Hip arthrosis is considered an age -related disease, although young people are not safe from it.This disease causes significant pain and in severe cases can deprive a person of mobility.
Why deformation of hip arthrosis occurs
Hip arthrosis (coxarthrosis) is a degenerative-dystrophic disease in which the cartilage that covers the surface of the thigh head and the sovereign cavity is destroyed.The disease develops gradually and is caused by various causes.
The development of arthrosis of the hip joint can lead to:
- Hormonal changes - both age and pathological, for example in diabetes;
- blood disorders due to injury, excessive exercise, common problems with blood vessels;
- inflammatory processes (eg arthritis);
- Obesity-di to excessive hip joint is possible to compress and destroy;
- congenital predisposition (abnormalities of the structure of the femur 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
As the joint is gradually destroyed, four stages of hip arthrosis are distinguished.
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 exercise;
- feeling of stiffness in the joint after long immobility (more often in the morning);
- Desire or click in the joint when moving.
Second degree
At this stage, the destruction of the joint has already gone far.Most often, people are looking for 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 joint mobility;
- Progressive lame - a person instinctively tries to reduce the load on the affected joint.
Third degree
If the first and second stages of the development of the disease are still possible with conservative treatments, then the third often requires surgery.
Signs of the third stage of coxarthrosis:
- severe pain in the affected joint, which affects the entire thigh and gives the knee;
- lame;
- Reducing the length of the legs on the patient's side (sometimes in approximately 10% of cases there is a lengthening of the legs);
- Atrophy of the muscles of the hip joint.
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 for coxarthrosis therapy.Usually, the doctor prescribes their combination as the treatment of this disease should be complicated.
Medication
For a disease of 1 and 2 degrees, medicines are used successfully for treatment.First, hip arthrosis drugs include non -steroidal anti -inflammatory drugs, vasodilating agents that improve blood supply to the joints, muscle relaxants that relax muscles and relieve spasms.Floor preparations are also used that 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, hip arthrosis can lead to ankylosis.Anvilosis is the complete engraving of the femur with the pelvis.With this disease, the leg becomes completely stationary in the joint.
Methods of non -surgical treatments
Physiotherapy often becomes a major way of treating hip arthrosis.If the funds are selected correctly, it produces very good results.Non -surgical methods include:
UvtSImpact 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, restoration of blood supply and activation of metabolic processes in the area of pain location.
Plasmo therapy(Co -plasmolipping).Another modern way of treating arthrosis is to inject blood plasma into the affected joint.Plasma contains platelets that regenerate the tissues.
MyostimulationSMuscle 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 intensify, their relationship with nerve endings is restored.
PhonophoresisSThis is a long known method that consists in the effect of the affected joint with ultrasound.In this way, it is possible to supply therapeutic substances to the affected tissues and at the same time to physically affect the joint.Phonophoresis saturates tissues with oxygen, accelerates regeneration, relieves pain and swelling.
Ozone therapySOzone saturates tissues with oxygen, thus accelerating cellular metabolism and effectively relieves inflammation.In the end, this leads to an accelerated repair of damaged tissues.
SurvivorotherapySHirudotherapy or leech treatment can really have a positive effect in the treatment of hip arthrosis.The secret of leeches has high biological activity, improves blood circulation.
Radonian bathsSSuch baths have a common strengthening effect, having a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with arthrosis.
Exercise therapySTherapeutic physical education for arthrosis is aimed not only at maintaining muscle tone and strengthening the connections, but also in the development of the joint, as well as to form the habit of moving properly.
Massage (including lymphoding) and manual therapySMassage is, it can be said, a universal method that helps to relieve the condition with various diseases, including arthrosis.Therapeutic massage relieves muscle tension, improves blood supply to tissues and joints, promotes the production of synovial fluid and has an analgesic effect.
MenotherapySSpecial simulators designed specifically for therapeutic workloads are used to perform this procedure.
Joint trafficSThis method of arthrosis of the hip joint is used quite often.Based on the results of the course of the procedures, the difference between the surfaces of the joint increases, which reduces the load of the cartilage.
Dietary therapySProper nutrition is very important for treatment.With arthrosis, it is recommended that you stick to a special diet.If the patient is suffering from excess weight, you will need to apply all weight loss efforts, otherwise the constant load of the joint will invalidate all the efforts of the doctors.The basis of the menu should be fish and low -fat meat, bobbia, leafy vegetables and bread made of coarse flour - the source of B vitamins needed for proper metabolism.The fried are completely under the ban, like fast food.You should eat partially, in small portions several times a day.
Surgical treatment
All the above methods are effective in the early stages, but if the disease has gone far, surgery will be required.
Puncture(Minimally invasive intervention).Drilling is carried out to remove excess fluid from the joined bag.This restores joint mobility and relieves pain.
Arthroscopic destructionSThis is the removal of the deformed part of the cartilage, which gives relief, but without complete treatment the effect will be temporary.
Osteotomy near the jointsSOsteotomy - bone dissection with its subsequent fixation.This operation is performed to improve the work of the worn joint and to reduce the load on it.The method is often used in cases where the cause of arthrosis is the deformity of the bone head.
EndoprotheticsSThis term shows the replacement of its own joint artificial, made of titanium.This is an exceptional measure, they only resort to it when the joint is completely destroyed and its recovery is impossible.
Characteristics of treatment at different stages of the disease
The earlier you see a doctor, the easier and faster the treatment will be.In the first and second stages of coxarthrosis there is sufficient drug treatment and a course of physiotherapy for full recovery.However, the disease can come back if you do not review the lifestyle.To maintain health, you will need to lose weight, rationalize the diet, give up 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.
To prevent arthrosis, you should regularly undergo an orthopedic examination, especially if there were joint injuries in the past.Careful attention to these exams should be paid to professional athletes as well as people with excess weight.
Treatment of coxarthrosis from UVT
Among all non -surgical methods for the treatment of arthritis, UVT is considered one of the most progressive.The orthopedic doctor says in detail:
Impact wave therapy is the only method of physiotherapy treatment today, which not only relieves unpleasant symptoms but fights the cause of the destruction of the joints.UVT promotes 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 has actually been used for more than 20 years in more than 50 countries around the world.