously with lowering the pelvis( 20 times).
  3. Lying on his back, lay his hands behind his head, his elbows pointing upwards. Bend your knees and press your chin to your chest. From this position, you need to try to get your elbows on your knees. At occurrence of easy weariness the exercise should be stopped.
  4. Stand on all fours and, without bending your elbows, bend forward as much as possible, then return to its original position( 20-25 times).

The developed techniques are suitable for almost all age groups, from infants to the elderly. Separately designed gymnastics for pregnant women. With properly selected exercises, exercise and mastering the rules of breathing, which everyone can do, you can achieve excellent results.


Symptoms, degrees and treatment of coxarthrosis of the hip joint

What is coxarthrosis of the hip joint?

coxarthrosis of the hip joint

Coxarthrosis of the hip joint is a permanent change in the integrity of the articular surfaces, which are 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

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 area of ​​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

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 ones:

  • 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 femoral head, 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 pathologies( dysplasia, congenital hip dislocation).

Degrees of coxarthrosis of the hip joint

Degrees of coxarthrosis of the hip joint

Coarsearthrosis of the hip joint of the first degree

1 degree is the easiest form of the disease, which can not worry the patient for a very long time, but if it does not orient and treat the disease in time, it will develop to more severe forms.

The first stage of the disease shows periodic pain in the area of ​​the affected hip joint 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 inguinal region 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

The third 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 with 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, not giving a normal life, strong 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 an 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 inflammatory markers is significantly increased: c-reactive protein, globulins, 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 the X-ray, which notes:

  • the presence of osteophytes - bone growth along the edges of the articular cartilage;

  • narrowing the gap between the joints;

  • areas 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, articular capsule) are not visible in the pictures.

No less informative diagnostic method is magnetic resonance imaging or computed tomography, which allows to recognize the disease at the earliest stages of its development.

On topic: Hip pain

Treatment of coxarthrosis of the hip joint

With such a pathology as coxarthrosis, the treatment is rather complicated and long, 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.

  1. Non-steroidal anti-inflammatory drugs:

    • brufen;

    • piroxicam;

    • diclofenac;

    • indomethocin;

    • ketoprofen.

    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.

  2. Vasodilator preparations:

    • nikospan;

    • theonikol;

    • cinaresine;

    • trental.

    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.

  3. Muscle relaxants:

    • sirdaloud;

    • Midsummer.

    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 lies in the fact that they affect the nervous system manifesting as frequent dizziness, nausea, blocking of consciousness or intoxication.

  4. Chondroprotectors:

    • Rumalon;

    • arteeoparon;

    • glucosamine;

    • structure;

    • don;

    • chondraitin sulfate.

    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.

  5. Hormonal preparations( injection):

    • Kenagol;

    • ;

    • hydrocotisone.

    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.

  6. 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

Operation with coxarthrosis

Surgical intervention is performed at the last stage of the disease development, when the joint's functional capabilities are completely violated.


  1. 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).

  2. 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.

  3. Arthroplasty is a simulation of the destroyed surface - cartilage.

  4. 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;

  • hypertensive crisis;

  • severe pain syndrome;

  • exacerbation of joint diseases;

  • menstruation;

  • 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.

Physiotherapeutic procedures

mud therapy

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;

  • cryotherapy;

  • thermal procedures - electrophoresis;

  • ultrasound therapy;

  • phototherapy;

  • magnetotherapy;

  • inductothermy;

  • application of lasers;

  • aeroionotherapy.

  • 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.

Power Mode

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:

  • swimming;

  • medical gymnastics;

  • skiing, with sticks;

  • sanatorium treatment;

  • self-massage with the help of ointments;

  • specialized massage;

  • weight control;

  • 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


Is it possible to perform physical exercises with coxarthrosis of the hip joint

The disease provokes destruction of the cartilaginous tissue and subsequent damage to the bones

? The disease provokes destruction of the cartilaginous tissue and subsequent damage to the bones

Coxarthrosis is a fairly common disease of the hip joint. This disease, as a rule, people are exposed, since the age of 40 years. Women often suffer from such an ailment.

