In the scientific community, there are several names for this disease: deforming osteoarthritis, coxarthrosis, untreated arthritis, bone tuberculosis, gout, and other infectious diseases can become the cause of the disease. Deforming arthrosis of the hip joint is manifested by various symptoms that depend on the degree of development of the pathology, and in the initial stages, the pathology is often diagnosed solely by photo radiography.
What is deforming arthrosis of the hip joint
Of all osteoarthritis, hip joint disease is more common. In addition to the elderly, people with a sedentary lifestyle and overweight are susceptible to the disease. Hip arthrosis develops imperceptibly for a person. Its progression is characterized by joint degeneration. First, the cartilage tissue is thinned, then the bone on which osteophytes develop is modified. In parallel, a pronounced or latent inflammation of the synovial membrane proceeds. Hip arthrosis leads to disability, disability, and a deterioration in the quality of life.
Hip coxarthrosis is primary and secondary. The first occurs for reasons unknown to medicine. Doctors believe that the hereditary factor and the elderly age of the patients play the largest role in the development of this type of deforming arthrosis. Causes of secondary coxarthrosis:
- congenital dislocation, curvature of the hip;
- hip dysplasia;
- Perthes disease
- infectious lesions or inflammatory processes (arthritis and others);
- aseptic necrosis of the femoral head;
- transferred injuries (fracture of the pelvis, femoral neck, traumatic dislocations and others).
At different stages of a degenerative disease of the hip joint, the symptomatology differs slightly. The onset of the disease can be recognized by a number of signs of coxarthrosis. The main symptoms of arthrosis of the hip joint:
- severe pain in the affected joint;
- restrictions on movement;
- change in leg length;
- gait changes due to lameness;
- atrophy of the thigh muscles;
- pronounced cracking in the joints.
Degrees of Hip Arthrosis
Hip coxarthrosis has 4 degrees of disease:
- The first is the easiest form of pathology. A disease may not bother a person at all for many years. The destruction of cartilage is either asymptomatic, or minor pain is observed due to intense physical exertion on the thigh area or after a long walk.
- The second degree is characterized by increased symptoms. Irradiation of pain in the thigh and inguinal zone is noted. Pain syndrome occurs not only during constant stress, but also at rest. Deforming coxarthrosis of the hip joint of the 2nd degree is manifested by morning stiffness of movements.
- The third stage is one of the most difficult. It is characterized by almost complete destruction of cartilage. The X-ray photo shows a strong narrowing of the joint space. The patient cannot move without a cane, edema is observed in the joint.
- The fourth degree of deforming arthrosis of the hip is the last stage of pathology. It is characterized by a complete absence of hip movements, which is associated with the fusion of bones of the hip joint. A person feels a constant pain that does not allow normal life, there is a strong swelling of the tissues around the destroyed joint.
At the first stage, a rheumatologist or orthopedist interviews the patient, collects a medical history, examines the joint, and performs functional tests. Differential diagnosis includes x-ray of the hip joint, CT or MRI, ultrasound of the joints. If specific changes that are characteristic of one of the stages of deforming arthrosis (bone growths around the acetabulum, viscous joint fluid and other pathologies) are found in the x-ray photo, then the diagnosis is confirmed.
How to treat hip arthrosis
The main condition for effective therapy is early diagnosis and the rapid onset of therapeutic measures. Treatment of deforming arthrosis of the hip joint is carried out for a long time and consists of many stages. At the first stage of the disease, the doctor adjusts the patient's nutrition, eliminates problems with metabolism and blood circulation with drugs. In severe forms of coxarthrosis, conservative treatment is performed, hip replacement or other surgical operations are recommended.
As a rule, in the treatment of coxarthrosis, two groups of drugs are prescribed: non-steroidal anti-inflammatory drugs for internal and / or external use and chondroprotectors in tablets or injectable solutions. The best among them are:
- Ortofen. A non-steroidal anti-inflammatory drug that expresses an analgesic, moderate antipyretic effect. Reduces joint pain, removes swelling, morning stiffness, helps increase range of motion. In acute arthrosis, arthritis and hip gonarthrosis, the initial dosage is 100-150 mg / day. In the chronic course of the disease, 75-100 mg / day is used. The daily dose is divided into several doses. The course of treatment is prescribed by the doctor individually. With an overdose, side effects occur in the form of nausea, vomiting, jaundice, hepatitis, stomach ulcers, and damage to the esophagus.
- Chondroitin Sulfate. Chondroprotective drug, which is used to restore cartilage. Slows bone resorption and cartilage degeneration. Slows the progression of coxarthrosis. The drug is prescribed 1.5 g 2 times / day for 3-6 months. With prolonged or uncontrolled use of the drug, allergic manifestations on the skin are sometimes observed (rash, redness, contact dermatitis).
Massage in the treatment of coxarthrosis
With deforming arthrosis of the thigh, massage will help strengthen blood circulation, restore the functionality of synovial fluid in the joint cavity, and restore limb mobility. Regular sessions, which are carried out in conjunction with conservative therapy, in the early stages of the disease help cartilage to recover faster. During the procedure, the patient is laid on his stomach. If pain is felt in the affected joint, nearby tissues are pre-kneaded. Massage Technique:
- first, stroking the back from the shoulder blades to the lower back;
- after the specialist proceeds to massage the lower back (stroking, circular movements);
- then a sacrogluteal massage is performed (stroking, indenting with the palm edge);
- at the end of the session, the thigh is gently massaged for 5 minutes (stroking, pressing, kneading with bent fingers in a circular motion).
