Hip joint osteoarthritis is considered a disease related to age, although young people are not safe from it.This disease causes considerable torment and, in severe cases, can deprive a mobility person.
Why does the deforming osteoarthritis of the hip joint occur?
The osteoarthritis of the hip joint (cooksis) is a degenerative-divophical disease, in which the cartilage that covers the surface of the head of the thigh and the sovereign cavity is destroyed.The disease develops gradually and is caused by a variety of causes.
The development of the osteoarthritis of the hip joint can lead to:
- Hormonal changes: both age and pathological, for example, in diabetes;
- Circulatory disorders due to injuries, excessive physical effort, general problems with blood vessels;
- inflammatory processes (for example, with arthritis);
- Obesity-to excessive load in the hip joint, it is possible to compress and destroy it;
- congenital predisposition (abnormalities of the structure of the femoral head);
- Excessive physical activity: they rarely lead to osteoarthritis, but they can accelerate the development of the disease with other adverse factors;
- Injuries, such as dislocations, fractures and stretching.
Coxarthrosis symptoms
Since the joint is gradually destroyed, four stages of osteoarthritis of the hip joint are distinguished.
The first grade
Symptoms may be absent or mild.The first stage of the osteoarthritis of the hip joint is characterized by:
- pain on the anterior and lateral surfaces of the thigh and in the groin after a prolonged or intense physical effort;
- a sensation of stiffness in the joint after a long immobility (more often in the morning);
- I long or click on the joint when it moves.
The second grade
At this stage, the destruction of the joint has already gone far.Very often, people are looking for a doctor at this stage.Among the symptoms of the osteoarthritis of the second degree hip joint:
- constant pain that does not disappear even at rest;
- violation of articulation mobility;
- PROGRESSIVE LAMIDITY: A person instinctively tries to reduce the load in the affected joint.
The third grade
If in the first and second stages of the development of the disease it is still possible to do with conservative treatment methods, then the third often requires surgical intervention.
Signs of the third stage of coxarchesis:
- severe pain in the affected joint, which affects the entire thigh and gives the knee;
- limp;
- A decrease in the length of the leg from the side of the sick joint (sometimes, in approximately 10% of the cases, leg elongation is observed);
- Hip muscles atrophy.
The fourth grade
At this stage, hip muscles do not work almost completely, and the patient experiences constant pain.The only effective measure will be to replace the destroyed joint with an artificial prosthesis.
How to treat the osteoarthritis of the hip joint
There are many methods of coxarthrosis therapy.In general, the doctor prescribes his combination, since the treatment of this disease must be complex.
Drug treatment
With a first and second degree disease, medications are used successfully for treatment.In the first place, the medications of the osteoarthritis of the hip joint include non -steroid anti -inflammatory drugs, vasodilant agents that improve blood supply to the joints, muscle relaxants that relax the muscles and relieve spasms.Preparations are also used for joints that restore cartilage tissue.In the early stages, local plasters, applications and ointments also help: they improve blood circulation.
Without timely treatment, the osteoarthritis of the hip joint can lead to ankylosis.Anquilosis is the full fravor of the femur with a pelvis.With this disease, the leg becomes completely still in the joint.
Non -surgical treatment methods
Physiotherapy often becomes the main way of treating the osteoarthritis of the hip joint.If the funds were selected correctly, it gives very good results.Non -surgical methods include:
UVT.Shock wave therapy is a new method, but, according to many physiotherapists and patients.The UVT is based on the influence of waves with a frequency of 16 to 25 Hz in the affected joint, which has a healing effect, restoring blood supply and activating metabolic processes in the area of pain location.
PLAZMO THERAPY(Plasmolifting of the joint).Another modern way of treating osteoarthritis is blood plasma injections in the affected joint.Plasma contains platelets that regenerate tissues.
Mioestimulation.Muscle contractions when exposed to electrical impulses on them.The method helps deal with the manifestations of osteoarthritis.After the course of myostimulation, weakened and non -workers muscles are strengthened, their connection with nerve endings is restored.
