Coksart rose or degenerative disease of the hip joint is one of the most serious pathologies of the musculoskeletal system.Due to the size of the joint structures, pain and symptoms are much more serious than in the defeat of other joints.The consequences of pathology are also serious - if the destruction of small bone joints causes many unpleasant sensations, the arthrosis of the hip joint without treatment is a direct way to disability.Only the right therapy and sometimes the operation helps a person to lose the ability to lose.
What is osteoarthritis of the hip joint?
Coksart rose, osteoarthrosis, arthrosis of the hip joint - synonyms of the same pathological process that flows on one or two sides in the thigh.In modern medicine, pathology is also called osteoarthritis: previously it was assumed that degenerative processes are not characterized by inflammation, but more precise studies showed the opposite.The affected tissue of the articular cartilage secrete inflammatory elements (interleukine), so that arthrosis is another true concept.
The disease is characterized by the following signs:
- Progress steadily and changes from one level to another;
- Leads to persistent pain and limits the mobility of the joint;
- Causes the deformation of bone surfaces, partially or complete destruction of the hyaline cartilage;
- In a detailed phase, older people are more inherent in people, but often begins after 40 years.
- 70% of people over 75 years have symptoms of pathology;
- They often suffer from women's diseases.
The joint is a mechanism in which there are rubbing details.Due to the reduction of the quality or amount of lubrication (liquid interpreted with each other), the contact surfaces are veiled.Small cracks appear on the cartilage, later they are destroyed, and instead of healthy tissue, the bone corn occurs.Such growth do not allow the leg to move normally, its functions are lost.
The reasons for the development of the disease
The arthrosis of the region of the right or left thigh can be primarily or secondary, and the first option is characteristic of people of advanced age.The disease of the primary form has developed for decades, which are associated with age -related wear and the destruction of cartilage.
Secondary coksart rose has different causes and can even start with a young man.It is associated with the inflammation (contagious, autoimmune) that gives an impetus to the beginning of the pathology.In addition, the cause can be the thigh injury (bruise, dislocation, broken bone).Other possible causes of secondary form:
- Operations in this anatomical zone;
- Diabetes and other serious metabolic pathologies;
- Hormonal diseases;
- Congenital, acquired forms of curvature and shift of bones;
- Common dysplasia in a child;
Protection of the swivel, necrosis of the hip head;- Vascular diseases of systemic nature, which leads to a deterioration in the food of cartilage;
- Bone tuberculosis, rheumatoid osteoarthritis;
- Gout, pertes disease;
- Tumors are benign, malignant.
The symptoms of arthrosis of the hip joint of any form appear faster when risk factors act on the body:
- Constant stress, nervous shocks, depression and experiences;
- Obesity, even moderate overweight;
- Unfavorable inheritance;
- Hypodynamics, sitting work or certain professions with a high burden on the joint;
- Excessive physical (strength) loads, professional sports.
Symptoms of the disease
The developing arthrosis of the hip joint and its symptoms cannot be determined.Even at an early stage, the disease and above all pain.The pain with the resulting and progressive arthrosis of the hip joint increases when the disease runs from one stage to the other.They appear in the thigh zone, give the knee in the bar, also in the lower abdomen.Usually the pain decreases after sleep, but can constantly exist in the advanced stage.In the case of palpation, the pain is not always felt, since the damage to the joint can begin with deep parts.
Other possible signs of the disease:
- A crunch that appears when moving, sometimes even with a light one;
- Frown, change the passage;
- Shortening of the legs from the side on which the hip joint arthrosis is available;
- Station of the masses, limited rotation, moving the leg.
While they develop, different signs of a pathology appear.The feeling gives a feeling of bone formation, the presence of growth.The doctor determines the muscle atrophy during the examination, and even in ordinary life, the patient is forced to move with a stick, a crutch for pain and weakness of the limb.
In general, the pain and other clinical manifestations depend heavily on the stage.Such stages of coksart rose are differentiated:
- First.The symptoms are not tanned, but initial changes can be felt in the diagnosis.The synovial fluid becomes thicker, its volume decreases, the structure of the cartilage at the end of the level changes.Little cracks seem to try to treat the body by forming small "grains".
- The second.The pain in this phase is quite striking, the crunch, the restriction of the motor function is clear.Pain syndrome exudes other parts of the body and spreads the entire leg down.The picture is visible: the thinning of the cartilage, the narrowing of the distance between the bones, a violation of the structure of the articular surfaces - sometimes the shift of the head of the hollow bone.The number of bone growth (osteophytes) is increased.
- The third.The pain becomes unbearable, one person is very limited in motion, many stop moving.The cartilage is almost completely destroyed, the muscle atrophy, the joint is very deformed.Bone osteophytes have the shape of spikes and irritate the nerve endings.
What are the risks and complications?
It is easy to understand - if the symptoms and the treatment are incorrectly defined with such a pathology as arthrosis of the hip joint, this threatens with disabilities.A painful pain syndrome to run the inability to run the need for constant care is that a person waits without the treatment of this disease.
The disability in the event of damage to the bones of the thigh is determined according to the severity of the disease, whereby the possibility of working does not give the first group without the opportunity.Such patients are operated on - this is the only effective treatment method in such a situation.But even modern surgical methods can bear the risk of complications:
- Infectious infection;
- Thrombosis, thrombusembolism;
- Significant blood loss.
The total share of the complications is small with 0.5-2%, but they take place.In most cases there is an infection of the prosthesis, which must then be changed to a new one.Therefore, it is important after the operation to carry out a treatment course with antibiotics.