The main goal of physiotherapy exercises is to restore mobility to the joint, strengthen the muscles of the hips and pelvis. Since the procedure has a number of contraindications, exercise therapy for coxarthrosis can only be prescribed by a specialist after examination and diagnosis. Gymnastics with this pathology has a static character. Movements should not cause a person painful or unpleasant sensations. The treatment complex includes the following exercises:
- lying on your back, the leg bends at the knee, then is fully extended, then it is pulled as close to the stomach as possible with the help of the hands attached under the knee;
- lying on his stomach, the injured limb bends at an angle of 90 °, then rises up and returns back to a level position;
- lying on your side, you should rest your elbow and the opposite palm on the floor, then raise your straight leg as high as possible.
Diet for coxarthrosis is aimed at restoring cartilage, regulation of metabolic processes, weight loss. Salted, fatty foods, flavors, canned food, dishes from premium flour and smoked foods should be excluded from the diet. Food should be fractional up to 6 times / day. Dishes are steamed, boiled, baked. Allowed products for hip arthrosis:
- low-fat dairy and dairy products (calcium);
- low-fat fish (animal protein);
- mushrooms, legumes, buckwheat (vegetable protein);
- jellied meat, aspic, gelatin, jelly (collagen);
- oats, rice, barley, corn (carbohydrates);
- olive, linseed oil (vegetable fats);
- seafood (fluorine, phosphorus);
- wheat, oat bran (copper, iron).
Along with physiotherapy exercises, physiotherapy occupies an important place among non-drug methods of treatment of arthrosis. Procedures help to remove symptoms, relieve swelling, eliminate pain. Physiotherapy starts the mechanisms of tissue regeneration, normalizes the balance of enzymes, improves metabolic processes. The most advanced methods for hip arthrosis:
- Shock wave therapy. Influence of the infrasound spectrum by acoustic waves on the affected area stimulates collagen production, improves tissue nutrition, and eliminates stagnant processes in the joint. It is carried out at intervals of 7-10 days. To achieve the effect, 10-15 sessions of 5-10 minutes are needed.
- Ultrasound. The energy of ultrasonic waves triggers restoration functions in the body. Through ultrasound, drugs are introduced into the lesion. To achieve lasting results, it is necessary to take a course of 4-10 procedures for 30-50 minutes.
- Magnetotherapy. During the procedure, exposure to the lesion focus occurs with a magnetic field. This provides a soft warming up of tissues, relieving muscle cramps, and improving joint mobility. It is recommended to go through 10-20 procedures for 10-20 minutes. If necessary, a second course is prescribed after 3 months.
In post-traumatic coxarthrosis of the thigh, mobilization is performed. This is one of the varieties of manual therapy, including artificial traction of the joint. The procedure helps to restore the destruction of the cartilage, as it reduces the pressure on the bones. Traction of the joint occurs by soft dilution of the ends of the bone joints. The correct actions of the chiropractor remove muscle spasm and partially restore limb mobility. In the treatment of coxarthrosis, at least four cycles of several sessions should be performed.
If conservative therapy does not bring improvement, doctors recommend surgical treatment for the patient. Surgery is prescribed for 3-4 stages of the disease. Methods of surgical treatment of hip coxarthrosis:
- Endoprosthetics. During the operation, the damaged joint is replaced with an artificial one. When choosing a prosthesis, gender, age, and weight of the patient are taken into account. The success of the operation is 70% of all surgical interventions on the joint.
- Artodez. Joint bones are strengthened with plates and screws. The functionality of the limb is partially restored.
- Osteotomy Bones are dissected to eliminate deformation. Unlike arthrodesis, this operation restores both motor and support function.
- Arthroplatics. A complex operation in which the surgeon models the destroyed surface of the cartilage using the patient’s own tissues, synthetic materials or canned homotissues.
Deforming arthrosis of the thigh is treated comprehensively, so doctors recommend using folk recipes at home. Therapy with natural components is aimed at restoring blood circulation in the articular cavity and reconstructing cartilage tissue. The most effective folk recipes:
- Herbal ointment. For cooking, you need nettle leaves and immature juniper fruits. The raw material is taken in equal proportions of 50 g, crushed, then 20 g of melted pork fat is added to it. After obtaining a homogeneous consistency, the ointment is cooled in the refrigerator, then smeared on the lesion 3 times / day until the pain is eliminated.
- Healing tincture. To get the medicine, you need to grind 3 large lemons together with the peel, add 120 g of chopped garlic and 250 g of chopped celery root. All ingredients are put in a jar, filled with boiling water, infused for 10 hours. After the infusion, drink in the morning on an empty stomach in 1/4 cup. The amount of ingredients is calculated for the full course of treatment.
Early detection of coxarthrosis, adequate therapy and compliance with preventive measures is the key to a positive prognosis of the disease. A set of measures that are aimed at eliminating risk factors that provoke the development of deforming arthrosis of the hip:
- the exception of jumping from a height, carrying heavy loads;
- constant monitoring of body weight;
- metered exercise to strengthen the muscles of the buttocks and hips;
- timely compensation for metabolic diseases.