As a rule, the hip joint is first affected only on one side. But later the second one can join him. The hip joint is the largest in the body, it has the main burden of the entire mass of a person.

Bones connect plastic smooth cartilage, which performs an amortization role and protects bone from destruction. In the case of coxarthrosis, cartilage tissues become dry, rough. The cartilage loses its functions, and the bone beneath it, under the influence of a person's weight, begins to grow to the sides, which leads to deformation of the entire hip joint. This makes it difficult to move, gives pain, and in time can generally block the mobility of the joint.

Causes and main symptoms of the disease

The main cause of development of coxarthrosis is genetic predisposition. If someone in the family is sick or has arthrosis of the hip joint, it is more likely that children and grandchildren will also suffer from this ailment. Factors such as overweight, hip joint injuries can eventually lead to coxarthrosis or aggravate it.

Feeling of stiffness in the groin or buttocks area, unpleasant sensations and discomfort in this area, especially in the morning, are the first signs of development of coxarthrosis. These symptoms can increase during exercise and subside during rest.

If the time is not taken to eliminate pathology, the disease can become chronic, rest will no longer bring relief. In the joint begins the inflammatory process, which causes not only discomfort, but painful sensations. The bone begins to deform and grow in different directions.

As a result, the cartilage is completely erased, and the bones begin to rub together. This pathology brings quite painful sensations. To avoid this, many patients begin to reduce the burden on the aching leg, the muscles atrophy, and all this leads to lameness.

Diagnosis and treatment of coxarthrosis

First of all, it is necessary to consult a specialist and undergo a primary examination. The doctor will bend, unbend the joint, ask to stand on one leg in turn, then to confirm the diagnosis, he will direct to the radiography of both hip joints. Only after a complete examination, the necessary treatment will be prescribed.

It is not possible to completely coxarthrosis. But there are many ways to facilitate and improve the patient's condition.

In case of severe disease, treatment is possible in an operative way. By surgical intervention instead of the "worn out" joint put a prosthesis, which replaces it. This operation allows to increase motor activity, eliminates pain.

In the initial stage of coxarthrosis, the following recommendations should be adhered to:

The doctor checks the X-ray image
  • to reduce the burden on the affected joint;
  • use anti-inflammatory drugs prescribed by a doctor;
  • to comply with sleep, enough to rest;
  • get rid of excess weight;
  • perform a special set of exercises aimed at a moderate increase in the load and movements for the joint, stimulating its normal functioning.

For this disease, various exercise programs are used:

  • gymnastics with coxarthrosis of the hip joint or exercise therapy( exercise therapy);
  • yoga therapy - yoga, designed specifically for the treatment of coxarthrosis of the hip joint;
  • treatment according to the Bubnovsky system is a complex of measures developed by Dr. Bubnovsky for patients with coxarthrosis.

Let's consider all offered variants, their specificity that everyone could choose the individual program of employment and suitable treatment. In order to find out for sure if any complex is appropriate in your particular case, you should seek help from a doctor. At some stages of the disease, you can not just waste time, but also aggravate the course of the disease.

LFK and yoga as part of

Organized group sessions for patients under the supervision of a specialist therapy If the doctor deems it appropriate to do gymnastics, you need to choose a set of exercises for coxarthrosis of the hip joint. The purpose of the exercises is to develop the joint, make it function, and not complicate the already unpleasant situation. It is important to remember that performing exercises with coxarthrosis of the hip joint should be slow and cautious.

Muscle massage should be performed before and after exercise. A good assistant in the fight against coxarthrosis are water procedures, swimming. The bath with warm water will soothe the pain. Lying in the pool, you can do simple exercises.

Exercises that cause severe pain should not be performed in any way. Charging is aimed at relieving pain, not causing it. With regular performance of gymnastics, coxarthrosis of the hip joint is much easier to bear.

There are contraindications to gymnastics if the patient has the following symptoms:

  • pain syndrome with a large accumulation of fluid in the joint;
  • cardiovascular failure;
  • pneumonia( pneumonia);
  • cases of pleurisy;
  • any heart disease.