Diagnostic measures for arthrosis
The orthopedist, who is recommended to the traumatologist, surgeon, is recommended at the first signs of damage to the thigh zone.Initially, the doctor conducts physical tests with suspicion of osteoarthritis of the hip joint:
- Feel the upper thigh, shows the points of the occurrence of pain, bone osteophytes;
- Leads passive movements of the foot through - flexion, expansion, kidnapping and brings the volume of the possible movements.
It will help diagnose and prescribe the treatment of the arthrosis of the hip joint.Instrumental diagnosis helps.As a rule, radiography is carried out - the cheapest and affordable research method.It is recommended to create an X rays on modern devices or to replace it on CT, the quality of the images is much higher.CT provides exhaustive information about the condition of the bone, cartilage and common surfaces.If a detailed examination of the condition of the soft tissue is required (e.g. when clamping the nerve root), the specialist will prescribe an MRI.
Other possible diagnostic measures:
- Ultrasound of the joint;
- Arthroscopy;
- Blood test for the rheumatoid factor;
- Tuberculin samples;
- Biochemical analysis in the event of suspicion of diabetes, gout.
It is very important to find the cause of a secondary coksart rose because without influence it to stop the course of the disease does not work.
Treatment of the arthrosis of the hip joint - medication and physiotherapy
If the signs of the disease are implicit and they did not go to the stage of irreversible changes, conservative treatment helps the patient.Medicines need therapy, even if the arthrosis of the hip joint has reached a heavy shape - as part of the course of treatment.
How do you treat osteoarthritis of the hip joint?There is a program for the disease correction of the medicines:
- Non -steroidal anti -inflammatory medication.Pills or injections help to get rid of pain and inflammation.It is impossible to use them uncontrollably - their own cartilage for regeneration will lose weight, and the stomach and the intestine suffer greatly from NSAIDS.
- Vascular medication.Treatment with such medication helps to improve the nutrition of the cartilage and to promote restoration.
- Musorelaxants.Shown by spastic pain in the muscles caused by damage to the thigh area.
- Chondroprotectors.The arthrosis of the hip joint requires mandatory and multi -month administration of such medicines. It is also necessary to use injecting forms courses, including input into the common cavity.An even more effective technology is considered an introduction of hyaluronic acid drugs into the joint.
- Corticosteroids.In extreme cases, they are used in the form of intra -karticular injections.Such treatment is necessary if the symptoms become unbearable.
External active ingredients (ointments, gels) for coxarthrosis are usually ineffective due to a deep run of the joint.However, physiotherapy techniques are often used and give serious pain.UHF, laser therapy, magnetotherapy are carried out on the thigh area, UHF, massage are carried out.In some cases, manual therapy is also displayed in some cases - the hood of the joint.
People's funds against arthrosis
Many use popular treatment for this pathology, although the arthrosis of the hip joint does not respond well to different external methods.Only with severe pain can a painful stain compresses with insulation be applied, although this will be more distracting.The treatment of the complicated and neglected osteoarthritis of the hip joint is best carried out with oral administration:
- Pour 100 g of dry grass of the saber of 500 ml vodka and insist in the dark for 10 days and take 30 drops three times a day to relieve inflammation.
- Daily, men cook regularly, in the absence of contraindications - the dishes do not serve worse than chondroprotectors.
You can calm the pain with such a compress.It is necessary to mix honey, medical bile, ammonia and glycerin alike, apply to the joint and tie it with a warm cloth.Leave the compress for 3 hours and then wash off.
Other methods and operation
It is very important for the full treatment of osteoarthrosis to observe the right nutrition.You have to reject food that violates blood supply and deterioration in the cartilage.These are smoked meat, vinegar, crossed foods, fried and food with preservatives, trans fats.But there should be more dishes with magnesium, potassium, iodine and calcium in nutrition.
How to treat osteoarthritis of the hip joint is mandatory therapeutic gymnastics.Warm ups every day, special exercises in the lies should be carried out by all patients.For example, you have to keep your leg on the floor for a few seconds.
It is important to rule out sudden movements, prevent a longer and fast walking - with coksart rose, this will only improve the progression of the disease.To unload the joint, you can use a cane, crutches and an orthopedic man to soften the load.
The treatment of the arthrosis of the hip joint of the third, the last stage is only carried out with the help of the operation, other methods are ineffective.The operation is successful in 95% of cases, the movements of the legs are completely restored.But the prostheses are not forever, their lifespan is up to 20 years, so the operation is an extreme measure.In the course of the endoprosthetics, his own common changes in the artificial, and the arthrosis of the hip joint no longer threatens him.
Coksartrosis prevention
In order not to carry out a complex treatment of pathology and not suffer from pain, it is important to start preventive measures.The prevention of coksart rose is particularly important for those who are exposed to risk factors.
So that the blood supply to the cartilage does not suffer, it follows:
- Eat sufficient amount of low -fat meat, cottage cheese, jelly, acidic milk food;
- Stop smoking, not abusing alcohol;
- Delay warm ups when working sitting through simple exercises.
- Give a seated lifestyle in favor of skiing, swimming, other aerobic loads with low intensity.
So that a person does not interfere with the arthrosis of the hip joint, you should control the body weight, obesity and the appearance of 5-10 additional pounds prevent the load of the thigh zone seriously.Coksartrose can only be warned with an integrated approach and a healthy lifestyle!