Arthrosis of the hip joint is a disease, called coxartrosis and occurs in a person due to the reduction of the amount of broadcasting fluid in the common cavity.The consequence is the violation of the nutritional nutrition and gradual destruction of articulated surfaces.The disease is characterized by a chronic exchange rate, not characterized by non-inflating, but by degenerative changes of the paper tissue and gradual deformation of bone tissues.
Treatment Coxartrosis is a long and difficult process, whose revolution solution, choosing the appropriate treatment regimen.With irregular treatment, deep deformation is possible with exhaustion of articulated structures, disease progress quickly and can lead to disability and complete loss of motor activity affected joint.
Symptoms
A timely disclosure disclosure is an important component for further successful treatment.But in the initial phase of the disease, the symptoms are slightly and limited to local pain, without any obvious signs and external changes (lack of edema, changes and color structure).Therefore, in most cases, a person simply does not pay due attention to the manifestation of these signs, delays visits to the doctor and thus allowing the disease to progress slowly and properly.
There are four degrees of arthrosis and at each phase there are certain symptoms inherent in 1, 2 3 or 4 phases, but there are a certain range of symptoms, when discovering that you should immediately advise with your doctor to reveal the right disease.Such symptoms include:
- Strong pain in thigh, groin.The pain is real and subsequent after a short break.
- Morning stiffness of the joints.A distinct characteristic of articulated diseases, manifests mostly in the morning, after a long vacation.It is characterized by limiting mobility of limbs, stiffness, unpleasant sensation.It usually takes about an hour after waking up to disappear symptoms.
- Crumb in the wrist, clinging sounds when you walk.
- Change to walk, chrome appearance.
- The appearance of the difference in the length of the limbs.This symptom is in the later stages of the disease, shortening or extension of the affected limb is connected to a change in the structure of the pelvis, its deformation.
The above symptoms are common and are found in many other diseases, which is why it is necessary to advise with a good expert, with additional research methods for the correct differential diagnosis with other similar diagnosis.
Reasons
As they grow old, the human body is consumed and there is a gradual slowdown in the work of all systems and bodies, metabolism is slowing down.This refers to the condition of bones, articulated bags and cartilage, which are influenced by fixed loads, are diluted and deformed with time.The amount of the sinovial fluid of the hollow joint is lost, which causes a reduction in natural depreciation and increase load, followed by the destruction of the articulated cartilage.
In addition to physiological, associated with natural age changes in the body, other reasons for the appearance of the hook arthrosis includes:
- Heavy physical work.
- Heredity (belongs to a joint hip display).
- Excess weight.Excess body weight increases the load on the musculos-bone system.
- Hormonal disorders.
- Inflammatory diseases (contagious arthritis, rheumatoid arthritis).
- Post -traumatic arthrosis hip joint looks 20-40% after injury.
The type and degree of disease
Based on the results of the clinical image and on the basis of radiological indicators, 4 degrees of disease differ.
First degree
If the disease is detected at this stage, treatment is the most effective, affected joint can be preserved by providing the correct treatment regime, without the need for operation.But identifying the disease at this stage is not so simple, because the symptoms that are manifested are insignificant and characterize such symptoms:
- Morning rigidity.
- The pain in the groin.
- Smaller, pain pain that occurs during physical effort in the area of hip joints.
- On the radiography, in the presence of 1 degrees of disease, there is a slight narrowing of the common spacing, unique sealing hotspots, hijalin cartilage, bone growth in the agile area.
Second degree
The second degree of disease is manifested with pronounced symptoms.This phase is characterized by:
- The occurrence of withdrawal, painful pain in the joints, not only after physical effort, but also when performing smaller motor activities.The pain is enhanced in the evening and night.
- During the engine activity, the HOME change appears.There is a "duck walk," a person who is limping after a long walk, trying to rely on a healthy leg, thus protecting affected by a battle joint.