After consultation with a physiotherapist, the patient will be given a set of exercises suitable for his stage of the disease. Often classes are conducted during inpatient treatment in a group where patients with the same degree of disease participate. You need to work under the supervision of a specialist. At home, exercise can also be done, but with the permission of the doctor, while being only for a check-up.

Yoga exercises can alleviate the condition of the patient with coxarthrosis. Yoga is quite popular in the modern world. Some patients even in adulthood are engaged in yoga to promote health and prolong the youth of the body. Those who are already familiar with this system, you can contact the instructor to recommend a special set of asanas for solving problems with the hip joint.

Yoga treatment is especially good in that it does not require sharp movements, with pressure. All exercises are performed smoothly, gradually. Yoga exercises increase the mobility of the joints, improve the flow of blood to the sore spot and the circulation of lymph. Due to the specific nature of the respiratory component, yoga exercises saturate the body with oxygen, make every body breathe.

Treatment of coxarthrosis according to the Bubnovsky

system A program developed by Dr. Bubnovsky occupies a special place in the coxarthrosis treatment system. All his work is aimed at finding ways to eliminate pain, improve the body without taking medication. He invented and tested a system of physical fitness exercises. In addition to the complex of exercises, Bubnovsky developed special simulators, classes on which can alleviate the pain syndrome. Classes using the Bubnovsky method help restore the musculoskeletal system and balance the body.

Complexes of exercises developed by the doctor not only for the elderly who lost their health. In his arsenal there are methods of treating children, pregnant women, women of mature age and even athletes. After all, many sports, for example, rhythmic gymnastics, lead to serious joint diseases at an early age.

When choosing a suitable program for training, do not forget that the exercises should not only help in the fight against a specific problem, but also not to harm other bodies. Often, neglecting this rule, the patient finds himself in the well-known situation "one cure - the other is crippled".The key to successful treatment is the timely access for help to specialists. Take care of your health, take preventive measures and be healthy!


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;
  • activate blood circulation;
  • to reduce pressure on the articular head 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

? 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 are overly active - 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.

1st degree

Hip arthrosis is diagnosed in both children and adults

The main symptom of coxarthrosis of the 1st degree is a periodically emerging 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, under extreme stress, severe exacerbations occur 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:

  1. NSAIDs( piroxicam, diclofenac, indomethacin, meloxicam, ketoprofen).Assign as anti-inflammatory drugs, to reduce pain in the groin.
  2. Chondroprotectors. Substances that feed cartilage tissue, at the initial stage of the disease they are very useful, they can restore microdamages.
  3. 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.
  4. 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.

Diet for coxarthrosis of the hip joint is mandatory - to reduce excess weight, if any, and increase in the body calcium and improve metabolism.

2nd degree

For the treatment of coxarthrosis, it is absolutely necessary to perform special exercises.

Coxarthrosis of the hip joint of the 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, expanded, 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 patient is prescribed the following procedures:

  • manual therapy;
  • therapeutic massage;
  • physiotherapy.

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 given to the following products:


Coxarthrosis: treatment, therapeutic exercises, exercise complex, diet and preparations

self-massage One of the ailments that can affect a person of any age group is coxarthrosis: treatment of the disease in the early stages will be guaranteed successful. This is the ailment of the presence of dystrophic processes in the hip joint. Any orthopedist and surgeon is well aware of what coxarthrosis is and how to treat it. Therefore, it is necessary to contact these doctors for help.

The main symptom of coxarthrosis is pain. Unpleasant sensations can spread not only on the thigh area, but also on the knee, the attachment points of the tendons, and the inguinal zone.

Drug treatment for coxarthrosis

Hip joint therapy has been established to take measures aimed at reducing pain syndrome, inflammation, and preventing the development of a degenerative process in the cartilage. Timely medical treatment of coxarthrosis ensures the recovery of . Medication can be prescribed to a patient both in the form of tablets, capsules, ointments, and in the form of intraarticular and intramuscular injections, blockades.

