Coxartrosis or degenerative hip joint disease is one of the most serious pathology of the musculos-bone system.Due to the great size of articulated structures, pain and discomfort are much more serious than with the defeat of other joints.The consequences of pathology are also serious - if the destruction of small bones causes many unpleasant sensations, the arthrosis of the hip joint without treatment is a direct path to disability.Only the correct therapy will, and sometimes the operation to help the person not to lose the ability to walk.
What is a hip dress arthrosis?
Coxartrosis, osteoarthiness, hook joint arthrosis - synonyms of the same pathological process, liquid into thigh on one side or two sides.In modern medicine, pathology is called osteoarthritis: previously believed that degenerative processes were not characterized by inflammation, but more precise studies have shown the opposite.The affected tissues of the articulated cartilage are the secrets inflated inflammatory elements (interleukins), so osteoarthritis is another truly term.
The disease is characterized by the following signs:
- Continuously progresses, I move from one stage to another;
- Leads to persistent pain, restricting joint mobility;
- Causes the deformation of bones, partial or complete destruction of the hyalin cartilage;
- In the detailed phase of the older person, they are more inherent in people, but often begins after 40 years;
- 70% of people over 75 have symptoms of pathology;
- Often suffer from women's diseases.
It is a common mechanism in which the details of the rubbing are located.Due to the reduction of the quality or amount of lubrication (inter-charged liquid), contacting surfaces worn.Small cracks appear on cartilage, were later destroyed, and instead of healthy tissue, bone corn emerges.Such growth does not allow the leg to move normally, its functions are lost.
Reasons for disease development
The arthrosis of the right or left thigh can be primary or secondary, and the first option is characteristic of the people in advanced age.The primary pattern disease is developed for decades, related to the annual carrying and destruction of cartilage.
Secondary coxartrosis has other causes and can begin even with young men.It is associated with inflammation (contagious, autoimmune), which gives an incentive to the beginning of pathology.Also, the cause may be overcrowded with thigh injury (bruise, dislocation, break of bones).Other possible causes of secondary form:
- Operations in this anatomical zone;
- Diabetes and other serious metabolic pathology;
- Hormone diseases;
- Congenital, acquired forms of curvature and bone movements;
- Joint dysplasia in the child;
Round protection, hip head necrosis;- Vascular diseases of the systemic nature, which leads to deterioration in the nutritional nutrition;
- Bones of tuberculosis, rheumatoid osteoarthritis;
- Giht, Perres' disease;
- Tumors are benign, malignant.
Symptoms Arthrosis hip joints any form will appear faster if risk factors act on the body:
- Permanent stress, nervous shocks, depression and experience;
- Obesity, even moderate excess weight;
- Unfavorable heredity;
- Hypodynamy, sitting work or certain professions with a high load on the wrist;
- Excessive physical (powerful) cargo, professional sport.
Symptoms of the disease
Arthrosis of the development of hip joints and its symptoms cannot be noticed.Even at an early stage, the disease seems to feel and, above all the pain.Pain, with the resulting and progressive arthrosis of the hip combination, increases how the disease passes from one stage to another.They appear in the thigh zone, give it to the knee, in groin, even in the lower abdomen.Usually, after sleep, the pain is overcome, but in an advanced phase, it can be constantly attended.In palpation, pain does not always feel because the wrist damage can start deeply seated parts.
Other possible signs of disease:
- Crumbly that appears when moving, sometimes even with a mild;
- Frowning, changing the gait;
- Shortening the legs from the side where the hip joint arthrosis is located;
- Starting station, limited rotation, scrolling leg.
How developing, other signs of pathology appear.So, the feeling gives a sense of bone deformation, the presence of growth.The doctor, on the examination, is forced by muscular atrophy, and the patient even in ordinary life is forced to move with a cane, ram - due to the pain and weakness of the limbs.
Generally, pain and other clinical manifestations depend strongly on stage.Such phases of coxartroses differ:
- First.The symptoms did not tan but the initial changes were already observed in the diagnosis.Sinovian liquid becomes thicker, his notebook decreases, the structure of cartilage at the end of the phase changes.Small cracks seem to be the body trying to treat the formation of small "corn".
- Another.The pain at this stage is quite noticeable, crumb, the limit of the engine function is clear.Syndrome hurts to other parts of the body, spreading down the whole leg.The image is visible: thinning cartilage, narrowing distance between bones, violating the structure of the joint surfaces, sometimes - moving the head of the hollow bone.The bone growth number (osteophytes) increases.
- Third.Pain becomes unbearable, the person is very limited in motion, many are completely stopped moving.The ice rink is almost completely destroyed, muscle atrophy, the wrist is very deformed.Bone Osteofites have a shape form and irritate nerve endings.
What are the risks and complications?
It is easy to understand - if with such pathology as the hip joints, the symptoms and treatment are incorrectly defined, untimely, it is threatened by a disability.Pain syndrome, the inability to walk, the need for constant care is that what awaits a person without treating this disease.
Disability In case of thigh bone damage is established according to the severity of the disease, with the complete absence of opportunities for work, give the first group.Such patients are shown operations - this is the only effective method of treatment in such a situation.But even modern methods of operations can bear the risk of complications:
- Contagious infections;
- Thrombosis, thrombosis embolism;
- Significant blood loss.
