Diseases of the joints - a common phenomenon, and the number of sufferers from them grows annually. Coxarthrosis of the hip joint is more common in women than in men, and according to statistics, the peak is at the age of 40 years. Useful information about the causes of this ailment and the ways of its treatment will be helpful.
What is coxarthrosis of the hip joint?
The question, what is coxarthrosis, is of interest to many who have encountered this problem. This disease is also called osteoarthrosis and it is characterized by the destruction of the hip joint, which eventually leads to very serious negative consequences. According to statistics, about 70% of patients with osteoarthrosis of TBS are ill due to natural aging causes, therefore it is important to understand the mechanisms of the onset of the disease in order to know how to avoid this disease in the future.
Coxarthrosis - the causes of
The first thing you need to know is why osteoarthritis occurs in order to reduce the risk of falling into the number of cases. Coxarthrosis, the causes of which are very different, presupposes intensive therapy, depending on the nature of the onset of the disease. The main causes of coxarthrosis of the hip joint:
- age changes;
- congenital pathologies;
- kyphosis , scoliosis, flat feet;
- bacterial and viral infections;
- regular load on the joint (weight lifting, sport at a professional level);
- endocrine problems (diabetes, gout );
- obesity of the last degree;
- chondromatosis (defects of intraarticular cartilage);
- Peries disease.
Coxarthrosis of the hip joint - symptoms
Symptoms of osteoratrosis TBS has some differences, depending on the degree and stage of the development of the disease, the individual characteristics of the organism and the causes that caused the destructive processes in the joint. The signs and clinical picture of the course distinguish 3 degrees of coxarthrosis. For all stages, the course of the disease is characterized with a gradual increase in the pain syndrome, limiting the mobility of TBS, which leads to a deterioration in the quality of life in general. Coxarthrosis of the hip joint, the symptoms and treatment of which depend on each other, should be treated taking into account the degree of the disease.
Coxarthrosis 1 degree
At the first initial stage, coxarthrosis has the following symptoms:
- Aching pain of a growing character with loads on the hip joint, rapidly passing. Changes in biomechanics movements are not recorded.
- The radiograph shows insignificant changes (formation of osteophytes and narrowing of the joint gap).
Coxarthrosis of 2nd degree
Symptomatology, characterizing coxarthrosis of the hip joint of the 2nd degree:
- There is a significant increase in pain, mobility in TBS worsens.
- Developing inflammation causes the appearance of permanent localized pain.
- There are irradiating pains, giving in the groin and the knee area, which often leads to incorrect diagnosis.
- The amplitude and angle of flexion of the joint deteriorate, joint rotation and biomechanics of movements are disrupted.
- There are crepitating sounds in the joint.
- Roentgen shows an obvious significant destruction of tissues and growth of osteophytes.
Coxarthrosis of 3rd degree
Symptomatology accompanying coxarthrosis of the hip joint of the third degree:
- Constant pain, not stopping even at night.
- Atrophy of the muscles.
- The limb is shortened because of the skewing of the pelvis.
- The biomechanics of motion is disturbed, which leads to the appearance of a specific gait, similar to a duck.
- The radiograph shows the thickening of the femoral neck, a large number of osteophytes, deformation of the head and the disappearance or severe narrowing of the joint space.
Treatment of coxarthrosis of the hip joint without surgery
Depending on the degree, coxarthrosis of the joints is treated with therapeutic gymnastics, massages, drug therapy. Often, the means of alternative medicine are also used, but it should be said that people's prescriptions should be applied only with the permission of the doctor and in no case should they engage in self-medication, which can lead to irreversible consequences.
Gymnastics with coxarthrosis
Therapeutic physical training has not bad proved itself, as the means, helping to stop destructive processes, to reduce painful sensations and to restore biomechanical parameters. Exercises with coxarthrosis can be performed in the absence of contraindications, which include:
- High blood pressure (blood and intracranial);
- period of critical days;
- high temperature for viral diseases, angina, etc .;
- inguinal, intervertebral and abdominal hernias;
- acute diseases of internal organs;
- serious problems with the heart and blood vessels.
Massage with coxarthrosis of the hip joint
Massage - an indispensable component of complex therapy, which has many poles, including:
- Improve blood circulation and delivery to tissues of nutrients.
- Restoration of cartilage.
- Elimination of muscle spasms.
- Improvement of the biomechanics of TBS.
Before treating coxarthrosis with a massage, you need to read the contraindications to which they relate:
- thrombosis;
- heat;
- monthly;
- inflammation of the lymph nodes;
- bleeding;
- taking narcotic painkillers;
- oncology;
- syphilis;
- gangrene.