After consulting a doctor, the patient actively begins to exercise with the diagnosis of coxarthrosis treatment: drugs are usually prescribed taking into account various factors. Medical therapy provides for the use of:

  • anti-inflammatory drugs( movalis, diclofenac) - allowing to remove not only inflammation, but also swelling;
  • vasodilator drugs( cinarezin, trental) - improving the blood supply near the patient joint. Thanks to this, the body will recover much faster;
  • preparations, relaxing muscles - muscle relaxants( sirdalud, midocalmus);
  • drugs, restoring the structure of cartilage - mainly used chondroprotectors in coxarthrosis, like arteparone, glucosamine, rumalon, structum;
  • of steroid hormones( hydrocortisone, Kenalog, motelpred), in the form of injections.

Nutrition with coxarthrosis of the hip joint

The appointment of a diet with coxarthrosis is an important step towards recovery. The nutrition adjustment can provide the damaged body with the necessary elements for its "construction".The vital activity of the hip joint is maintained by a special fluid produced in it. The amount of this lubricant affects the damping of the joint, and the quality - on saturation with nutrients.

Nutrition with coxarthrosis of the hip joint requires restrictions in the use of salt, a large number of which leads to edema. It is also necessary to limit the reception of sweet dishes, to replace glucose with fructose. Provides a diet for coxarthrosis of hip joint use of cottage cheese, hard cheese and fermented milk products. Preference is given to cereals and bread from grain, bran or rye.

Drug treatment for coxarthrosis must necessarily take place in parallel with diet therapy. This is necessary because a complete set of nutrients can trigger the mechanism of self-repair of cartilage.

exercise therapy and gymnastics with coxarthrosis

In complex hip joint therapy, exercise and gymnastics play a big role. With their help it is possible to render "useful" loading on the amazed joint and to restore in full the motor function of the organ.

In view of the fact that in some cases, any load is contraindicated, therapeutic gymnastics may be prescribed for coxarthrosethesis of the joint only by the doctor.

Exercises in the initial stages of coxarthrosis

After the patient has received instructions on how to treat coxarthrosis, he starts in parallel with therapy to perform a set of physical exercises. Each movement should be repeated at least 3-5 times, gradually bringing up to 10 repetitions. Each posture is fixed for a couple of seconds. During exercise, you need to breathe freely, and relax during breaks. Mild tenderness of the joint is permissible.

If the cartilage lesions are insignificant, the following exercises are recommended for prikoksartroze of the hip joint:

  • lying on the back - bend the knee in the knee, and then pull it out;grasp the leg under the knee with both hands and pull as close to the stomach as possible, the second leg should be stretched out;
  • bend the leg with the opposite hand and hold it in this position;bend both legs in the knees, tightly pressing the soles to the floor and lift the pelvis;
  • lying on the abdomen - bend a sore leg in the knee joint at a right angle and lift up;stretch your legs evenly;
  • lying on its side, place an emphasis on the palm and elbow of the opposite hand, extend the leg and lift it upwards so that the sole is 90 ° to the shin;
  • sitting on a chair - connect the feet and knees, and then turn the heels to the maximum distance from each other;also sitting on a chair you can pinch a ball between the knees or a small pillow and squeeze.

With the diagnosis of coxarthrosis 1 degree of treatment with the help of exercises can be carried out in the gym. The execution of the complex of exercises is allowed as an independent , and under the guidance of the instructor . It is necessary to visit such trainings regularly even after the last signs of an illness disappear. How is LCA performed with coxarthrosis of the hip joint to look at the video.

Exercises for the severe form of coxarthrosis

In those cases where there was a severe lesion of the hip joint tissues, the most justified will be a sparing set of exercises. At 3 degrees, effective treatment of coxarthrosis without surgery is possible if you perform exercises according to the method of VD.Gitta. This complex can be used not only by seriously ill people, but also by those patients who are being treated with grade 2 coxarthrosis.