The total share of complications is small-0.5-2%, but they take place.Most often, there is a prosthesis infection that must then be changed to a new one.That is why after surgery, it is important to implement the course of treating antibiotics.
Diagnostic measures for arthrosis
It is recommended for traumatologist, surgeon, orthopedic, is recommended for help with the first signs of damage to the helplant zone.Initially, with suspicion of hip joint arthroses, the doctor implements physical tests:
- Feels the upper thigh, reveals points of pain, osteophyte bones;
- Performing passive foot movements - flexion, extension, kidnapping and bringing in order to explain the strength of possible movements.
It will help more precisely diagnose and prescribe the treatment of the hip joint arthrosis, the instrumental diagnosis will help.Radiography is usually performed - the cheapest, affordable research method.It is recommended to make X -Ray on modern devices or replace it on CT, where the image quality is much higher.CT provides comprehensive information on the condition of bones, cartilage, joints.If detailed study of soft tissue condition is needed (for example, when killing the nervous root), the specialist will prescribe MRI.
Other possible diagnostic measures:
- Wrist ultrasound;
- Arthroscopy;
- Blood test for rheumatoid factor;
- Tuberkulin samples;
- Biochemical analysis in case of doubt about diabetes, gout.
It is very important to find the cause of secondary coxartrosis, because without affecting to stop the course of the disease will not work.
Treatment Arthrosis Hook wrist - medications and physiotherapy
If the signs of the disease are implicit, and did not go to the non-return change phase, the conservative treatment will help the patient.Medications will need therapy even when the arthrosis of the hip joints received a heavy form - as a component of the treatment course.
How to treat a hip joint arthrosis?There is a drug correction program of disease:
- Not -steroidal anti-inflammatory medications.Pills or injections will help be solved in pain, inflammation.It is impossible to use uncontrollably - their own cartilage skills in regeneration will decrease, in addition, the stomach and hoses will suffer very much from NSAID.
- Vascular medications.Treatment of such drugs helps improve the nutritional nutrition and promotes its renovation.
- Musorelaxans.They showed spastic pain in the muscles caused by damage to the thigh area.
- Chondroprotectors.Arthrosis The hip connection requires mandatory and multi-month management of such drugs. It is also necessary to use the injection form courses, including entered in a common cavity.An efficient technique is still considered by introducing hyaluronic acid medications into the wrist.
- Corticosteroids.They are used in extreme cases in the form of intraicarticular injections.Such treatment is needed if symptoms become unbearable.
External agents (fats, gels) for coxarthrosis are usually inefficient due to the deep joint movement.But physiotherapy techniques are often used and give serious relief from pain.UHF, laser therapy, magnetotherapy are made in the Area of Bedar, UHF, massage was performed.Also, with osteoaArthrosis, in some cases, manual therapy is indicated - hood.
National medications for arthrosis
Many use popular treatment for this pathology, although the arthrosis of the wrist does not match well on various external methods.Only with strong pain can be applied to inflammation into a painful spot with insulation, although this will be interfering.Treatment with a complicated and neglected hip joint arthrosis is best done using the oral administration:
- Pour 100 g of Sayer of 500 ml of vodka, insist 10 days in the dark, take 30 drops three times a day to relieve inflammation;
- I do jelly every day, in the absence of contraindicates, cooking cold men regularly - the dishes will not serve up from hondroprotects.
You can calm the pain with such a compress.It is necessary to mix honey, medical yellow, ammonia, glycerin, apply to the wrist, tie up with a warm cloth.Leave compression 3 hours, then wash.
Other methods and work
For complete osteoarthrosis treatment it is very important to observe the correct diet, you will need to reject food that violates the blood supply and worsening cartilage.These are smoked meat, vinegar, crossed food, fried, as well as food with preservatives, trans fat.But there should be more utensils with magnesium, potassium, iodine, calcium in the diet.
How to treat the arthrosis of hip joint is mandatory therapeutic gymnastics.Daily heat, special exercises in false positions should perform all patients.For example, you have to slowly lift your leg and keep on the floor for a few seconds.
It is important to turn off sudden movements, prevent extended and fast walking - with coxartrosis, it will only improve the response of the disease.For unloading the joint, you can use reeds, crutches, and orthopedic can recommend special orthos to mitigate loads.
Treatment Arthrosis of the Hip Hook Third, the last phase is done only with the help of surgery, other methods are inefficient.In 95% of cases, surgery is successful, leg movements are renewed in full.But dentures are not eternal, their working life is up to 20 years, so the operation is an extreme measure.During the endoproetetics, their own joint change of artificial, and the arthrosis of the God's joints no longer threatens him.
Coxartrose prevention
To avoid complex treatment of pathology, it does not suffer from pain, it is important to start preventive measures from early age.The prevention of coxartrosis is especially important for those exposed to risk factors.
So the bloodshed in the cartilage does not suffer, follows:
- Eat with the inclusion of plant food in me, a sufficient amount of low meat, cottage, jelly, acid -milk food;
- Stop smoking, not abuse alcohol;
- On Sedentary work regularly, you conduct heat heat regularly, work simple exercises;
- Leave a range of lifestyle in favor of skiing, swimming, other aerobic cargo loads - safety.
So the person does not mind the hip joint arthrosis, you should control the body weight, prevent obesity and appearance as much as 5-10 extra pounds - this seriously improves the load on the miserable zone.Coxartrosis can only warn with integrated access and healthy lifestyle!