Coksartrosis, or hip degenerative disease, is one of the most severe pathology in the musculoskeletal system.Because of the large size of the joint structure, pain and discomfort are much more severe than failures in other joints.The consequences of pathology are also serious – if the damage to the small bone joints causes many unpleasant sensations, then untreated hip arthritis is the direct route to disability.Only the right treatment, sometimes even surgery, can help a person not lose his ability to walk.
What is arthritis in hip joints?
Coksartrosis, osteoarthritis, hip arthritis - synonyms for the same pathological process, flowing on one or two sides of the thighs.In modern medicine, pathology is also called osteoarthritis: it was previously believed that the degeneration process was not characterized by inflammation, but more accurate studies have shown the opposite.Articular cartilage affects tissue secretion of inflammatory elements (interleukin), so osteoarthritis is another real term.
The disease is characterized by the following signs:
- steadily develop, moving from one stage to another;
- Causes persistent pain, limiting joint mobility;
- Causes deformation of the bone surface, partially or completely destroying the clear cartilage;
- At a detailed stage, older people are more inherent in people, but often begin after 40 years.
- 70% of people over the age of 75 have pathological symptoms;
- They often suffer from women's illness.
Joints are mechanisms with friction details.The contact surface can wear due to a decrease in lubrication mass or amount (space fluid).Small cracks appeared in the cartilage, which were later destroyed, instead of healthy tissue, but bone corn appeared.Such growth does not allow the legs to move normally, and its function will be lost.
Causes of disease development
Articity in the right or left thigh area may be primary or secondary, and the first option is the characteristics targeted at older people.The main form of disease has developed for decades and is associated with age-related wear and damage to cartilage.
There are other reasons for secondary Coksartrosis, which can even start with young people.It is associated with inflammation (infectious, autoimmune), which brings motivation to the onset of pathology.Again, the cause may be thigh injury (bruises, dislocations, fractures).Other possible causes of secondary form:
- Operation of this anatomical area;
- Diabetes and other severe metabolic pathology;
- Hormonal diseases;
- congenital, obtained form of curvature and displacement of bones;
- Children with joint dysplasia;
The primary color of rotation, the necrosis of the hip head;- Systemic vascular disease, leading to worsening of cartilage nutrition;
- Bone tuberculosis, rheumatoid osteoarthritis;
- gout, Petes' disease;
- The tumor is benign and malignant.
Any form of hip joint symptoms will be faster if risk factors act on the body:
- Continuous stress, nerve shock, depression and experience;
- Obesity, even weight loss;
- adverse genetics;
- Hypotension, sedentary work or certain occupations, high joint load;
- Excessive physical (strength) load, professional exercise.
Symptoms of the disease
Arthritis cannot be noticed in the hip joint and its symptoms.Even in the early stages, this disease can make oneself feel, especially painful.As the disease goes from one stage to another, the hip joints produce and progressive joint pain increases.They appear in the thigh area, and even in the lower abdomen, they are handed to the knees and groin.Usually, after sleep, the pain subsides, but it can continue to occur in the advanced stages.During palpation, pain is not always felt, as damage to the joints may begin with deep parts.
Other possible signs of the disease:
- The tightness that occurs when moving, sometimes even a little curved;
- Frowning, changing gait;
- Shorten the legs from the side of hip arthritis;
- Moving station, limited rotation, moving legs.
As they develop, other pathological signs emerge.Therefore, the feeling gives people a feeling of bone deformation and the existence of growth.During the examination, the doctor pointed out that muscle atrophy, and even in ordinary life, patients were forced to move with crutches, crutches, limb pain and weakness.
Usually, pain and other clinical manifestations depend heavily on the stage.Differentiated Coksartrosis stages:
- First.Symptoms do not tan, but the initial changes are already obvious in the diagnosis.The synovial fluid becomes thicker, the volume decreases, and the cartilage structure changes at the end of the stage.The small cracks appear to be the body trying to treat by forming small "corn".
- The second one.The pain at this stage is very obvious, the limitations of tightening and motor function are obvious.Pain syndrome radiates to other parts of the body, spreading the entire leg downward.The picture is visible: thinning of cartilage, narrowing of distance between bones, violating the structure of the joint surface, and sometimes - the head displacement of hollow bones.The number of bone growth (bone plants) increases.
- third.The pain becomes unbearable, one has very limited movement and many people stop moving altogether.The cartilage is almost completely destroyed, the muscles are atrophy, and the joints are very deformed.Bone bone plants have the form of spikes and stimulate nerve endings.
What are the risks and complications?
It's easy to understand - if the pathology, symptoms and treatment of hip joints are not defined correctly, this can threaten disability.A pain syndrome, inability to walk and the need for ongoing care is to wait for a person without treating the disease.
In the case of damage to the thigh bones, disability is established based on the severity of the disease, and there is no job opportunity at all, so the first group is given.In this case, this is the surgery for such patients - this is the only effective treatment.However, even modern operating methods can withstand the risk of complications:
- Infection;
- Thrombosis, thromboembolism;
- Lost blood loss.
The total share of complications is 0.5-2%, but occurs.In most cases, there is a prosthetic infection, which must then be changed to a new prosthesis.This is why it is important to have antibiotic treatment after surgery.
