Arthrosis of the hip joint: degree, symptoms and treatment

Pain and discomfort in the hip joint the healthy people never disturb - in essence, you can live your whole life without thinking about how this education works in our body.However, those who have found themselves facing the arthrosis of the hip joint unintentionally move to the degree of experts and in the structure of the joint and in the treatment of the disease, otherwise there is little hope for good health.

What is deforming the arthrosis of the hip joint and why it occurs

The arthrosis of the hip joint (also known as coxartrosis and osteoarthritis deforming of the hip joint) is one of the most frequently diagnosed pathologies of the bone muscle system.In Russia, this disorder is one of the main causes of disability in people with joint diseases.

For reference
Coksartrosis is a chronic inflammation of the hip joint, which is characterized by the premature destruction of the cartilage, restricting the joint gap and a decrease in the mobility of the leg from the injury.

In a figurative sense, the problem of a person who suffers from arthrosis of the hip joint can be compared with a door whose rings are not lubricated.Due to the lack of "lubrication" inside the articulation, the bones begin to come into contact, which causes pain and constraint (like a cigolo and a close course of the door).Subsequently, if the disease is ignored, the growing ("rust") occur on the bone surfaces, which increasingly limit movements in the joint and, with adverse outcome, ceases to perform its function.

Usually it is believed that the arthrosis of the hip joint is an age problem.The statistics confirm this point of view: after 40 years, such a diagnosis has been made one of the ten, after 60 years: one of the three patients and in those who are 70% of cases for 70. But often the pain in the thigh brings to the orthopedic and young orthopedic office.

So, among the causes of osteoarthritis of the hip joint, the following are distinguished:

• Innate compromise development (dysplasia) of the joint, which may not show itself until adulthood;
• Premature wear of the joints that occur due to intensive loads in athletes or obesity;
• injuries and infections that affect the musculoskeletal system;
• Other diseases of the musculoskeletal system, which lead to the pathological redistribution of the load on the joints;
• Violation of the blood flow to the joint (for example, due to the atherosclerosis of the vessels).

Doctors believe that a combination of factors lead to arthrosis of the hip joint, therefore, in people with a predisposition to this disease, the pathological process occurs first, as in patients with obesity, diabetes mellitus or ischemic damage to the heart.

Symptoms of coxartrosis

The first sign of arthrosis is pain after physical activity.Unpleasant sensations arise both in the inguinal region, therefore in the thigh and in the knee.

This is important
Often, with coxartrosis, the pain is initially concentrated in the knee joint and a person turns to the doctor with such a complaint.An inexperienced doctor may prescribe an X -ray of this area and, if there are small changes, make an incorrect diagnosis - gonartrosis of the 1st degree.As a result, we will miss the weather.Therefore, with leg pain, it is worth spending time looking for a competent orthopedist doctor and a good orthopedic clinic.

If Coksartrosis has not begun to treat in the early stages, the following symptoms come together with pain: rigidity and creak in the joint, a change in the pace (often to avoid unpleasant sensations, patients open their legs to the outside and transmit when they walk from one side to the other - a "duck" pace is formed).Over time, the pathological process leads to the atrophy of the hip muscles and the visual shortening of the sick limb.In the subsequent stages, osteoarthritis of the hip joint develops in ankylosis: the complete fragment of the femur with a basin, which is why the leg is fixed in a position and performs only the support function.

Degree of illness

For convenience of diagnostics, doctors distinguish three degrees of coxarthrosis:

• 1 degree of osteoarthritisThe hip joint is set with moderate pain manifestations and the absence of constraints in movements.With the X -ray, a small narrowing of the joint gap and the explosions of single bone, osteophytes are significantly a small narrowing.Without prejudice to an adequate treatment, the 1st degree coxartrosis can be stopped by eliminating the symptoms of the disease.
• 2 degrees of coxartrosisIt is accompanied by painful pain even to the rest of the leg.The movements in the joint are difficult: a person cannot lift and bring the leg to the side.The pain is particularly evident when trying to open the foot of the leg straightened to the right and left.The patient is lame, sometimes a crunch is listened to in the joint.In the X -ray images - Deformation of the head of the femur, numerous osteophytes and narrowing of the joint gap to the third.Therapeutic measures allow you to suspend the course of the disease for many years.
• TO3 degrees of coxartrosisThe pain in the joint does not subside around the clock, the atrophy of the muscles of the thigh and the buttocks develops: the entire body of a person seems distorted towards the injury.X -Ray indicates a profound deformation of the joint and the narrowing of the gap of the gap until the full connection of the bone surfaces.The therapeutic approach, as a rule, does not give a tangible effect: a joint replacement for a prosthesis is required.

For the diagnosis of osteoarthritis deforming, it is used as an external examination, in which the doctor studies the mobility of the leg, evaluates the pace and appearance of the patient, as well as the X -ray.In doubt in the correctness of the diagnosis, the specialist also prescribes a direction for the magnetic resonance imaging tomography (MRI) of the hip joint.

