Cooksarrosis, or degenerative disease of the hip joint, is one of the most serious pathologies of the musculoskeletal system.Due to the large size of joint structures, pain and discomfort are much more serious than with the defeat of other joints.The consequences of the pathology are also serious: if the destruction of small bone joints causes many unpleasant sensations, then the osteoarthritis of the hip joint without treatment is a direct path to disability.Only the right therapy, and sometimes the operation will help a person not lose the ability to walk.
What is the osteoarthritis of the hip joint?
Coksarsis, osteoarthrosis, osteoarthritis of the hip joint - synonyms of the same pathological process, which flows in the thigh on one or two sides.In modern medicine, pathology is also called osteoarthritis: it was previously believed that degenerative processes are not characterized by inflammation, but the most precise studies showed otherwise.The tissues affected by the articular cartilage secrete inflammatory elements (interleucins), so osteoarthritis is another true term.
The disease is characterized by the following signs:
- Progress constantly, moving from one stage to another;
- Leads to persistent pain, limiting the mobility of the joint;
- It causes deformation of bone surfaces, partial or complete destruction of the hyaline cartilage;
- In a detailed stage, the elderly are more inherent to people, but often begins after 40 years;
- 70% of people over 75 have pathology symptoms;
- They often suffer from women's disease.
The articulation is a mechanism in which there are rubbing details.Due to the decrease in the quality or amount of lubrication (intercalated fluid), the contact surfaces are wearing.Small cracks appear in the cartilage, then they are destroyed, and instead of a healthy tissue, bone corn appears.Such growth does not allow the leg to be moved normally, its functions are lost.
The reasons for the development of the disease
The osteoarthritis of the right or left thigh region can be primary or secondary, and the first option is characteristic precisely for elderly people.The primary form disease develops for decades, associated with the wear and tear related to the cartilage.
Secondary cooksis has other causes and can begin even in a young man.It is associated with inflammation (infectious, autoimmune), which gives a momentum at the beginning of the pathology.In addition, the cause can be the suffered injury of the thigh (hematoma, dislocation, bone fracture).Other possible causes secondary:
- Operations in this anatomical zone;
- Diabetes and other serious metabolic pathologies;
- Hormonal diseases;
- Congenital and acquired forms of curvature and displacement of bones;
- Joint dysplasia in a child;
Protence of the turn, necrosis of the head of the hip;- Vascular diseases of systemic nature, which leads to a deterioration in cartilage nutrition;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, perte disease;
- Tumors are benign, malignant.
The symptoms of the osteoarthritis of the hip joint in any way will seem faster if the risk factors act in the body:
- Constant stress, nerve shocks, depression and experiences;
- Obesity, even moderate excess weight;
- Unfavorable inheritance;
- Hypodinamia, sedentary work or certain professions with a high load in the joint;
- Excessive physical loads (power), professional sports.
Symptoms of the disease
You cannot notice the developmental arthrosis of the hip joint and its symptoms.Even at an early stage, the disease is felt and, above all, pain.The pain, with the resulting and progressive osteoarthritis of the hip joint, increases as the disease goes from one stage to another.They appear in the thigh area, they give it to the knee, in the groin, even at the bottom of the abdomen.In general, after sleep, pain decreases, but in the advanced stage it can be constantly present.In palpation, pain does not always feel, because the damage to the joint can start with deeply located pieces.
Other possible signs of the disease:
- A crunch that appears when it moves, sometimes even with a slight;
- Frowning, changing the march;
- Shorten the legs on the side where there is osteoarthritis of the hip joint;
- Motor station, limited rotation, moving the leg.
As they develop, other signs of pathology appear.Then, the feeling gives a feeling of bone deformation, the presence of growth.The doctor, in the exam, points out muscle atrophy, and the patient even in ordinary life is forced to move with a cane, a crutch due to the pain and weakness of the limb.
In general, pain and other clinical manifestations depend largely on the stage.These stages of cookardrosis are distinguished:
- First.The symptoms are not tan, but the initial changes are already noticed in the diagnosis.The synovial fluid becomes thicker, its volume decreases, the structure of the cartilage at the end of the stage changes.Small cracks appear that the body is trying to try forming small "calluses."
- The second.The pain at this stage is quite remarkable, the crunch, the limitation of the motor function is clear.Pain syndrome radiates other parts of the body, extends throughout the leg down.The image is visible: the slimming of the cartilage, narrowing the distance between the bones, a violation of the structure of the articular surfaces, sometimes the displacement of the head of the hollow bone.The number of bone growths (osteophytes) increases.
- The third.The pain becomes unbearable, a person has a very limited movement, many stop moving completely.The cartilage is almost completely destroyed, the atrophy of the muscles, the joint is very deformed.Bone osteophytes have the shape of peaks and irritate nerve endings.
What are the risks and complications?
It is easy to understand: if with a pathology such as the osteoarthritis of the hip joint, the symptoms and the treatment are defined incorrectly, inconveniently, this threatens with disabilities.A painful pain syndrome, the inability to walk, the need for constant attention is that what awaits a person without the treatment of this disease.
Disability in case of damage to the bones of the thigh is established in accordance with the seriousness of the disease, with a complete absence of the opportunity to work, give the first group.Such patients are shown surgery: this is the only effective method of treatment in such a situation.But even modern methods of operations can withstand the risk of complications:
- Infectious infection;
- Thrombosis, thrombus embolism;
- Significant blood loss.
The total participation of complications is small-0.5-2%, but they take place.Most of the time, there is an infection of the prosthesis, which must then be changed to a new one.That is why after the operation it is important to perform an antibiotic treatment course.
