Coxarthrosis of the hip: symptoms and treatment
Coxarthrosis is the most common disease of the musculoskeletal system. This disease causes degenerative changes in the hip joint. The etiology of the disease is the subject of scholarly debate. It is customary to distinguish primary and secondary osteoarthritis.
The first occurs as an independent disease, and the second as a result of congenital structural changes in the hip joint due to injuries or other related diseases. It is considered that a primary coxarthrosis of the hip joint occurs as a result of violations of blood circulation in the joints and metabolism in the body of the patient. It is not necessary to dismiss and mechanical damage, excessive load. Often this disease affects people with excessive body mass, and patients after the age of 40 years.
It should be noted that the hip has a progressive course. In the beginning of the disease symptoms are mild and do not cause the patient much discomfort. If the patient ignores the symptoms of disease and treatment starts too late in the joint undergoes irreversible changes. Dystrophy primarily affects the articular cartilage tissue. They can be their destruction and deformation, the cartilages lose their cushioning properties. The human body in response to such «aggression» tries to find a way to compensate the damage, resulting in formation of bony growths. What symptoms should alert the person and make him seek the help of experts?
The main signs of coxarthrosis
There are typical signs of osteoarthritis of the hip joint. It is their presence, intensity and nature of the disease indicate the extent of joint damage. There are 3 degrees of osteoarthritis.
The first degree is characterized by recurrent pain in the affected joint, which occur only after a certain exercise. This load can be a long walk on foot and climbing stairs, and the usual homework. After the people rested, the pain passes, but eventually come back again. Sometimes the pain experienced in the knee. Movement of the joint is limited, the gait is not typical for later stages of coxarthrosis of the hip joint features. Patients often ignore the first symptoms of the disease. And it is in vain! That is, timely diagnosis and timely initiation of treatment can help stop the destructive process and preserve the joint.
Second degree coxarthrosis is characterized by intense degenerative and destructive processes. Tissue of the joint is rapidly deformed, the pain becomes more intense, it goes into your knee or in the groin and worried about the patient even at rest. After any physical activity the patient has a lameness or stiffness that does not go away even after rest. Disturbed functional status of the affected joint. At this stage the situation can be assessed as difficult, but not critical.
The third stage is characterized by continuous pain in the joint that’s bothering the patient, even at night, resulting in a patient appear sleep disturbance, fatigue and other psychosomatic changes. At this stage of coxarthrosis is the defeat not only of the articular and periarticular tissues, and muscle atrophy, significant shortening of the affected limb. The patient is able to walk only with a cane. Often the disease accompany diseases of internal organs that occur due to the displacement of the pelvis.
In coxarthrosis the symptoms and treatment depend directly on the degree of destruction of the joint. The sooner a patient seeks the help of experts, the more chances he has to recover.
Diagnosis and treatment of disease
The differential diagnosis is not difficult for an experienced specialist. After initial examination, the doctor can draw conclusions about the nature and course of the disease. To clarify the state of the affected joint, the patient prescribed x-ray study, the results of which determine the degree of coxarthrosis and intensity of destructive processes.
1 and 2 stage of disease the treatment of coxarthrosis of the hip joint conservative and is performed as an outpatient or day hospital. Only in severe cases, the patient hospitalization. Treatment of osteoarthritis should be comprehensive, aimed at preserving the functions of the joint.
All forms of arthritis are accompanied by inflammatory process. The main direction in the treatment — withdrawal of inflammation and elimination of pain. With this purpose it is customary to assign a non-steroidal anti-inflammatory drugs. Medicines and duration of treatment chosen by the doctor individually. Nonsteroidal anti-inflammatory drugs effectively eliminate edema and pain.
Medications require constant medical monitoring. Prolonged use can cause adverse reactions and slow down the processes of tissue regeneration of joints. Most often side effects are of gastro-intestinal tract, as non-steroidal anti-inflammatory drugs could cause permanent lesions of its mucous membranes.
Severe pain possible intra-articular administration of hormonal anti-inflammatory drugs. Such procedures are conducted only by medical personnel at the treating physician. Intra-articular injections reduce inflammation in the joints, muscles and tendons, greatly enhancing therapeutic effect.
Important therapy aimed at improving blood circulation in the joint. For disorders of blood circulation, the processes of tissue repair are difficult or even impossible. For this reason, in coxarthrosis of the hip joint, it is customary to prescribe vasodilator drugs.
Appropriate use of muscle relaxants, which not only relieve spasm and pain in muscles and tendons, but also possess pronounced anti-inflammatory properties. Widely used and chondro — drugs that can slow or even stop the destructive processes in the joint and slow the progression of osteoarthritis. Take chondroprotectors for quite a long time. Note that even after discontinuation of the drugs for some time in the body of the patient undergoing the intensive processes of regeneration.
The use of local therapy is a highly effective method of treatment due to the low bioavailability. However, the use of different warming ointments may be effective by improving blood circulation and expansion of vessels by massaging the affected area.
Physical therapy and physiotherapy are complementary methods of therapy. Such procedures effectively improve blood circulation and muscle tone, prevent the occurrence of spasms and swelling, enhance muscle.
Effectively used therapeutic massage, UHF, cryotherapy, laser and electrotherapy. Useful in coxarthrosis of the hip joint and moderate exercise. Well help swimming in salt water or a special medicated bath. Integrated use of these methods gives a great therapeutic effect. All procedures are carried out in accordance with the assignments of the attending physician, in the walls of specialized medical facilities and under constant supervision of medical personnel.
For anybody not a secret that the treatment of joint diseases has become a source of income for countless chiropractors. This method should be treated with extreme caution. Do not use the services of little-known healers. In this case, the treatment can not only not bring the desired results, but also cause irreparable damage to your health.
Coxarthrosis of the hip joint is a very serious disease, therefore, to approach his treatment responsibly. The symptoms and methods of therapy are very individual. You can categorically not be suitable for drugs that effectively uses your neighbor, friend, grandmother, etc Coxarthrosis 3 degrees can be treated only by surgery, it involves a complete or partial joint replacement. In your power to avoid such complications.
All diseases should be treated on time. Take care of yourself and be healthy!