Physical exercises by the method of V.D.Gitta:

  • 1 exercise: lying on your stomach, stretch your arms along the torso, first putting a small pillow under your feet. Then, rolling on the belly, gently rock from side to side with hips with an amplitude of 2-3 cm. Such rotational movements should be performed before meals 3 times a day. Weak patients are recommended an interval of 3-5 minutes, more active patients - 10 minutes;
  • 2 Exercise: lying on your back, stretching and slightly spreading your legs, alternately turn them out and inwards, with an amplitude of movements not more than 0.5-1 cm. For a better effect under the knees, you need to put a roller;
  • 3 exercise: sitting, tightly pressing the feet to the floor, and placing your feet on the width of the shoulders, easily and without tension, reduce and dilute the knees. The amplitude of the movements is minimal - 0.5-1 cm. The total time of the movement, which must be distributed for the whole day - from 3 to 6 hours;
  • 4 the exercise is intended for the weakest patients: it is necessary to make a loop over the bed and in a prone position to stick a leg in it to the middle of the calf. Relax the limb and shake it around or bend and unbend it at the knee. All perform with minimum amplitude;
  • 5 exercise: become a healthy leg on the dais and shake the patient with a foot, swing left-right and back-to-back, adhering to the support. It takes 5-10 minutes 2-3 times a day.

Not many know which doctor treats coxarthrosis with the help of the exercises. This role is assigned to the manual therapist, who is V.D.Gitt. It is important that during the exercise the patient does not feel a strong pain, otherwise the activity should be stopped. It is possible to adhere to this medical complex independently. To do this, just watch the video of how the lessons are done.

Massage with coxarthrosis

When hitting the hip cartilage is effective, not only classical, but also vibrating massage performed by a manual or electronic massager. Treatment of coxarthrosis joints with vibrations is quite effective, but it can only be carried out after carrying out a manual kneading of the body. If the diagnosis of coxarthrosis of the third degree is established, treatment with a massage in combination with the massage will not yield any result.

Massage with coxarthrosis of the hip joint is performed 3 times a day. The duration of the session is 10 minutes. Before performing the procedure, the doctor must evaluate the patient's condition and adjust the manual therapy.

Technique of therapeutic massage

Experienced manual therapists are well aware of how to cure coxarthrosis with the help of massage. For this, the patient is laid. Shallow and easily massage nearby painless areas. Then begins stroking and kneading the back and lower part of it. Then the massage of the lumbar region begins immediately. The waist is stretched along the spine and the sacro-gluteal region is massaged.

After the massage of the thigh and the area of ​​the affected joint is performed. This procedure can be started only if the previous procedures are followed, if the patient has weak pain. Massage is done very carefully, with minimal effort, slowly and gently. From procedure to procedure, the intensity of the exposure is increased. See how the massage is performed on video.


Depending on the intensity with which coxarthrosis manifests itself, the treatment is carried out with an emphasis on suppressing the main manifestations of the disease. So, self-massage will help the patient to reduce the level of pain syndrome and a feeling of stiffness in the joint, increase blood circulation and nutrition of the body. It is much easier to defeat coxarthrosis and its treatment is directed to an effective channel when performing a massage.

When self-knitting, the same techniques are used as with a conventional manual massage:

  • stroking;
  • patting;
  • effleurage.

Self-massage can only help in the 1st and 2nd stages of coxarthrosis. Treatment of coxarthrosis of the third degree provides for exclusively surgical intervention, since at this stage the cartilage is almost completely absent. The duration of self-massage is 10 minutes. You can perform the procedure schematically: three weeks a day or every other day to carry out the procedure, then make a three-week break. To make self-massage it is possible, relying on a video instruction.


Coxarthrosis. Treatment of the hip joint of varying degrees of disease.

Coxarthrosis - deforming arthrosis of the hip joint. Coxarthrosis of joints develops usually after forty years. Women are sick slightly more often than men. The disease can affect both one and both hip joints( bilateral coxarthrosis).But even in the case of a bilateral defeat, one joint usually becomes ill first, and only then the second.disability in coxarthrosis

Causes of coxarthrosis

The causes of coxarthrosis can be different, but the picture of the disease is always the same. It all starts with a change in the articular cartilage, which is thinned and loses the property of absorbing the load. Stratification of cartilaginous tissue body compensates for the formation of bone growth along the edge of articular surfaces, which leads to deformation of joints and bones of different degrees.

The main causes of coxarthrosis are associated with a fixed lifestyle or other diseases. One of the causes of the disease is the constant restriction of mobility, for example, with sedentary work the risk of coxarthrosis of the hip joint is high, it is not possible to treat it without changing the way of life. Soon the disease will return, if after the treatment leave everything as is.

