The arthrosis of the hip joint is seen as a age -related disease, although young people are not before.This disease causes considerable agony and can infit a person of mobility in severe cases.
Why does the deformation of the osteoarthritis of the hip joint occur
The osteoarthritis of the hip joint (Coksartrose) is a degenerative-dystrophic disease in which the cartilage that covers the surface of the thigh head and the sovereign cave is destroyed.The disease gradually develops and is caused by a variety of causes.
The development of the arthrosis of the hip joint can be:
- Hormonic changes - both age and pathological, for example in diabetes;
- Circulatory diseases due to injuries, excessive physical exertion, general problems with blood vessels;
- Inflammatory processes (for example with arthritis);
- Obesy due to excessive load on the hip joint it is possible to compress and destroy it.
- Congenital disposition (anomalies of the structure of the thigh head);
- Excessive physical activity - they themselves rarely lead to osteoarthritis, can accelerate the development of the disease with other adverse factors;
- Injuries - such as transfers, breaks and stretching.
Symptoms of coxarthrosis
Since the joint is gradually destroyed, four stages of the arthrosis of the hip joint are differentiated.
The first degree
Symptoms can be missing or mild.The first stage of osteoarthritis of the hip joint is characterized by:
- Pain in the front and lateral surfaces of the thigh and in the groin after longer or intensive physical exertion;
- A feeling of stiffness in the joint after long immobility (more often in the morning);
- Demand or click into the connection when you move.
The second degree
At this point, the destruction of the joint has already gone far.Most of the time, people seek a doctor in this phase.Under the symptoms of arthrosis of the hip joint of the second degree:
- Constant pain that doesn't even disappear in peace;
- Violation of the mobility of the joint;
- Progressive lameness - one person instinctively tries to reduce the burden of the affected joint.
The third degree
If it still has to do with conservative treatment methods in the first and second stage of the development of the disease, the third party often requires surgical intervention.
Signs of the third stage of coxarthrosis:
- Severe pain in the affected joint, which affects the entire thigh and gives the knee;
- Lameness;
- A decrease in the length of the leg from the side of the diseased joint (sometimes an extension of the leg is observed in about 10% of the cases);
- Atrophy of the hip muscles.
The fourth degree
At this stage, the hip muscles do not work almost completely and the patient has constant pain.The only effective measure is to replace the destroyed joint with an artificial prosthesis.
How to treat arthrosis of the hip joint
There are many methods for coxarthrosis therapy.Typically, the doctor prescribes his combination because the treatment of this disease should be complex.
Drug treatment
In the event of an illness of the 1st and 2th degree, medication is successfully used for treatment.First of all, the medication from arthrosis of the hip joint does not include steroid anti -inflammatory drugs, vasodilating agents that improve the blood supply to the joints, muscle relaxants that relax the muscles and relieve cramps.Preparations for joints are also used, restore cartilage tissue.In the early stages, local products in the form of plasters, applications and ointments also help - they improve blood circulation.
Without timely treatment, the osteoarthritis of the hip joint can lead to ankyloses.Anquilosis is the complete experience of the femur with a pool.With this disease, the leg in the joint becomes completely motionless.
Non -surgical treatment methods
Physiotherapy often becomes the main method for the treatment of osteoarthritis of the hip joint.If the funds have been selected correctly, this provides very good results.Do not surgical methods:
UVT.Shock wave therapy is a new method, but in the opinion of many physiotherapists and patients effective.UVT is based on the influence of waves with a frequency of 16 to 25 Hz on the affected joint, which has a healing effect, restores blood supply and activates metabolic processes in the area of pain localization.
Plazmo therapy(Joint plasmolift).Another modern way of osteoarthritis is the injections of blood plasma in the affected joint.Plasma contains platelets that regenerate tissue.
Myostimulation.Muscle contractions if they are exposed to electrical impulses.The method helps to deal with the manifestations of osteoarthritis.After the course of the myostimulation, weakened and non -editing muscles are strengthened, their connection with the nerve ends is restored.