How to treat the arthrosis of the hip joint

The fight against Cokesartrosis requires the involvement of various methods: from drugs and physiotherapy exercises to the articulation joints and surgery, which is usually prescribed for unsuccessful attempts to reject the development of the disease.

Conservative treatment

Non -surgical treatment requires time and financial costs, but can improve the quality of life of the long -term patient, to cancel the need for surgical surgery.The first thing that a orthopedist prescribes coksartrosis are drugs that relieve pain and inflammation (non -brief and steroid anti -inflammatory drugs, muscle relaxants).To activate the flow of blood in the field of arthrosis and the restoration of the cartilage tissue, vasodilated drugs and chondroprotectors are prescribed.In addition, the patient can offer a modern methodology to stimulate regenerative - plasmolifying processes, or the injection of the patient's blood components in the pathological focus.These measures are more effective for the arthrosis of the hip joint of the first and 2nd gravity.

Non -surgical treatment methods

In addition to tablets, ointments and injections, the treatment of coxartrosis requires the use of physiotherapy and Kinesitherapia, as well as the correction of the diet.A help strategy developed by an expert orthopedist allows people with 1 and 2 degree of arthrosis of the hip joint to avoid endoprothetic and limit the need for drugs.

Physiotherapy

• Shock wave therapy (UVT)It is used in cardiology, neurology, orthopedics and sports medicine.The base of the body effect are the sound waves that provide blood flow to the desired area of the body, which stimulates regeneration processes and accelerates the metabolism.This relatively new method already shows significant results in the treatment of diseases of the musculoskeletal system and becomes one of the most popular.
• MyostimulationIn case of coxartrosis, it is aimed at restoring muscle functioning, weakened due to forced restriction of the movements in the joint.
• SoundCombine the advantages of ultrasound and pharmacological effects on the body: under the influence of the device, a pharmaceutical drug in the form of an ointment or a cream penetrates more effectively through the skin to the hip joint.
• OzonotherapyIt reduces unpleasant sensations and activates the growth of cartilage due to the properties of the ozos-acid mixture.

Kinesitherapy

• Operating therapyIt is considered the basis for the success of the treatment of arthrosis of any location: the regular implementation of a special system of exercises strengthens the ligaments and muscles around the painful articulation, which reduces the discomfort with the usual daily loads.
• Massage(including lymphatic drainage) and manual therapy aim for passive work with muscles, ligaments and joints.Approaches used to help people with coxarthrosis reduce the need for tablets and injections, which reduces the pharmacological load on the body.
• MeccanotherapyIt implies work with simulators that help exercise the joint without significant physical efforts, which is particularly required in patients with advanced age.
• Joint trafficWith the help of a special traction apparatus or manual therapist, the space inside the joint increases, which "launches" the pathological process of different steps back, facilitating the symptoms and giving the body the time to restore the function of the hip joint.

Diet therapy

All patients with coks arthrosis are needed, but above all for patients with obesity.Weight loss reduces the load on the inflamed joint and improves metabolism.In combination with other conservative methods, a balanced diet allows you to forget the pain and other manifestations of arthrosis of the hip joint.

Surgical treatment

This group includes procedures performed by a surgeon in the operating room.All of them, with the exception of the puncture of the hip joint, require hospitalization and a multi -mese recovery period.With the 3rd degree coxartrosis, when the conservative treatment does not bring relief, only the prostheses help to save the patient from discomfort and pain, returning it the joy of the movement.

• Punting (minimally invasive intervention)It implies pumping from the joint of the excess fluid, which relieves pain and improves the mobility of the leg.It can be performed repeatedly, especially when prescribing steroid drugs.
• Arthroscopic debateIt implies the purification of the internal surface of the joint from the fragments of the tissue of the altered cartilage and the washing of its cavity with a therapeutic solution to relieve inflammation.This operation is performed through different punctures, without opening the joint cavity.
• Emuine osteotomy- An artificial fracture of the femur, followed by its braking from a different angle, which allows you to reduce the load on the joint.This intervention cannot be called a panacea - after 2-5 years, the pain returns, but in some conditions in which it is impossible endopropostetic, the periosurge osteotomy of the hip joint is the best solution to the problem of coxartrosis.
• EndoproposteticIt means a complete replacement of the joint for a prosthesis, which can serve up to 20 years.Despite the complexity of the intervention, it is well tolerated by patients of different ages who are ready for active rehabilitation after surgery.Surgeons note that an important condition for success is the preliminary treatment of obesity and the use of Kinesitherapia methods in order to restore the muscle resistance that surrounds the joint.

The prevention of osteoarthritis of the hip joint is important for people after 40 years, athletes and relatives of people with already diagnosed coksartrosis or a fracture of the femoral neck.The doctors recommend that the risk group monitors the figure, pay attention to the lesions (for example, they wear winter shoes on non -slip soles) and engage regularly in physical form.At the first symptoms of arthrosis of the hip joint, they immediately turn to the orthopedist.The treatment of the disease must be kept with a specialist doctor, expert and attentive to any changes in patient health.