- There is a violation in the movement of the affected hip joint, the difficulty leaving the affected limb.
- X -Ray means a significant narrowing of the common gap as well as bone growth.
Third degree
The clinical picture expressed events in which there are:
- Constant severe pain in the calendula and at rest.
- Complete loss of motor activity affected joint.
- The appearance of the difference in the length of the limbs.The leg with a joint joint becomes shorter than healthy limbs.
- X -RAY means the full destruction of the hyalin cartilage, the growth of large osteophytes, the destruction of the femur.
Fourth degree
Arthrosis of the fourth degree pelvis characterizes complete muscle atrophy that surround the combination of the side of the affected limb.At 4 phases, complete loss of physical function was also observed.The patient is unable to step on a painful leg and can't be without crutches.There are osteokosclerosis of bones, large growth of bones and complete absence of a common gap.
The treatment of this phase is possible only operational.
Diagnostics
In order to precise diagnosis and behaved timely treatment, a number of certain studies are needed.The diagnosis is done in several phases.
- General inspection, collection of anamnesis of the disease.The doctor will clarify information on the presence of injuries, related diseases and the existing lifestyle.The correctly performed test helps to give a diagnosis properly, determine the degree of disease and eliminate numerous diseases that have similar symptoms, such as arthritis, Sacroiles.
- In addition to the test, the doctor prescribes the necessary laboratory examinations.
- The X -Ray test is a mandatory diagnostic point.The study is carried out to the compound of both legs, even if the patient complaints apply to just one limb.
- Computer Tomography is considered an additional method of research.You can study the nature of the CT the nature and degree of damage to femorals and articulated surfaces.
Treatment of arthrosis
When suspicious symptoms and hip joints appear, the person primarily stems the question whose doctor treats such conditions and how self-modication occurs.
On the first symptoms, it is necessary to seek assistance in making diagnosis and treatment with rheumatologist, while the treatment of strict forms of arthrosis deals with an orthopedo.
Treatment depends on the degree of disease and the nature of the event.The treatment regime selects a doctor for each patient individually.The basic principles of treatment include events such as:
- Treatment of medicines.
- Diet.
- Physiotherapy.
- Massage.
- Gymnastics.
- Kinoseoteumping (lowering the hip connection with special patches).
- Presject to help the cart and crutch to remove the load from the affected joint.
Drug therapy
Treatment mode for lesions The combination of the side without failure includes medications.As soon as you start therapy, it is more likely to limit the treatment of conservative methods, without the need for surgical intervention.
Medication drug diagram includes drug complex:
- Free pain as well as the reduction of the inflammatory process, not-thesteroidal anti -infalmic drugs are used.
- When liquid collects in the joints in the cavity, intra-valuable injections are used.
- Hydroprotectors are used for feeding tissues and improving blood circulation.
- Locally Use therapeutic fats, which are applied to the area of the affected compound.
Physiotherapy procedures
The physiotherapy method aims to improve blood supply affected joints and improving metabolic processes.Physium of Arthrosis Cook connection includes:
- Magnetic laser therapy.It helps reduce pain, improve the mobility of the affected joint.
- Laser treatment.The action of a light laser is focused on removing the inflammatory process, the reduction of the edema, as well as the recovery of the cartilage.
- Thermal therapy.It contains mud, paraffin, paraffin therapy, due to thermal effect on the affected area, improves burdens and metabolic processes are normalized.
Each type of physiotherapy procedure has a positive effect on affected joints, but at the same time a number of contraindications.It is not allowed to conduct physiotherapy during pregnancy, oncology, tuberculosis.
Massage and therapeutic gymnastics
This group of therapeutic measures is an integral part in the complex treatment of coxartrosis.
Advantages of massage and therapeutic gymnastics:
- Improving blood circulation.
- Removal of muscle spasm.
- Increasing engine activity in affected joint.
- Reducing pain.
- Increasing the diastasis in the joint of the affected joint.