Phonoforesis.This is a well -known method, which consists of the effect of an affected articulation with ultrasound.Therefore, it is possible to deliver therapeutic substances to the affected tissues and at the same time physically affect the joint.Phonoforesis saturates oxygen tissues, accelerates regeneration, relieves pain and swelling.
Ozonotherapy.Ozone saturates oxygen tissues, thus accelerating cellular metabolism and effectively relieving inflammation.Ultimately, this leads to an accelerated restoration of damaged tissues.
Hirudotherapy.Hirudotherapy, or the treatment of leech, can have a positive effect on the treatment of the osteoarthritis of the hip joint.The secret of leeches has a high biological activity, improves blood circulation.
Radon baths.Such bathrooms have a general strengthening effect, which has a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with osteoarthritis.
Exercise therapy.Therapeutic physical education for osteoarthritis is aimed not only to maintain muscle tone and strengthen ligaments, but also to the development of the joint, as well as form the habit of moving correctly.
Massage (including lymphodia) and manual therapy.The massage is, one could say, a universal method that helps relieve the condition with different diseases, including osteoarthritis.The therapeutic massage relieves muscles tension, improves blood supply to tissues and joints, promotes synovial fluid production and has an analgesic effect.
Mecanotherapy.To carry out this procedure, special simulators are used, specifically created for therapeutic loads.
Joint traffic.This method for the osteoarthritis of the hip joint is used quite frequently.According to the results of the course of the procedures, the gap between the articulation surfaces increases, which reduces the load in the cartilage.
Diet therapy.Proper nutrition is very important for the cure.With osteoarthritis, it is advised to adhere to a special diet.If the patient suffers excess weight, he must apply all efforts to lose weight, otherwise, the constant load in the joint will cancel all the efforts of doctors.The menu base must be fish and low fat, bobic and leaf vegetables and thick flour bread, the source of vitamins of group B necessary for proper metabolism.The fried falls completely under the ban, such as fast food.You need to eat fractionally, in small portions, several times a day.
Surgical treatment
All previous methods are effective in the early stages, but if the disease has gone far, surgery will be required.
Puncture(Minimally invasive intervention).The puncture is carried out to remove the excess fluid from the joint bag.This restores the mobility of the articulation and relieves pain.
Arthroscopic debridement.This is the elimination of the deformed part of the cartilage, which gives relief, but without comprehensive treatment, the effect will be temporary.
Osteotomy near the joints.Osteotomy: Bone dissection with its subsequent fixation.This operation is carried out to improve the operation of a worn together and reduce the load on it.The method is often used in cases where the cause of osteoarthritis is the deformation of the bone head.
Endoprotetics.This term indicates the replacement of its own artificial articulation, made of titanium.This is an extreme measure, they turn to it only when the articulation is completely destroyed and its restoration is impossible.
Characteristics of treatment at different stages of the disease
The sooner you see a doctor, the easier and faster the treatment will be.In the first and second stages of coxarthrosis, there is enough pharmacological treatment and a physiotherapy course for complete recovery.However, the disease can return if it does not review the lifestyle.To maintain health, you will have to lose weight, rationalize the diet, abandon bad habits.
In the third and fourth stages, it can no longer dispense with surgery.Physiotherapy and pharmacological treatment are also applicable, but already as rehabilitation measures after surgery.
For the prevention of osteoarthritis, it must be regularly undergoing an exam by an orthopedic doctor, especially if there were injuries in the joints in the past.A lot of attention should be paid to these exams to professional athletes, as well as people with excess weight.
UVT coxarcher treatment treatment
Among all non -surgical methods to treat arthritis, UVT is considered one of the most progressive.The orthopedic doctor says in detail:
Shock wave therapy is the only method of physiotherapeutic treatment today, which not only relieves unpleasant symptoms, but also fights the cause of joint destruction.The UVT promotes the resorption of scars and calcium crystals, improves blood circulation, stops inflammatory processes.From my own experience, I can say that the effectiveness of the treatment exceeds 85%, and this is a very good indicator.
UVT is considered a new method, but in fact it has been used for more than 20 years in more than 50 countries in the world.