Arthrosis of the hip joint is considered an age -related disease, although young people are not safe from it.This disease causes considerable torment, and in severe cases, it can deprive a person of mobility.
Why does deforming arthrosis of the hip joint occur
Arthrosis of the hip joint (coksartrosis) is a degenerative-dystrophic disease, in which cartilage that covers the surface of the thigh head and sovereign cavity is destroyed.The disease develops gradually and is caused by a variety of causes.
The development of arthrosis of the hip joint can lead to:
- hormonal changes - both age and pathological, for example, in diabetes;
- circulatory disorders due to injury, excessive physical exertion, general problems with blood vessels;
- inflammatory processes (for example, with arthritis);
- obesity-due to the excessive load on 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 themselves rarely lead to arthrosis, but can accelerate the development of the disease with other adverse factors;
- Injuries - such as dislocations, fractures and stretching.
Symptoms of coxarthrosis
Since the joint is destroyed gradually, four stages of arthrosis of the hip joint are distinguished.
The first degree
Symptoms may be absent or mild.The first stage of arthrosis of the hip joint is characterized by:
- pain in the anterior and lateral surfaces of the thigh and in the groin after prolonged or intense physical exertion;
- a sense of stiffness in the joint after long immobility (more often in the morning);
- Craving or clicking in the joint when moving.
The second degree
At this stage, the destruction of the joint has already gone far.Most often, people seek a doctor at this stage.Among the symptoms of arthrosis of the hip joint of the second degree:
- constant pain that does not disappear even at rest;
- violation of the mobility of the joint;
- Progressive lameness - a person instinctively tries to reduce the load on the affected joint.
The third degree
If at the first and second stages of the development of the disease it is still possible to do with conservative methods of treatment, then the third often requires surgical intervention.
Signs of the third stage of coxarthrosis:
- severe pain in the affected joint, which affects the whole thigh and gives to the knee;
- lameness;
- a decrease in the length of the leg from the side of the diseased joint (sometimes, in approximately 10% of cases, lengthening of the leg is observed);
- Atrophy of the hip muscles.
The fourth degree
At this stage, the 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 arthrosis of the hip joint
There are many methods of coxarthrosis therapy.Typically, the doctor prescribes their combination, since the treatment of this disease should be complex.
Drug treatment
With a disease of the 1st and 2nd degree, drugs are successfully used for treatment.First of all, the drugs from arthrosis of the hip joint include non -steroidal anti -inflammatory drugs, vasodilating agents that improve the blood supply to the joints, muscle relaxants that relax the muscles and relieve spasms.Preparations for joints that restore cartilage tissue are also used.In the early stages, local products in the form of plasters, applications and ointments also help - they improve blood circulation.
Without timely treatment, arthrosis of the hip joint can lead to ankylosis.Anquilosis is the complete fraving of the femur with a pelvis.With this disease, the leg becomes completely motionless in the joint.
Non -surgical treatment methods
Physiotherapy often becomes the main way to treat arthrosis 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, 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, restoring blood supply and activating metabolic processes in the area of pain localization.
Plazmo therapy(joint plasmolifting).Another modern way of treating arthrosis is the injections of blood plasma in the affected joint.Plasma contains platelets that regenerate tissues.
Myostimulation.Muscle contractions when exposed to electrical impulses on them.The method helps to cope with the manifestations of arthrosis.After the course of myostimulation, weakened and non -working muscles are strengthened, their connection with the nerve endings is restored.
Phonophoresis.This is a long -known method, which consists in the effect of an affected joint with ultrasound.Thus, it is possible to deliver therapeutic substances to the affected tissues and at the same time affect the joint physically.Phonophoresis saturates tissues with oxygen, accelerates regeneration, relieves pain and swelling.
Ozonotherapy.Ozone saturates tissues with oxygen, thereby accelerating cell metabolism and effectively relieving inflammation.Ultimately, this leads to an accelerated restoration of damaged tissues.
Hirudotherapy.Hirudotherapy, or leech treatment, can indeed have a positive effect in the treatment of arthrosis of the hip joint.The secret of leeches has high biological activity, improves blood circulation.
Radon baths.Such baths have a general strengthening effect, having a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with arthrosis.
Exercise therapy.Therapeutic physical education for arthrosis is aimed not only at maintaining muscle tone and strengthening the ligaments, but also at the development of the joint, as well as to form the habit of moving correctly.
Massage (including lymphodnage) and manual therapy.Massage is, one might say, a universal method that helps to alleviate the condition with different diseases, including arthrosis.Therapeutic massage relieves tension from the muscles, improves blood supply to tissues and joints, promotes the production of synovial fluid and has an analgesic effect.
Mechanotherapy.To carry out this procedure, special simulators are used, created specifically for therapeutic loads.
Joint traffic.This method for arthrosis of the hip joint is used quite often.Based on the results of the course of the procedures, the gap between the surfaces of the joint increases, which reduces the load on cartilage.
Diet therapy.Proper nutrition is very important for cure.With arthrosis, it is advised to adhere to a special diet.If the patient suffers from excess weight, you will have to apply all efforts to lose weight, otherwise the constant load on the joint will nullify all the efforts of the doctors.The basis of the menu should be fish and low -fat meat, bobic, leafy vegetables and bread made of coarse flour - the source of group B vitamins necessary for proper metabolism.The fried completely falls under the ban, like fast food.You need to eat fractionally, in small portions, several times a day.
Surgical treatment
All of the above methods are effective in the early stages, but if the disease has gone far, surgery will be required.
Puncture(minimally invasive intervention).Puncture is carried out in order to remove excess fluid from the joint bag.This restores the mobility of the joint and relieves pain.
Arthroscopic Debridement.This is the removal of the deformed part of the cartilage, which gives relief, but without comprehensive treatment the effect will be temporary.
Osteotomy near the joints.Osteotomy - dissection of the bone with its subsequent fixation.This operation is carried out in order to improve the operation of a worn joint and reduce the load on it.The method is often used in cases where the cause of arthrosis is the deformation of the bone head.
Endoprosthetics.This term indicates the replacement of its own joint artificial, made of titanium.This is an extreme measure, they resort to it only when the joint is completely destroyed and its restoration is impossible.
Features 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 drug treatment and a course of physiotherapy for a complete recovery.However, the disease may return if you do not revise the lifestyle.To maintain health, you will have to lose weight, rationalize the diet, abandon bad habits.
In the third and fourth stages, you can no longer do without surgery.Physiotherapy and drug treatment are also applicable, but already as rehabilitation measures after surgery.
For the prevention of arthrosis, you need to regularly undergo an examination by an orthopedic doctor, especially if there were joint injuries in the past.Close attention to these examinations should be paid to professional athletes, as well as people with excess weight.
Treatment of coxarthrosis by UVT
Among all non -surgical methods of treating arthritis, UVT is considered one of the most progressive.The orthopedic doctor says in detail:
Shock-wave therapy is the only physiotherapeutic treatment method today, which not only relieves unpleasant symptoms, but fights the cause of the joint destruction.UVT promotes resorption of scars and calcium crystals, improves blood circulation, stops inflammatory processes.From my own experience I can say that the effectiveness of 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 of the world.