What is deforming the arthrosis of the hip joint and why it occurs
Hip articulation arthrosis (also known as thigh and hip joint osteoarthritis) is one of the most frequently diagnosed pathologies of the bone muscle system.In Russia, this disease is a major cause of disability in people with joint diseases.
For reference
COKSARTROSIS is a chronic inflammation of the hip joint, which is characterized by the premature destruction of the cartilage, narrowing of the joint gap and a decrease in the mobility of the lesion leg.
Figure, the problem of a person who suffers from hip joint arthrosis can be compared to a door whose loops are not lubricated.Due to the lack of "lubrication" within the joint, the bones begin to contact, which causes pain and restriction (such as a short and a tight course of the door).Subsequently, if the disease is ignored, there are consequences ("rust") on bone surfaces, which increasingly limit movements in the joint and with adverse result, it fails to fulfill its function.
It is generally believed that hip joint arthrosis is an age problem.Statistics confirm this point of view: after 40 years, this diagnosis was made one of ten, after 60 years - one of the three patients, and in those who have 70% of 70% of 70. But often the pain in the thigh leads to the position of orthopedic and youth.
Thus, among the causes of hip joint osteoarthritis, the most significant following are distinguished:
- Innate impaired development (dysplasia) of the joint, which may not be until adulthood;
- Premature wear of joints that occurs due to intensive loads in athletes or obesity;
- lesions and infections that affect the musculoskeletal system;
- Other diseases of the musculoskeletal system, which lead to pathological redistribution of the load in the joints;
- Violation of blood supply to the joint (eg due to vessel atherosclerosis).
Doctors believe that a combination of factors leads to arthrosis of the hip joint;Therefore, in people with predisposition to this disease, the pathological process occurs earlier, as in patients with obesity, diabetes mellitus or ischemic damage to the heart.
Caxartrosis symptoms
The first sign of arthrosis is pain after physical activity.Unpleasant sensations arise both in the inguinal region, so that in the thigh and knee.
This is important
Frequently, with thigh, the pain is initially concentrated in the knee joint, and a person addresses the doctor with this complaint.An inexperienced doctor can prescribe an x -ray to this area and, if there are minor changes, make a misdiagnosis - gonartrrosis of the 1st degree.As a result, time will be lost.Therefore, with leg pain, it is worth spending time to search for a competent orthopedic doctor and a good orthopedic clinic.
If cOKSARROSIS is not started to treat at the early stages, the following symptoms come together with pain: stiffness and articulation crispness, a change in march (usually to avoid unpleasant sensations, patients unfold their leg out and transmit when walking from side to side - a "duck" march is formed), licensing.Over time, the pathological process leads to hip muscle atrophy and the visual shortening of the sick member.In the later stages, hip joint osteoarthritis develops in ankylosis - the complete femoral freana with a pelvis, which is why the leg is fixed in one position and performs only the support function.
Degree of disease
For the convenience of diagnoses, doctors distinguish three degrees of thigh:
- 1 degree of osteoarthritisThe hip joint is defined with moderate manifestations of pain and the absence of restriction on the movements.With the radiography, a small narrowing of the joint gap and the terms of unique bones, osteophytes are visibly a small narrowing.Subject to proper treatment, 1st degree coxarthrosis can be interrupted by eliminating symptoms of the disease.
- 2 degree of coxarthrosisIt is accompanied by painful pain, even in the rest of the leg.Articulation movements are difficult: a person cannot lift and take the leg to the side.The pain is especially noticeable when trying to unfold the straight leg to the right and left.The patient is lame, sometimes a crisis is heard in the joint.In the photos of Raia X - deformation of the femoral head, numerous osteophytes and narrowing of the joint gap by third.Therapeutic measures allow to suspend the course of the disease for many years.
- Node3 degrees of coxarthrosisArticulation pain does not decrease all the time, the atrophy of the thigh and buttocks muscles develops - a person's whole body seems distorted toward the lesion.X -ray indicates a deep deformation of the articulation and narrowing of the gap gap to the complete connection of the bone surfaces.The therapeutic approach, as a rule, does not give a tangible effect - a joint substitute for a prosthesis is required.
For the diagnosis of deformed osteoarthritis, it is used as an external examination, in which the doctor studies leg mobility, evaluates the patient's march and appearance as well as radiography.In doubt in the correction of the diagnosis, the expert also prescribes a direction for magnetic resonance tomography (MRI) of the hip joint.
How to treat hip joint arthrosis
The fight against cokearthrosis requires the involvement of various methods: from medicines and physiotherapy exercises to joint and surgery joints, which are usually prescribed for unsuccessful attempts to return disease development.