The second cause of coxarthrosis is often excessive load, resulting in systematic microtrauma, as well as injury to the joints. Most often it occurs in people engaged in heavy physical labor or professional athletes. In this case, treatment without changing the lifestyle or limiting the workload is also ineffective and often accompanied by relapses.

Often the causes of coxarthrosis are such diseases as congenital hip dislocation, hip dysplasia, and some others. Diagnosis is carried out using X-rays, which help to detect the growth of articular surfaces. Magnetic resonance imaging( MRI) can identify the disease in the early stages, so it is considered a fairly effective method of diagnosis.

Symptoms of coxarthrosis

The most common 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.

Pain in coxarthrosis

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, the pain with coxarthrosis becomes more and more permanent, 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.

Degrees of coxarthrosis

Coxarthrosis of the 1st degree. Periodically after physical exertion( long walking, running), there are pains in the hip joint area, less often in the thigh or knee area. As a rule, after rest the pain passes. The amplitude of movements in the joint is not limited, muscle strength is not changed, the gait is not broken. On the roentgenograms, slight bony growths that do not extend beyond the joint lip are visible. Usually they are located around the outer or inner edge of the articular surface of the acetabulum. The head and neck of the femur are practically unchanged. The incisors of the joint are unevenly slightly narrowed.

Coxarthrosis of 2nd degree .The pains are more intense, they irradiate into the thigh, the groin area, arise at rest. After a long walk there is lameness. The function of the joint is impaired. First of all, internal rotation and hip removal are limited, i.e.forming a flexural and leading contracture. The strength of the muscles withdrawing and extending the thigh decreases, their hypotension and hypotrophy are determined. On the roentgenogram, significant bony growths are seen along the outer and inner margins of the acetabulum, extending beyond the cartilaginous lip. Mark deformation of the head of the femur, its increase and contour irregularity. Cysts can form in the most loaded part of the head and acetabulum. The neck of the femur is thickened and dilated. The joint gap is unevenly narrowed( up to 1 / 3-1 / 4 of the original height).The tendency to shift the head of the femur to the top is determined.

Coxarthrosis of the 3rd degree. Pains are permanent, occur even at night. When walking, patients are forced to use a cane. There is a sharp restriction of all movements in the joint( flexion-leading contracture) and gluteus in the gluteal muscles, as well as the muscles of the thigh and lower leg. There may be a positive Trendelenburg symptom. The flexor-leading contracture causes an increase in pelvic incline and an increase in lumbar lordosis. The pelvic incline in the frontal plane, associated with the weakness of the hamstrings, leads to a functional shortening of the limb on the side of the lesion. The patient is forced to step on the toes to reach the floor, and tilt the trunk to the affected side while walking, to compensate for the pelvic tilt and shortening of the limb. Such a compensation mechanism leads to the movement of the center of gravity and the overload of the joint. On radiographs, extensive bone growths are determined from the side of the roof of the acetabulum and the head of the femur, a sharp narrowing of the joint space. The neck of the femur is considerably widened and shortened.

Treatment of coxarthrosis of joints

Treatment in connection with the absence of a single pathogenetic mechanism of the disease development is symptomatic, aimed at reducing pain syndrome and statodynamic disorders of the musculoskeletal system. In this case, it is necessary to take into account the stage of the disease, the age of the patient, his general condition and the specific features of the clinical manifestations.

coxarthrosis how to treat

coxarthrosis operation

Treatment of coxarthrosis 1 degree

Coxarthrosis 1 degree is most easily treated, and with timely treatment, joint therapy is quick and painless. Often, coxarthrosis 1 degree is treated at home under normalized loads. In the course of treatment prescribe analgesics and non-hormonal anti-inflammatory drugs in combination with normalization of metabolic processes in the cartilage of the joint. Auxiliary treatment of coxarthrosis of 1 degree - treatment with folk remedies, physiotherapy exercises, massage.