Massage sessions are allowed to be performed in all stages of the disease, but for each phase maintenance of certain conditions.Therapeutic massage is performed only in a specially trained expert, each massage session occurs in several phases:
- Back massage.It is performed with the help of carving movements with palms, helps increase blood circulation and prepare for the next phase.
- Handheld massage of lower back.It consists in the same difficulty, rubbing and mixing the lumbar region.
- Massage of sacral and berries.
- Thigh massage.During this phase, the experts conducts pressing and rubbing the movement of the massage, grasping the area of the affected joint.
On 1 and 2 stages of the disease, the implementation of self-reviewing, dedicated to the process is recommended for at least 5 minutes per day.
During the independent session, the order of shares is also important, it is necessary to alternate the following exercises:
- Massage the area back with your palms, which is taken by ascending and descending along the spine, and then make the rubbish of the back of the fist.
- In standing position, start the butt massage, making up the hips with a cross to the cross and the lumbar area.Once you have finished getting rubbish.
- The final phase is the massage of the hip muscle, which is performed in a sitting position.Alternative caressing, rubbing and mixing are performed.
3 and 4 phases of the disease suggest a massage after surgical operation, the flow of therapeutic massage is made for quick rehabilitation.
Massage sessions are the best interchangeable with silent therapeutic gymnastics.Gymnastics for arthrosis aims to increase blood flow in the hip joint muscles, which contributes to better saturation with nutrients with nutrients.
Each copyright technique has its own characteristics and numerous contraindications, in order to determine which the schemes of gymnastic exercises comply with a doctor who attend.
You can perform a number of simple exercises at home, such as:
- In the position of the bed, slowly, alternately raise each leg at an angle of 50 degrees.
- Lying on his back, bending his legs and raising his head off the floor, try to get to the knee.
- In standing position, take it off and lift her straight leg, trying to keep him in this position for a few seconds.
When it deals with gymnastics, it is important not to rush and perform tasks as much as possible, with maintaining even peaceful breath.Sharp, incorrect movements can cause injuries.It is important to remember that only the present doctor can prescribe exercises, based on the condition of a certain patient.In addition, exercises should be performed in the presence of exercise control experts.
Diet therapy
Diet plays an important role in treatment.In the treatment of arthrosis, the use of 1600-1800 kcal daily, distributing a daily amount of 5-6 meals.Food should be balanced and rich vitamins and trace elements.With a surplus weight, a good -illating diet will help reduce weight, in this row reducing load on the painful compound.
Observing the appropriate diet, you must consider which products must be included in the daily menu, and also what should be completely excluded from your diet.
| Recommended: | It is necessary to limit: |
| Aspik | Strong coffee |
| Vegetables, fruit | Alcoholic beverages |
| Low varieties of meat and fish | Bakery products |
| Milk and dairy products | Salt |
| Greenery | |
| Legumes | |
| Buckwheat | |
| Nuts |
It is necessary to involve a sufficient amount of vegetables and fruits in food, increase the spending of dairy products, worth paying special attention to products, rich animal proteins (beef, turkey, chicken, low fish fish).It is recommended to include in the menu jelly, rich in collagen, contributing to strengthening and rebuilding cartilage tissues.
Surgery
Treatment Arthrosis Hook's joint in early stages is limited by conservative methods.It is often a fairly properly selected drug treatment scheme and appointing auxiliary methods to improve the patient's condition and slow down the disease.Treatment 3 and 4 degrees arthrosis in many cases implies the need for surgical intervention consisting in the compound replacement operation.
When do you need operation?
1 and 2 phases of the hook joint arthrosis are treated without surgical intervention, in 3 and 4, sooner or later there is a need for operation.The operation is proposed by the patient when the changes in the joint reaches an extreme phase with full destruction of articulated cartilage and large-growing growth categories.
After surgery, in the rehabilitation period, massage and exercise therapy are prescribed for quick renovation of motor activity.
