Hip arthrosis: degree, symptoms and treatment

The pain and discomfort in the hip becomes never bother healthy people - you can essentially live throughout your life without thinking how this education works in our body.Those who accidentally encounter arthrosis of the hip becomes involuntary move to the rank of experts and in the structure of the joint and the treatment of the disease - otherwise there is little hope for good health.

What is the deformation of arthrosis of the hip joint and why it appears

Hip arthrosis (also known as coxarthrosis and deformation of osteoarthrosis of the hip joint) is one of the most commonly diagnosed pathologies of the bone muscle system.In Russia, this disease is a leading cause of disability in people with joint diseases.

Reference
Coxarthrosis is a chronic inflammation of the hip joint, which is characterized by premature destruction of cartilage, narrowing of the gap of the joint and reducing the mobility of the legs from the lesion.

The problem of a person suffering from arthrosis of the hip joint can be compared to a door whose stitches are not crushed.Due to the lack of "lubrication" inside the joint, the bones begin to come in contact, which causes pain and restriction (such as creaking and a tight door stroke).Later, if the disease is ignored, growths ("rust") appear on the bone surfaces, which more and more movements in the joint and with an adverse result ceases to perform its function.

It is usually believed that hip arthrosis is an age problem.Statistics confirm this point of view: after 40 years, such a diagnosis was made one of the ten, after 60 years - one in three patients, and in those who are 70 in 80% of the cases for 70. But often pain in the thigh leads to the office of orthopedic and youth.

So, among the causes of osteoarthrosis of the hip joint, the following most significant are distinguished:

• Congenital development (dysplasia) of the joint, which may not be shown until adulthood;
• premature joint wear, which occurs due to intense workloads in athletes or in obesity;
• Injuries and infections affecting the musculoskeletal system;
• Other diseases of the musculoskeletal system that lead to pathological redistribution of joint load;
• Disruption of the blood supply to the joint (for example, due to atherosclerosis of the vessels).

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

Symptoms of coxarthrosis

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

This is important
Often with coxarthrosis, pain is initially concentrated in the knee joint and one addresses the doctor with such a complaint.An inexperienced doctor may prescribe X -ray in this area and if there are minor changes, make a misdiagnosis - first -degree gonarthrosis.As a result, time will be missed.Therefore, with leg pain, it is worth taking the time to search for a competent orthopedic doctor and a good orthopedic clinic.

If coxarthrosis does not begin to be treated in the early stages, the following symptoms join the pain: stiffness and crunching in the joint, change in gait (often to avoid unpleasant sensations, patients deploy their legs out and transmit when they go from the side - a "duck" is formed), exposed.Over time, the pathological process leads to atrophy of the muscles of the hip joint and a visual shortening of the diseased limb.In the short stages, osteoarthrosis of the hip joint develops in ankylosis - the complete shaping of the femur with the pelvis, which is why the leg is fixed in one position and performs only the maintenance function.

Disease

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

• 1 degree of osteoarthrosisThe hip joint is placed with moderate manifestations of pain and the lack of restriction in movement.With radiography a little narrowing of the joint gap and single bone growths, osteophytes are noticeable little narrowing.Provided with adequate treatment, first -degree coxarthrosis can be discontinued by eliminating the symptoms of the disease.
• Grade 2 of coxarthrosisIt is accompanied by sick pain even in the rest of the legs.The movements in the joint are difficult: one cannot lift and take the legs from the side.The pain is especially noticeable when you try to unfold the foot of the straight leg to the right and left.The patient is lame, sometimes a crunch is heard in the joint.In X -ray photos - deformation of the femur head, numerous osteophytes and narrowing of the joint gap of the third.Therapeutic measures allow the course of the disease to be stopped for many years.
• At3 degrees of coxarthrosisThe pain in the joint does not disappear around the clock, atrophy of the muscles of the thigh and the ass develop - the whole body of the person seems distorted to the lesion.X -ray shows deep deformity of the joint and narrowing of the gap of the gap to the full bone surface connection.The therapeutic approach, as a rule, does not have a tangible effect - a joint replacement of the prosthesis is required.

