The osteoarthritis of the hip joint is considered to be an age -related disease, although young people are not immune.This disease causes considerable torments and, in serious cases, it can deprive a mobility person.
Why the distorting osteoarthritis of the hip joint occurs
The osteoarthritis of the hip joint (coksartrose) is a dystrophic degenerative disease, in which the cartilage which covers the surface of the thigh head and the sovereign cavity is destroyed.The disease is developing gradually and is caused by a variety of causes.
The development of osteoarthritis of the hip joint can lead to:
- Hormonal changes - both and pathological, for example, in diabetes;
- circulatory disorders due to injury, excessive physical effort, general problems with blood vessels;
- inflammatory processes (for example, with arthritis);
- Obesity-Due to excessive load on the hip joint, it is possible to compress it and destroy it;
- Congenital predisposition (anomalies of the structure of the femoral head);
- Excessive physical activity - They led to osteoarthritis themselves, but can accelerate the development of the disease with other undesirable factors;
- Injuries - such as dislocations, fractures and stretching.
Coxarthrosis symptoms
Since the joint is gradually destroyed, four stages of osteoarthritis in the hip joint are distinguished.
The first degree
Symptoms can be absent or light.The first stage of osteoarthritis of the hip joint is characterized by:
- Pain in the anterior and lateral surfaces of the thigh and in the groin after prolonged or intense physical effort;
- a feeling of stiffness in the joint after long immobility (more often in the morning);
- Want or click in the joint during the move.
The second degree
At this stage, the destruction of the joint has already gone far.Most often, people are looking for a doctor at this stage.Among the symptoms of osteoarthritis of the second degree hip joint:
- constant pain which does not disappear even at rest;
- violation of the mobility of the joint;
- Progressive lameille - A person instinctively tries to reduce the load on the affected joint.
The third degree
If in the first and second stages of the development of the disease, it is always possible to do with conservative treatment methods, the third often requires surgery.
Signs of the third stage of coxarthrosis:
- Severe pain in the affected joint, which affects the whole thigh and gives the knee;
- lameness;
- A decrease in the length of the leg on the side of the sick joint (sometimes, in about 10% of cases, the lengthening of the leg is observed);
- Hip muscles atrophy.
The fourth degree
At this stage, the hip muscles do not work almost completely and the patient experiences constant pain.The only effective measure will be to replace the articulation destroyed by an artificial prosthesis.
How to treat osteoarthritis on hip joint
There are many methodrosis therapy methods.As a rule, the doctor prescribes his combination, as the treatment of this disease should be complex.
Drugs
With 1st and 2nd degree disease, drugs are successfully used for treatment.First of all, arthritis drugs in hip joint include non-steroidal anti-inflammatory drugs, vasodilating agents that improve blood supply to the joints, muscle relaxants that relax the muscles and relieve spasms.The preparations for the joints that restore the cartilage fabric are also used.In the early stages, local products in the form of plaster, applications and ointments also help - they improve blood circulation.
Without a timely treatment, osteoarthritis of the hip joint can cause ankylosis.Anquilosis is the full fragment of the femur with a pool.With this disease, the leg becomes completely motionless in the joint.
Non -surgical treatment methods
Physiotherapy often becomes the main way to treat osteoarthritis in hip joint.If the funds have been selected correctly, this gives very good results.Non -surgical methods include:
Uvt.Shock wave therapy is a new method, but, according to many physiotherapists and efficient patients.UVT is based on the influence of waves with a frequency of 16 to 25 Hz on the affected joint, which has a healing effect, restaurants the blood supply and activating metabolic processes in the area of the location of pain.
Plazmo therapy(joint plasmolifting).Another modern way of treating osteoarthritis is injections of blood plasma into the affected joint.The plasma contains plates that regenerate the tissues.
Myostimulation.Muscle contractions when exposed to electrical pulses on them.The method helps to face the manifestations of osteoarthritis.After the myostimulation course, the weakened and non -working muscles are reinforced, their link with the nerve endings is restored.