Traditional medicine
What is the arthrosis of the hip joint and how to treat it in detail the doctor rheumatologist.After the consultation they attend the doctor and appointment of treatment regime, it is recommended, as ancillary treatment methods, consider folk drugs.Treatment of arthrosis with folk recipes is a good additional method and helps reduce pain, edema mitigation, increase mobility of common mobility.
2 methods are used in the treatment of folk drugs:
- To take inside (decociesti, plant healing tincture).
- For local use (fats, compression, wrapping).
To remove the main symptoms of the disease, the tincture based on Saber is used:
- Motherland must be mixed with medical alcohol in a ratio of 1:10 and remove a few weeks in a dark spot.
- Then cook, strain and use to receive 1 tablespoons.l.3 times a day.
- At night you can shape the tincture directly to the area of the affected joint, to relieve inflammation and reduce pain.
Stit based on cabbage sheets proved to be a treatment: Several cabbage sheets and Burdoque leaf should be mixed, mixed with hands until the juice continues and fastened to a lesion for 30 minutes.This method helps to reduce inflammation and pain.
In the treatment of folk remedies, medicinal herbs are actively used, they include: St.John's Wort, Ment, Chamomile, Celandina.To get fat treatment, it is necessary to mix the grass to mix them with oil jelly or children's cream, and slowly rub a fat in a date immediately after cooking.
All additional methods of treatment should be considered only as ancillary methods that are unable to cure such a disease independently and to consider with drug treatment, in order to improve the actions in the complex of therapeutic procedures.
Prevention
It is recommended for disease prevention to monitor your health carefully, take long attention to strengthen immunity, lead a healthy lifestyle and carefully monitor the quality of nutrition.
The measure is also important in preventing the arthrosis prevention of hypothermia and the limitations of physical effort.People with excess body weight are recommended to respect the nutrition-oriented weight reduction and preventing the load on the musculos-bone system.
For general strengthening immunity, the preference is made to harden and balanced physical effort.
Pregnancy and childbirth
Dylastic Arthrosis Hook joint is an innate pathology combination of hook, which occurs due to improper criminal tissues during intrauterine development.In most cases, with timely detection of the disease, this pathology is successfully healed with time, but leaves the risk of developing an arthrosis of hip joints in adulthood.
During pregnancy, in the presence of hip joint arthroses, the total load on affected joints increases due to the increase in the total weight of the body, this factor significantly exacerbates the course of the disease.In addition to increasing cargo due to body weight, in pregnant women, the dish of joints is deteriorated and the metabolism slows down, is due to increasing the costs of their own resources to provide all necessary for the fruit.
Pregnant woman, in the presence of such diseases as the hip joint arthrosis, strongly recommended that certain conditions during pregnancy are respected, namely:
- Limit motor activity, especially in the third trimester of pregnancy, when the load on the painful compound is the maximum.
- It is necessary to constantly watching by the doctor.
- It is recommended to follow the doctor's recommendations.
- Swimming classes are conveniently affect the distribution of cargo in the body, increase muscle mass in the area of the affected joint and removing voltage.
Forecast
Timely diagnostics of the hip joint arthrosis, the forecast is favorable.If the disease is revealed in the first phases, the treatment is ensured by a conservative way, the development of disease slows down and is often completely cured, if it does not reach 2 degrees at the diagnosis time.
On 3 and 4 phases of the disease, when performing timely surgical action, the forecast remains favorable, provided the condition of all recipes recommended by the doctor and the exercise of constant controlling doctors attending the presence.With well -ected work actions, artificial common serves several decades.
Complications
The main and most unfavorable complication is a possible disability.Disability occurs due to the complete loss of the motor activity of the injured wrist.With symmetrical lesions of both joints, a person loses the ability to move independently, which significantly restricts lifestyle, and also creates a risk for other complications (stances pneumonia).
To prevent such serious consequences, it is recommended to start treatment when identifying the first signs, preventing the response of the disease.