What is the arthrosis of the hip joint, what are its symptoms and how to treat it?Arthosis is a disease that deforms and destroys the joints.The treatment of arthrosis of the hip joint is a very long process.In the middle of the last century, Coksartrosis was considered a phrase for the patient, inevitably leading to an ambulance.But due to the development of medical science, the arthrosis of the thigh can be stopped and in the initial phase of the disease to cure.
What is the arthrosis of the hip joint?
Arthosis is the disease, during which the slow destruction and deformation of the joint occur due to changes in the structure of the cartilage tissue.Arthosis is often confused with arthritis, however, these are various diseases, although it may be present at the same time, for example the arthroso arthritis of the hip joint.The difference between arthrosis and arthritis lies in the fact that during arthrosis, the deformation does not occur due to the infectious infectious fabrics, but due to the deviations in the metabolic processes.
Combined therapy is used with the knowledge of the reasons why the pathology has arisen has contributed to determining the correct tactics for the treatment of arthrosis of the hip joint.In determining how to treat the arthrosis of the hip joint, the attending physician can focus on both drugs and physiotherapy.The question of the surgical intervention can also be raised, if too serious changes have been touched on the treatment of the hip joint, in which the drugs are the basis, it will be ineffective.
Causes
Coksartrosis can be caused by injuries or appear due to advanced age.Coksartrosis can also be congenital.However, the main risk factors are as follows:
- diabetes mellitus;
- Hypoterosis;
- high body weight;
- Bad heredity (genetic predisposition).
The causes indicated can cause coksartrosis at any age.For risk groups, it is desirable once every six months to undergo a preventive examination by a specialist who deals with joint problems.
Interesting!Many people do not know which doctor deals with the arthrosis of the hip and other joints and unconsciously range from the traumatologist.A doctor who can help in this situation is called arthrologist.
The arthrologist is a profile of the profile that knows not only all tactics and drugs for the treatment of arthrosis, but will also be able to choose the types and analogues of these drugs, according to individual indicators.
Artrosis is often diagnosed in patients for over 40 years.The disease develops in the phases, three phases are possible to distinguish:
- Deviations occur in the metabolism.It is followed by substances synthesis disorders.The cut of the cartilage is worse.
- Due to insufficient nutrition, cartilage becomes less elastic.It is gradually more subtle.The clearance of the interceptors is reduced.
- With the thinning of the cartilage, the load on the bone tissue increases and bone deformations occur.
With the arthrosis of the hip joint, degenerative changes in the cartilage tissue can become evident to the patient only after years, not immediately to 1 stage.
Phases
Each of the phases has its own characteristics.It is important to determine when the arthrosis of the hip joint, the symptoms and treatment at each phase differ in the root.Depending on the stage of the disease, it is possible to prescribe drugs or surgery.
The drugs are considered effective only in 1 and 2 phases.In 3 phases for complete care, surgery is required, otherwise the person is disabled.
In 1 phase, the process can go back and the transition from 1 to 2, and to 2, stop the process of destruction of the cartilage and slightly improve the conditions of the cartilage tissues.Phase 1 is characterized by the following events:
- Pain occurs only in physical loads;
- Concentration of pain in the joint;
- Pain disappears after rest;
- The mobility of the limb is not limited;
- The condition of muscle tissue is normal.
With the arthrosis of the 1st degree, the X -ray and tomography are exclusively effective.
The arthrosis of the second stadium is characterized by the following events:
- wandering pain in the thigh area;
- The pain does not disappear alone - painkillers are required;
- Motor activity is difficult and limited;
- Muscle atrophy is present.
With the osteoarthritis of the 2nd degree, hardware research is not required: the disease is diagnosed during a visual examination.However, they are directed to magnetic resonance imaging and radiography to determine the size of the deformation.
In 3 phases, arthrosis has the following events:
- chronic pain;
- Movement is possible only with a stick;
- A painful limb of minor length.
The arthrosis signs of the hip joint will be implicit and the characteristic symptoms of arthrosis can be completely unexplored.
Characteristic manifestations for arthrosis
The symptoms of arthrosis and its nature depend on the stage of the development of the pathology.The most pronounced symptom is pain.It may also seem to the patient that he has a thigh neck fracture is so intense of pain syndrome.The photo shows that the neck of the thigh and the hip joint is very close.
The arthrosis of the articulation of the hip of Krenan and in the early stages can only be taken for fatigue.For this reason, the treatment is delayed.Sometimes until the need to replace the articulation with an endoprotesis, since all drugs are already helpless.The photo shows an elevator X -ray with the options to replace the joint.
Coksartrosis mainly provides these types of symptoms:
- Pain syndrome.The main source of pain is difficult to determine.If they appear at rest, you should visit the arthrologist.
- Some limitations in movements, light clarity.
- After some time, the painful limb becomes a little shorter than healthy.
- There is muscle atrophy - diagnosed during palpation.
It is necessary to use progressive research methods, since the arthrosis of the hip joint does not always provide symptoms, it is possible only if there are accurate data.
Coxartrosis treatment
After completing the arthrologist's inspection and the necessary studies were completed, the doctor decides how to treat the arthrosis of the hip joint.First of all, the disease is assigned the ICB 10 code. This facilitates the doctor to choose the right tactics of the treatment.