Treatment of coxarthrosis of 2nd degree

Certainly, it is impossible to completely heal, because with arthrosis of the second stage, not only the cartilage of the joint, but also its bones are damaged - they are perceptibly deformed. And it is clear that it is almost impossible to return the former form to the deformed bones. But it is possible to significantly improve the condition of the patient's joints by increasing the special methods of feeding the cartilaginous tissue, improving the blood circulation of the joint and dilating the joint ends of the bones, that is, expanding the joint gap. This is entirely within our power.

And although we will not be able to return the original joint to its aching joint and provide an ideal gliding of the cartilaginous surfaces, but at least we can make it so that the pain decreases and the mobility of the joint improves. There is an opportunity to postpone the operation for an indefinitely long period, and even completely avoid it. But I repeat that this will happen only if the patient himself is very determined and very determined: he is ready to do special gymnastics and do not forget to take a course of maintenance treatment every six months.

To treat coxarthrosis of the 2nd degree follows the same as the 1st degree, adding laser therapy, magnetic therapy, ultrasound therapy and electrophoresis, performed in an ambulatory or semi-stationary setting. As a rule, this is enough to stop coxarthrosis of the 2nd degree.

Treatment of coxarthrosis of the third degree

In coxarthrosis of the third stage, the situation is much more complicated. As already mentioned, in the third stage of arthrosis, only the minimal thinned layer of defective cartilaginous tissue remains in the hip joint, and the articular area of ​​the femoral head is strongly deformed.

Most doctors in this situation will tell the patient( and most likely will be right) that the only way out is an operation. And only on the strength of 10-20% of patients, endowed with enormous willpower and perseverance, who are very willing to prevent surgical intervention in their body, will be able, with great efforts, to avoid joint surgery.

Of course, they are unlikely to be able to cure their severely affected joint. But such stubborn patients can, with the help of gymnastics, some kinds of physiotherapy and medications to strengthen bones, stabilize the condition of the affected joint and reduce pain. Simply put, the condition of the joint itself remains practically the same, but the condition of the bones, blood vessels and muscles surrounding the joint will improve. Due to this, the load on the affected areas of the joint will decrease, and the pain will cease to increase, or even completely weaken.

As a result, a person who for some reason categorically does not want or can not agree to an operation( say, because of age or because of a poor condition of the heart and blood vessels) will be able to at least normally sleep and sit, getting rid of unbearable "pain of rest ".And even if he can not live and move perfectly, as before, he will most likely be able to walk for short distances: let little by little, even with the help of a stick or stick, but walk.

Coxarthrosis of the third degree is treated both conservatively and operatively. For conservative treatment, use medicamental anti-inflammatory drugs and analgesics, administered intramuscularly, intravenously and directly into the joint cavity. Apply the means of physiotherapy. In severe pain syndrome, intra-articular blockades are performed, helping to stop pain. In the absence of a therapeutic effect in conservative treatment, coxarthrosis of the third degree can be treated promptly, by prosthetic joint.

Gymnastics with coxarthrosis

During gymnastic exercises, the synovial fluid flushes all joint surfaces, ensuring the delivery of cartilage tissue of nutrients and the removal of metabolic products from them. This is the simplest and most natural method of treating your cartilage. However, it should be remembered that incorrectly performed exercises can have a negative impact on the joints. Gymnastics with coxarthrosis should ideally be performed under the supervision of a physician, but if this is not possible, then you can use the exercises and recommendations from this article.

Exercises for coxarthrosis

  • All exercises should be performed smoothly, neatly. You must not allow sharp and strong movements.
  • All axial loads on the affected joint should be eliminated.
  • If pain occurs, the exercise should be discarded immediately.
  • Exercises must be performed daily.
  • Before performing the exercises, during the exercise, if pain or discomfort occurs in the joint and after the exercises, a gentle massage should be performed in the area of ​​the affected joint.
  • After doing the exercises, you can take a warm bath that will relieve muscle tension and soothe the pain.
  • Swimming is the best method of caring for your joints. Swimming with coxarthrosis also has a beneficial effect.

In coxarthrosis of the hip joint gymnastics is absolutely contraindicated in the following situations:

  • The presence of malignant neoplasms.
  • Presence of open or closed hemorrhages.
  • In acute pre-infarction or pre-condition.
  • With fractured tubular bones.


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