The specialist should carry out the massage, because at its carrying out the methods of manual therapy, which the classical masseurs do not speak. The effectiveness of the massage is confirmed by numerous clinical studies, so on an equal footing with drug therapy, coxarthrosis of the hip joint is treated by prescribing a massage course.
Preparations for coxarthrosis of the hip joint
Only with a comprehensive approach can you expect a positive result. If there is a disappointing diagnosis - coxarthrosis, treatment necessarily includes:
- non-steroidal anti-inflammatory drugs;
- muscle relaxants ;
- chondroprotectors ;
- ointments;
- intraarticular injections.
Popular non-steroidal anti-inflammatory drugs:
- Diclofenac;
- Movalis;
- Ibuprofen;
- Nimulid;
- Piroxicam;
- Celebrex.
Chondroprotectors:
- Structum;
- Don;
- Teraflex;
- Chondroitin;
- Elbon;
- Arthra.
Muscle relaxants:
- Sirdalud;
- Midsummer.
Ointments and Cream:
- Chondroitin;
- Chondroxide.
Intra-articular injections (steroids):
- Kenalog;
- Hydrocortisone;
- Diprospan;
- Flosteron.
Intraarticular injections (chondroprotectors):
- The purpose of T;
- Alflutol;
- Chondrolon.
Coxarthrosis - folk methods of treatment
Traditional medicine has made a significant contribution to the treatment and prevention of coxarthrosis of the hip joint. Its recipes are used to enhance the effect of traditional methods and not unsuccessfully. However much this or that remedy is touted, it is important before its application to obtain consent from the attending physician, so as not to damage and not aggravate an already difficult situation.
Treatment of coxarthrosis Jerusalem artichoke
Ingredients:
- tincture of Jerusalem artichoke (chemist's) - 1 bottle;
- branches of pine - 5-7 pieces (20-30 cm);
- sea salt - 1 kg;
- turpentine turpentine - 1 dessert spoon;
- honey - 2 tbsp. l.
Preparation and use
- To collect hot water (boiling water) on the bottom of the bath so that it is enough for steaming pine branches. Leave for an hour.
- Remove the branches, add the rest of the ingredients and thoroughly dissolve and mix.
- Top up the amount of water necessary for taking a bath and take a healing bath for about half an hour.
- The procedures should be repeated daily for two weeks.
Decoction for treatment of 1 and 2 degrees of coxarthrosis TBS
Ingredients:
- bark of willow - 1 part;
- parsley root - 1 part;
- burdock root - 1 part;
- linden color - 1 part;
- 1 liter of boiling water.
Preparation and use
- Mix all the ingredients in equal parts.
- Separate from the resulting composition 5 tablespoons and pour boiling water.
- Simmer over low heat for about five minutes and leave to infuse for 20 minutes.
- Drink 100 milliliters before eating.
Ointment from Kosatroza
Ingredients:
- interior fat - 400 g;
- the root of the white perestupnya - 1 glass.
Preparation and use
- Root the plant to grind in a meat grinder and pour the fat of nutria.
- Stir on a low heat, stirring constantly for 5-7 minutes and set aside until cooling.
- The resulting means to lubricate the patient painfully before going to sleep.
Infusion of lemon celery and garlic
Ingredients:
- lemon - 3 pieces;
- garlic - 120 g;
- celery (root crop) - 250 g.
Preparation and use
- All the components to pass through the meat grinder and put in a three-liter jar.
- Pour boiling water, carefully cork, wrap and let it brew for about 12 hours.
- Take every morning for half an hour before breakfast at 70 grams.
- Banks enough for a month. And to accept in total three such volumes are necessary.
Lemon and honey for strengthening the walls of the pelvis
Ingredients:
- honey - three tablespoons;
- lemon - three pieces;
- boiling water - three liters.
Preparation and use
- Cut the lemon in small cubes and pour boiling water.
- After the infusion has completely cooled, dissolve honey in it.
- Take the product every day, one glass.
Coxarthrosis of the hip joint - operation
Operative treatment of osteoarthritis of TBS implies endoprosthetics - replacement of a sick joint with an artificial one. Coxarthrosis of the hip joint at the last stage is poorly susceptible to conservative treatment and often the only way out is an operative intervention. The replacement of the hip joint occurs according to this scenario:
- The part of the femur with the head is cut off and a pin with an articular head on the end is fixed to its place. The most commonly used materials are zirconium and titanium.
- Removed part of the acetabulum on the hip bone and using a special glue replace it with a concave bed of high-strength polyethylene.
After a successful operation, the patient has a significant improvement in his well-being, pains go away, and the lost motor functions of the joint are restored. These are indisputable advantages of endoprosthetics. The disadvantages include the risk of an unsuccessful operation, when a repeated replacement of the joint may be necessary after a couple of years. In addition, under the most favorable circumstances, the joint is not eternal, and its replacement is required on average, after 15 years of use.