Diagnostic measures for joints
It is recommended to turn to a trauma scientist, surgeon, orthopedic when the first sign of damage to the femoral area.Initially, the doctor conducted a physical examination because of suspicion of the joints of the hip joint:
- Feeling the upper part of the thigh reveals the appearance of pain, fractured bones;
- Perform passive movements of the foot - flexion, extension, abduction and bringing to elucidate the amount of movement possible.
It will help to diagnose and prescribe the treatment of hip joints more accurately, and instrumental diagnosis will help.Typically, performing radiographs – the cheapest, affordable research method.It is recommended to make X-rays on modern devices, or replace them on CT, where the quality of the pictures is much higher.CT provides detailed information on the condition of bones, cartilage, and joint surfaces.If a detailed study of soft tissue condition is required (for example, when pinching the nerve root), an expert will prescribe an MRI.
Other possible diagnostic measures:
- Ultrasound of joints;
- Arthroscopy;
- Blood test of rheumatoid factors;
- Tuberculosis protein sample;
- If diabetes is suspected, biochemical analysis of gout.
It is important to find the cause of secondary coksartrosos, as it will not work without affecting it to prevent the course of the disease.
Joint therapy for hip joints - medication and physical therapy
If the signs of the disease are implicit and do not enter the irreversible phase of change, conservative treatment will help the patient.Even if the joint nature of the hip is obtained in severe forms, medication is required – as part of the treatment process.
How to treat hip arthritis?There are drug correction plans for the disease:
- Non-replacement anti-inflammatory drugs.A pill or injection will help get rid of pain, inflammation.Use them uncontrollably - their own cartilage capacity will be reduced, and in addition, the stomach and intestines will be greatly affected by NSAID.
- Vascular drugs.Treatment with such drugs helps to enhance the nutrition of the cartilage and promote its recovery.
- musorelaxant.The muscle spasms caused by damage to the thigh area are manifested.
- Cartilage protector.Hip joint articulation requires mandatory and multiple months of administration of this drug.Injection form courses must also be used, including access to the joint cavity.A more effective technique is thought to introduce hyaluronic acid drugs into the joints.
- Corticosteroids.They are used in extreme cases as intra-advertising injections.This treatment is needed if the symptoms become unbearable.
External drugs (oints, gels) used in World War II are often ineffective due to the depth of joint operation.However, physical therapy techniques are often used and severely relieve pain.UHF, laser therapy, magnetic therapy in the thigh area, UHF, massage is performed.Similarly, in the case of osteoarthritis, manual therapy can be pointed out in some cases - the hood of the joint.
Folk therapy joint therapy
Although arthritis in the hip joint does not respond well to various external methods, many people have treated this pathology prevalently.Only severe pain can be applied to insulated pain spot compression, although this can be more distracting.It is best to give complex and neglected hip arthritis by oral administration:
- Pour 100 grams of hay from saber of 500 ml of vodka and stick in the dark for 10 days, drop 30 times a day 30 times a day to relieve inflammation;
- Do Jelly every day, cooks cold men often without contraindications - these dishes are no worse than hose protectors.
You can use this compression to calm the pain.It is necessary to apply honey, bile, ammonia, glycerin on the joints and match it with a warm cloth.Leave the compressor for 3 hours and wash.
Other methods and operations
To fully treat osteoarthritis, it is important to observe the right diet and you will have to turn down food that violates blood supply and worsens cartilage.These are smoked meat, vinegar, cross food, fried and foods with preservatives, trans fats.But there should be more dishes in the diet that contain magnesium, potassium, iodine, and calcium.
Mandatory treatment of joints is essential for the treatment of gymnastics.Warm every day - set, all patients should perform special exercises in the lie position.For example, you need to slowly lift your legs and hold them on the floor for a few seconds.
It is important to rule out sudden movements and prevent long and fast walking – with Coksartrososis, this only enhances the progression of the disease.To remove joints, you can use crutches, crutches, orthopedics can also recommend special orthopedics to soften the load.
The third stage of hip joint treatment is only performed with the help of surgery, and other methods are ineffective.In 95% of the cases, the surgery was successful and the movement of the legs was fully restored.But prosthetics are not eternal, and their service life is as long as 20 years, so operation is an extreme measure.In the process of the worm, its own joint changes the artificial, and the changes in the hip joints no longer threaten him.
Prevent COKSARTROSIS
In order not to undergo complex pathological treatments and not to suffer pain, it is important to start preventive measures from a very young age.Prevention of COKSARTROSIS is especially important for those exposed to risk factors.
Therefore, the blood supply of cartilage will not suffer, it follows:
- The menu contains plant foods, sufficient amounts of low-fat meat, cheese, jelly, and sour foods to eat;
- Stop smoking, not abuse alcohol;
- During sedentary work, perform warmth regularly and perform simple exercises;
- Give up the sedentary lifestyle and support skiing, swimming and other low-intensity aerobic loads.
Therefore, one does not disturb arthritis in the hip joints, you should control your weight, prevent obesity and even a 5-10 pound appearance, which can severely increase the load on the femoral area.Coksartrosis can only be warned by a comprehensive approach and a healthy lifestyle!