Phonophoresis.This is a long -known method that consists in the effect of an affected joint with ultrasound.It is therefore possible to deliver therapeutic substances to the affected tissues and at the same time physically influence the joint.The phonophoresis saturates tissue with oxygen, accelerates regeneration, relieves pain and swelling.
Ozonotherapy.Ozone saturates tissue with oxygen, thus accelerating cell metabolism and effectively relieves inflammation.Ultimately, this leads to an accelerated restoration of damaged tissues.
Hirudotherapy.Hirudotherapy or leech treatment can actually have a positive effect on the treatment of the arthrosis of the hip joint.The secret of leeches has a high biological activity and improves blood circulation.
Radon baths.Such baths have a general reinforcement effect and have a positive effect on the heart and blood vessels.They also improve blood circulation and relieve pain with osteoarthritis.
Training therapy.The therapeutic physical education for arthrosis is not only aimed at maintaining the muscle tone and strengthening the ligaments, but also on the development of the joint and the habit of moving properly.
Massage (including lymphodnage) and manual therapy.As one could say, a massage is a universal method that helps to relieve the condition with different diseases, including osteoarthritis.The therapeutic massage relieves the tension of the muscles, improves blood supply to tissues and joints, promotes the production of synovial fluid and has an analgesic effect.
Mechanotherapy.In order to carry out this procedure, special simulators are used that have been created specifically for therapeutic loads.
Common traffic.This method for arthrosis of the hip joint is used quite often.Based on the results of the procedure, the gap between the surfaces of the connection rises, which reduces the load on the cartilage.
Diet therapy.Proper nutrition is very important for healing.In arthrosis, it is recommended to adhere to a special diet.If the patient suffers from overweight, you have to use all efforts to lose weight, otherwise the constant stress on the joint will be canceled all efforts of the doctors.The basis for the menu should be fish and low -fat meat, bobic, leaf vegetables and bread made of gross flour - the source for group B vitamins, which is required for the proper metabolism.The brat falls completely under the ban, like fast food.You have to eat fractional in small portions several times a day.
Surgical treatment
All methods mentioned above are effective in the early stages, but if the disease has gone far, surgery is required.
Stab(Minimal invasive intervention).The puncture is carried out to remove excess liquid from the joint bag.This restores the mobility of the joint and relieves the pain.
Arthroscopic debridement.This is the removal of the deformed part of the cartilage, which delivers relief, but the effect will be temporary without comprehensive treatment.
Osteotomy near the joints.Osteotomy - dissection of the bone with its subsequent fixation.This process is carried out to improve the operation of a worn connection and reduce the load.The method is often used in cases where the cause of osteoarthritis is the deformation of the bone head.
Endoprosthetics.This term shows the exchange of his own joint artifications from Titan.This is an extreme measure, they only fall back on it if the joint is completely destroyed and its restoration is impossible.
Features of treatment in different stages of the disease
The earlier you see a doctor, the easier and faster the treatment will be.In the first and second stage of coxarthrosis there is enough medication and physiotherapy for complete recovery.However, the disease can return if you do not revise the lifestyle.To maintain health, you have to lose weight, rationalize nutrition and give up bad habits.
In the third and fourth stage, you can no longer do without surgery.Physiotherapy and drug treatment are also applicable, but already as rehabilitation measures after the operation.
To prevent osteoarthritis, they must be examined regularly by an orthopedic doctor, especially if there were joint injuries in the past.These exams should be considered of professional athletes and people with excess weight.
Treatment of coxarthrosis by UVT
UVT is one of the most progressive among all non -surgical methods for the treatment of arthritis.The orthopedic doctor says in detail:
Shock-wave therapy is today the only physiotherapeutic treatment method that not only relieves unpleasant symptoms, but also contests the cause of the joint destruction.UVT promotes the absorption of scars and calcium crystals, improves blood circulation and 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 has been used in more than 50 countries in the world for more than 20 years.