To diagnose the deformation of osteoarthritis, it is used as an external examination in which the doctor studies leg mobility, evaluates the gait and appearance of the patient, as well as radiography.To doubt the correctness of the diagnosis, the specialist further prescribes the direction for magnetic resonance imaging (MRI) of the hip joint.

How to treat arthrosis of the hip joint

The fight against Cokesartrose requires the involvement of various methods: from medicines and physiotherapy exercises to joints of the joints and surgery, which are usually prescribed for unsuccessful attempts to return the development of the disease.

Conservative treatment

Non -surgical treatment requires time and financial costs, but this can improve the quality of life of the patient in the long run - to cancel the need for surgical surgery.The first thing the orthopedist prescribes coxarthrosis is medicines that relieve pain and inflammation (non -steroidal and steroid anti -inflammatory drugs, muscle relaxants).In order to activate blood supply in the field of arthrosis and the repair of cartilage tissue, vasodilation of drugs and chondroprotectors are prescribed.In addition, the patient can offer a modern methodology for stimulating regenerative processes - plasmolifting, that is, the injection of the patient's blood components into the pathological focus.These measures are most effective for osteoarthritis of the hip joint of the severity of the 1st and 2nd.

Methods of non -surgical treatments

In addition to tablets, ointments and injections, the treatment of coxarthrosis requires the use of physiotherapy and kineotherapy, as well as correction of the diet.A help strategy developed by an experienced orthopedist allows people with 1 and 2 degrees of arthrosis of the hip joint to avoid endoprothetics and to limit the need for drugs.

Physiotherapy

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

Kineshitheap

• Exercise therapyIt is considered the basis for the successful treatment of arthrosis at any localization: regular application of a special exercise system enhances the connections and muscles around the inflamed joint, which reduces the discomfort of the usual daily loads.
• Massage(including lymphatic drainage) and manual therapy are aimed at passive work with muscles, ligaments and joints.The approaches used to help people with coxarthrosis reduce the need for tablets and injections, which reduces pharmacological load on the body.
• MenotherapyThis implies working with simulators that help exercise the joint without significant physical exertion, which is especially in demand in patients with elderly.
• Joint trafficWith the help of a special sealing apparatus or hands of a manual therapist, it increases the space inside the joint, which "throws" the pathological process in several steps backwards, facilitates the symptoms and gives the body time to restore the function of the hip joint.

Dietary therapy

All coxarthrosis patients are needed, but most important 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 about pain and other manifestations of arthrosis of the hip joint.

Surgical treatment

This group includes procedures conducted by a surgeon in the operating room.All of them, with the exception of the piercing of the hip joint, require hospitalization and a multi -month recovery period.With grade 3 coxarthrosis, when conservative treatment does not bring relief, only the prosthesis helps to save the patient from discomfort and pain, returning the joy of movement.

• Puncture (minimum invasive intervention)This implies pumping from the joint of excess fluid, which relieves pain and improves leg mobility.It can be done repeatedly, especially when prescribing steroid drugs.
• Arthroscopic debateThis implies purification of the internal surface of the joint of fragments of altered cartilage tissue and washing of its cavity with a therapeutic solution to relieve inflammation.This operation is performed through several punctures without opening the joint cavity.
• Hemiv osteotomy- an artificial femur fracture, followed by its mind from a different angle, which allows to reduce the load on the joint.Such an intervention cannot be called a panacea - after 2-5 years the pain returns, but in some conditions, when endoprothetics is impossible, the period of the hip period is the best solution to the problem of coxarthrosis.
• EndoprotheticsIt means complete replacement of the prosthesis joint, 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 kineotherapy methods to restore muscle strength around 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 coxarthrosis or fracture of the cervix.Doctors recommend a group of risk to monitor the figure, beware of injuries (for example, wear in winter shoes on non -Lelips soles) and regularly participate in fitness.For the first symptoms of hip arthrosis, turn to the orthopedics immediately.The treatment of the disease should be performed with a specialized physician, experienced and attentive to all changes in the health of the patient.