Phonophoresis.It is a long known method, which consists in the effect of an articulation affected by ultrasound.Thus, it is possible to provide therapeutic substances to affected tissues and at the same time physically affect the joint.Phonophoresis saturates tissues with oxygen, accelerates regeneration, relieves pain and swelling.
Ozonotherapy.Ozone saturated tissues with oxygen, thus accelerating cellular metabolism and effectively relieving inflammation.In the end, this leads to an accelerated restoration of damaged fabrics.
Hirudotherapy.Hirudotherapy, or treatment of leeches, can indeed have a positive effect in the treatment of osteoarthritis of the hip joint.The secret of leeches has a high biological activity, improves blood circulation.
Radon baths.These baths have a general reinforcement effect, having a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with osteoarthritis.
Exercise therapy.Therapeutic physical education for osteoarthritis aims not only to maintain muscle tone and strengthen ligaments, but also to the development of the joint, as well as to constitute the habit of moving properly.
Massage (including lymphoding) and manual therapy.Massage is, one might say, a universal method that helps to alleviate the condition with different diseases, including osteoarthritis.Therapeutic massage relieves the tensions of the muscles, improves blood intake to tissues and joints, promotes the production of synovial fluid and has an analgesic effect.
Mechanotherapy.To carry out this procedure, special simulators are used, created specifically for therapeutic charges.
Spouse.This hip joint method of articulation is used quite often.Based on the results of the course of procedures, the difference between the surfaces of the joint increases, which reduces the load on cartilage.
Diet.Good nutrition is very important for healing.With osteoarthritis, it is advisable to join a special diet.If the patient suffers from an excess weight, you will need to apply all efforts to lose weight, otherwise the constant load on the joint will cancel all the efforts of the doctors.The base of the menu must be low fish and meat, beef, leaves, coarse flour - the source of group B vitamins necessary for appropriate metabolism.FRIT falls under the ban, such as fast food.You should eat fractionally, in small portions, several times a day.
Surgical treatment
All the above methods are effective in the early stages, but if the disease has gone far, surgery will be necessary.
Puncture(mini-invasive intervention).The puncture is carried out to eliminate excess liquid from the joint bag.This restores the mobility of the joint and relieves pain.
Arthroscopic debridement.This is the elimination of the deformed part of the cartilage, which relieves, but without complete treatment, the effect will be temporary.
Osteotomy near the joints.Osteotomy - Dissection of the bone with its subsequent fixation.This operation is carried out to improve the operation of a worn seal and reduce the load on it.The method is often used in cases where the cause of osteoarthritis is the deformation of the bone head.
Endoprosthetics.This term indicates the replacement of its own artificial artificial, titanium.It is an extreme measurement, they only use it when the joint is completely destroyed and its restoration is impossible.
Characteristics of treatment at different stages of the disease
The sooner you see a doctor, the easier and faster the treatment.In the first and second stages of coxarthrosis, there is enough drug treatment and a physiotherapy course for complete recovery.However, the disease can come back if you do not revise the lifestyle.To maintain health, you will have to lose weight, rationalize the diet, abandon bad habits.
In third and fourth stages, you can no longer do without surgery.Physiotherapy and drug treatment are also applicable, but already in the form of rehabilitation measures after surgery.
For the prevention of osteoarthritis, you should regularly undergo an exam by an orthopedic doctor, especially if there were joint injuries in the past.Particular attention to these examinations must be paid to professional athletes, as well as to people with excess weight.
Treatment of coxarthrosis by UVT
Among all the non -surgical methods of treatment of arthritis, UVT is considered to be one of the most progressive.The orthopedic doctor says in detail:
Shock wave therapy is the only physiotherapeutic treatment method today, which not only relieves unpleasant symptoms, but fights the cause of joint destruction.UVT promotes the absorption of scars and calcium crystals, improves blood circulation, stops inflammatory processes.According to my own experience, I can say that the effectiveness of treatment exceeds 85% - and it is a very good indicator.
UVT is considered a new method, but in fact, it has been used for over 20 years in more than 50 countries around the world.