Diagnostic measures for osteoarthritis
Returning to the traumatologist, surgeon, orthopedist is recommended to help with the first signs of damage to the femoral zone.Initially, with suspicion of osteoarthritis of the hip joint, the doctor performs physical tests:
- He feels the upper part of the thigh, reveals the points of the appearance of pain, bone osteophytes;
- Make passive foot movements - flexion, extension, kidnapping and bringing to clarify the volume of possible movements.
It will help to diagnose and recipe more accurately the treatment of the osteoarthritis of the hip joint, the instrumental diagnosis will help.In general, the radiography is performed: the cheapest and most affordable research method.It is recommended to make an X line on modern devices, or replace it in CT, where the quality of the images is much higher.CT provides exhaustive information about the condition of bones, cartilage, articular surfaces.If a detailed study of the condition of soft tissues is required (for example, by pinching the nerve root), the specialist will prescribe a magnetic resonance.
Other possible diagnostic measures:
- Articulation ultrasound;
- Arthroscopy;
- Blood analysis for rheumatoid factor;
- Tuberculin samples;
- Biochemical analysis In case of suspicion of diabetes, gout.
It is very important to find the cause of secondary cookarrosis, because without affecting it to stop the course of the disease, it will not work.
Hip joint osteoarthritis treatment: medications and physiotherapy
If the signs of the disease are implicit, and did not go to the stage of irreversible changes, conservative treatment will help the patient.The medications will need therapy even when the osteoarthritis of the hip joint has gained a serious way, as a component of the treatment course.
How to treat the osteoarthritis of the hip joint?There is a disease's drug correction program:
- Non -steroidal anti -inflammatory medications.Pills or injections will help get rid of pain, inflammation.It is impossible to use them uncontrollably: their own cartilage skills to regeneration will also reduce the stomach and intestines will suffer largely from NSAIDs.
- Vascular medications.Treatment with such medications helps improve cartilage nutrition and promotes its restoration.
- Musorelaxantes.Shown by spastic pain in the muscles caused by damage to the thigh area.
- Condroprotectors.The osteoarthritis of the hip joint requires a mandatory and multiple administration of such drugs. It is also necessary to use injection forms, including the articular cavity entered.It is considered that an even more effective technique is the introduction of hyaluronic acid drugs in the joint.
- CorticosteroidsThey are used in extreme cases in the form of intra -articular injections.Such treatment is necessary if the symptoms become unbearable.
External agents (ointments, gels) for coxarthrosis are usually ineffective due to a deep career of the articulation.But physiotherapeutic techniques are often used and give great pain relief.UHF, laser therapy, magnetotherapy are performed in the thigh area, UHF, massages are performed.In addition, with osteoarthrosis, manual therapy is indicated, in some cases, joint hood.
Popular remedies for osteoarthritis
Many use popular treatment for this pathology, although the osteoarthritis of the hip joint does not respond well to several external methods.Only with severe pain can be applied to a painful stain with isolation, although this will distract more.The treatment of complicated and neglected osteoarthritis of the hip joint is best carried out through oral administration:
- Pour 100 g of dry grass of the 500 ml saber of vodka, insist 10 days in the dark, take 30 drops three times/day to relieve inflammation;
- Daily gelatin, in the absence of contraindications, regularly cooks cold men: the dishes will not serve worse than condoprotectors.
You can calm the pain using such a compress.It is necessary to mix honey, medical bile, ammonia, glycerin, apply to the joint, tie with a warm cloth.Leave the compress for 3 hours, then wash.
Other methods and operations
For the complete treatment of osteoarthrosis, it is very important to observe the correct diet, you will have to reject the foods that violate the blood supply and the worsening of the cartilage.These are smoked meats, vinegar, crossed food, fried, as well as foods with preservatives, trans fats.But there must be more dishes with magnesium, potassium, iodine, calcium in the diet.
How to treat the osteoarthritis of the hip joint is mandatory is therapeutic gymnastics.Hot daily, special experiences in the lie position should be carried out by all patients.For example, you must slowly lift your leg and hold the floor for several seconds.
It is important to exclude sudden movements, prevent prolonged and fast walking, with cooksis, this will only improve the progression of the disease.To download the joint, you can use a cane, crutches, also an orthopedist may recommend special orthosis to soften the load.
The treatment of osteoarthritis of the hip joint of the third, the last stage is done only with the help of surgery, other methods are ineffective.In 95% of cases, the operation is successful, leg movements are fully restored.But prostheses are not eternal, their useful life is up to 20 years, so the operation is an extreme measure.In the Endoprothetics course, its own artificial changes, and the osteoarthritis of the hip joint no longer threatens it.
Prevention of cookyrosis
In order not to perform a complex treatment of the pathology, not to suffer pain, it is important to begin preventive measures from an early age.The prevention of cookkerosis is especially important for those who are exposed to risk factors.
So that the blood supply to the cartilage does not suffer, follow:
- Coma with the inclusion of plant foods in the menu, a sufficient amount of low -fat meat, cottage cheat, sour simulation food;
- Quit smoking, not abuse alcohol;
- In the sedentary work they regularly perform the warm, do simple exercises;
- Leave a sedentary lifestyle in favor of skiing, swimming, other low intensity aerobic charges.
In order for a person not to bother the osteoarthritis of the hip joint, it must control body weight, prevent obesity and the appearance of even 5-10 additional pounds, this seriously improves the load in the femoral area.CookSarrosis can only be warned with an integrated approach and a healthy lifestyle!