Regardless of the tactical chosen, the treatment is based on 6 fundamental principles:
- removal of pain syndrome;
- Charging and restoration of the cartilage;
- improvement of the blood flow of the damaged area;
- decrease in the joint load;
- strengthen muscle tissue;
- Restoration of joint mobility.
In order for all objectives to achieve, it is customary to use combined therapy.For example, the entire positive effect of the use of Hondoprotectors will be destroyed if the load on the sore joint will not reduce the load.Therefore, during the treatment of arthrosis, 2-10 approaches are used: everyone depends on the severity of the disease and the patient's general indicators.The most common approaches can be called the following methods:
- The group of non -steroid drugs is combined with exercise therapy and other physiotherapy measures (massages and others).
- Condroprotectors combined with hyaluronic acid.It is most often used as a restoration therapy.
- Vasodilators drugs can be combined with both chondroprotectors and non -pounding drugs and operating therapy.
- Anesthetic ointments can act as added to any of the other treatment methods.Themselves do not have a positive effect on the joint.
- Corticosteroids as intra -articular injections in combination with physiotherapy measures.
To limit the mobility of the joint, hip bands are often used.Physiotherapy and non -traditional methods.
Physiotherapy and non -traditional methods
In addition to drug therapy, it may be necessary to undergo physiotherapy procedures and can even use non -traditional methods as part of the treatment.
Interesting!If you follow the principles of a healthy diet and bring body weight to normal, it is possible to greatly alleviate the course of the disease and reduce the severity of symptoms.
The most common additional procedures that arthrosis patients are as follows:
- Manual therapy lies in the fact that the specialist, using massage techniques, facilitates the course of the disease.
- Exercise therapy (therapeutic gymnastics) - a huge number of different options for physical executions that are excellent in complexity of the execution.It helps in the restoration of the atrophic muscles.
- Popular remedies are most doctors against this method, however, can consider it as auxiliary therapy.With a competent approach, it improves the effectiveness of drug therapy.
- Homeopathy - Official medicine has not shown the effectiveness of homeopathic therapy, however some patients declare its positive effects and the improvement of general conditions.
- Apotherapy is a very controversial technique based on the treatment of bees and properties of the poison of bees.
The following procedures are also applied:
- Magnetotherapy is used as auxiliary therapy, as well as as auxiliary measure.Due to the effects of magnetic fields on the human body, the blood flow improves and metabolic processes are classified.
- HIRUDOTHERAPY - Due to the components of the components contained in the saliva of the leeches, the blood flow and the blood enter the vessels of the atrophic muscles in a greater volume.
- Mud therapy allows you to bring some nutrients through the skin and has a tonic effect.
- The mummy is used both separately and as part of compressions and dyes.Official medicine does not deny, but does not confirm a positive effect, everything is based on the patient's individual susceptibility.
- The car -massage is used to increase blood flow and lymphatic flow.Before the execution, it is necessary to consult an expert manual therapist or a masseur.The specialist will teach the right movements and help to process their correct performance.
Each additional measure must be agreed with the participation specialist.
Nuance!Traditional medicine, contrary to many statements, is neutral for further therapeutic measures.However, with their incorrect performance (for example, acute movements and strong pressure during the car -massage), they can aggravate the course of the disease.
Some methods relating to non -traditional medicine can be contraindicated: an allergic reaction or other negative manifestation is possible after application.
Surgical treatment
In the subsequent stages of the disease, the treatment when using traditional and non -traditional medicine methods does not bring the necessary positive result.The operation can be a replacement of the joint or manipulation with the use of a laser.
The replacement of the joint allows you to restore all the engine skills of the joint.The greatest disadvantage, with the exception of the high cost of directly the surgeon's work, is not a very significant life.On average, the joint prosthesis requires replacement every 15 years.
Laser therapy for Coksartrosis already managed is used when the joint part of the bone is rejected.Thanks to this method, it is possible to remove the damaged area and replace it with an insert of artificial materials.
Any surgery for coxartrosis is a purely temporary measure.However, if it is not carried out, therefore with arthrosis in 3 phases, people inevitably become disabled without the possibility of normal movements alone.
Prevention
The preventive measures of arthrosis of the hip joint are based on the elimination of risk factors that can cause coxartrosis.Coksartrosis prevention is to follow a healthy lifestyle and compliance with general strengthening measures:
- Accepts and loves an active lifestyle.The greatest danger during the pathology is the absence of any mobility of the joint salts and other complications are presented.Light but systematic corners are needed.
- Follow your diet.You should adhere to this power style so that there are no problems with the weight.However, from the use of a large amount of table salt on plates, it is necessary to refrain.It also applies to sharp and spicy dishes.The food should be full and contain all the necessary micro and macro elements.
- Do not neglect the programmed medical tests: this will reveal the disease in the very early phase.
- To prevent hypothermias: such a negative effect can cause inflammatory processes in the joints and lead to arthrosis.
If you suspect Coksartrosis, you shouldn't try to diagnose alone.Even an expert doctor cannot always at first glance and only after a survey for patients to say precisely and confidently that it is Coksartrosis.And even more, an independent prescription of the therapy is unacceptable - at least one drug, at least any other.The insufficient awareness of the effect on the body and the possible side effects can lead to sad consequences.