Conservative treatment
Non -surgical treatment requires time and financial costs, but can improve the patient's quality of life in the long run - to cancel the need for surgical surgery.The first thing a orthopedist prescribes cOKSARTROSIS is the medicines that relieve pain and inflammation (non -steroid and steroidal anti -inflammatory drugs, drugs -inflammatory, muscle relaxants).To activate the blood supply in the field of arthrosis and restoration of the cartilage tissue, vasodilators and chondroprotective medications are prescribed.In addition, the patient can offer a modern methodology to stimulate regenerative processes - plasmolifting, ie the injection of the patient's blood components into the pathological focus.These measurements are more effective for severity 1 and 2 hip osteoarthritis.
Non -surgical treatment methods
In addition to tablets, ointments and injections, the treatment of thigh requires the use of physiotherapy and cinematherapy, as well as the correction of the diet.A help -developed help strategy by an experienced orthopedic allows people with 1 and 2 degrees of hip joint arthrosis to avoid endoprothetic and limit the need for medicines.
Physiotherapy
- Shock Wave Therapy (UVT)It is used in cardiology, neurology, orthopedics and sports medicine.The basis of the effect on the body is sound waves that provide blood flow to the desired area of the body, which stimulates regeneration processes and accelerates metabolism.This relatively new method already shows significant results in the treatment of muscle -syllable system diseases and becomes one of the most popular.
- MyostimulationIn case of thigh, it aims to restore muscle functioning, weakened due to a forced restriction of joint movements.
- PhonophoresisCombines the advantages of the effects of ultrasound and medicine on the body: under the influence of the device, a pharmaceutical drug in the form of ointment or cream more effectively penetrates the skin to the hip joint.
- Ozon therapyIt reduces unpleasant sensations and activates cartilage growth due to the properties of the ozic acid mixture.
Cinerape
- Exercise therapyIt is considered the basis for the successful treatment of arthrosis of any location: the regular implementation of a special exercise system strengthens the ligaments and muscles around the painful joint, which reduces discomfort with the usual daily charges.
- Massage(including lymphatic drainage) and manual therapy aims to passive work with muscles, ligaments and joints.Approaches used to help people with thighs reduce the need for tablets and injections, which reduces the pharmacological load in the body.
- MechanotherapyThis implies working with simulators that help to perform the articulation without significant physical efforts, which is especially in demand in advanced patients.
- Joint trafficWith the help of a device or special traction hands of a manual therapist, it increases space within the joint, which "launches" the pathological process several steps back, facilitating symptoms and giving the body time to restore hip joint function.
Therapy diet
All patients with cOKSARROSIS are necessary, but more important for patients with obesity.Weight loss reduces the load in the inflamed joint and improves metabolism.In combination with other conservative methods, a balanced diet allows you to forget the pain and other manifestations of hip joint arthrosis.
Surgical treatment
This group includes procedures performed by a surgeon in the operating room.All of them, except for the hip joint puncture, require hospitalization and a period of recovery multi -committees.With third degree thigh, when conservative treatment does not bring relief, only prostheses help save the patient from discomfort and pain, returning -the joy of movement.
- Puncture (minimally invasive intervention)This implies pumping out of excess fluid articulation, which relieves pain and improves leg mobility.It can be performed repeatedly, especially when prescribing steroid medications.
- Arthroscopic debateIt implies purification of the internal surface of the joint from fragments of the altered tissue of the cartilage and washing its cavity with a therapeutic solution to relieve inflammation.This operation is performed through various punctures, without opening the joint cavity.
- Hemiva osteotomy- An artificial femur fracture, followed by its freanfish from a different angle, which allows to reduce the load in the joint.This intervention cannot be called panacea - after 2 to 5 years, the pain returns, but in some conditions when the endoprothetic is impossible, the periosurge osteotomy of the hip joint is the best solution to the problem of thigh.
- EndoprostrateIt means a complete replacement of the joint for a prosthesis, which can serve up to 20 years.Despite the complexity of the intervention, it is well tolerated by patients of different ages that are ready for active rehabilitation after surgery.Surgeons observe that an important condition for success is the preliminary treatment of obesity and the use of cinemrapherapy methods to restore muscle strength around the joint.
The prevention of hip joint osteoarthritis is important to people after 40 years, athletes and relatives of people with already diagnosed cOKSARROSIS or femoral neck fracture.Doctors recommend that the risk group monitor the figure, be careful with injuries (for example, wear on winter shoes in non -dislodging soles) and regularly involves physical conditioning.In the first symptoms of hip arthrosis, return immediately to the orthopedic.Treatment of the disease should be maintained with a specialized doctor, experienced and attentive to any changes in patient health.