Osteoarthritis of the hip joint 1, 2, 3 degrees: symptoms, treatment, prevention

The symptoms and treatment of osteoarthritis of the hip joint

Osteoarthritis of the hip joint (TZB) is a destructive process affecting located inside the joint cartilage grafting.

At the end of the bones is articular cartilage, which provides normal mobility of the limb. With it, the bones can slide. But gradually, the cartilage loses its ability to retain liquid, which is required for the movement, and eventually crack.

Starts friction between bones, certain growths osteophytes that cause pain and other symptoms of incipient disease.

The risk of osteoarthritis of the hip is increased in people after 45 years. More vulnerable are the women, due to changes in the body during menopause, when hormonal transformations the lost calcium.

It accumulates in cartilage, providing a destructive effect. When bone destruction becomes necessary surgery, when the damaged bone is replaced with prosthesis.

Often, the disease is also referred to as deforming osteoarthritis of the hip or osteoarthritis, refers to degenerative pathologies.

Predisposing factors

The main factors of violation are:

  • retirement age;
  • injury long the several varieties of sports (weightlifting and jumping);
  • excess weight, incorrect posture;
  • genetic inheritance;
  • gender, hormonal disorders;
  • some diseases (arthritis, psoriasis);
  • the severity and work — there are professions, creating the risk of illness (retail trade, construction, agriculture);
  • sedentary.

The clinical picture — from discomfort to disability

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At the initial stage of the disease the symptoms of osteoarthritis of the hip is manifested slowly, over time usugublyali.

The main manifestations include pain when moving or after, stiffness of joints and loss of flexibility.

The stage of development of pathology

There are three degrees of development of osteoarthritis of the hip joint, each of which has its own characteristics and symptoms:

  1. The first stage of destruction manifested by occasional pain after exercise (a long run, walk). Pain localized in the area of the affected joint, but may spread to the knee and thigh. Pain decreases after rest, but the range of motion, gait and muscle strength is not reduced. When x-ray analysis determined a slight growth of the bone beyond the glenoid lip. However, remain constant head with the neck bone.
  2. The disease of the second degree is characterized by heightened pain sensations that go to the thigh and groin area that can occur even during rest. Lameness is manifested as a result of physical loads and the long walk. With no the proper functioning of joints, limited movement, and weakening of the muscles, unbending and diverting thighs. According to the results of x-ray analysis identifies the internal and external region of the acetabulum bony growths that extend beyond the edges of the cartilaginous lips. Also deformed by the head bone, increasing in size and acquiring irregular contours. In the affected structures can appear cyst.
  3. On the third last stage of pathology appear in constant pain, not stopping even at night. As limited joint motion, muscle atrophy in the calf, thigh and buttocks. The injured limb is shortened, when moving the patient need to step on toes, tilt your body to reach the floor. However, shifting the center of gravity, and there are increased loads on the joint. According to x-ray examination revealed large bone growth on the swivel cavity and the head of the bone, extension of the neck.
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Diagnostic studies

Initial signs of disease, reflected by a systematic stiffness of the joint, should alert the patient. And prolonged manifestation of pain must consult a podiatrist or rheumatologist.

The specialist can identify the presence of hip osteoarthritis. The patient needs to talk in detail about the symptoms, to clarify the frequency and duration.

To determine the pain threshold, the doctor can rotate, bend and straighten your legs. To assess the external form of the joint, the patient needs to walk or stand on the leg.

To determine the appropriate treatment is carried ultrasound, x-rays and assigns a blood test. The study is carried out for both hip joints to reveal the actual pathology in the joint cracks. According to the obtained information, a specialist can accurately determine the stage of the disease.

Treatment methods conservative and surgical

Osteoarthritis of the hip joint 1 and 2 degrees can be cured using conservative methods. You first need to remove the inflammation, and using medications to relieve pain and improve circulation. In the category of such tools are warming ointments, vitamins, and analgesics.

You also need to undergo physical therapy in the form of therapy and (or) ultrasound. Traditional treatment can complement traditional methods and means (herbal, rastertime).


For pain you can use non-narcotic analgesics and non-steroidal substances (Indometacin, Diclofenac, Meloxicam, Ibuprofen) in the form of rectal suppositories, ointments, tablets and injections.

The treatment of the symptoms. In the form of injections may be recommended hormone treatment (Dexason, Kenalog) facilitating the patient’s condition and the movement.

To improve the microcirculation in the affected area are anticoagulants and antiplatelet agents (Dipyridamole or Chimes, Lioton).

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The structure of cartilage, improves cartilage protectors (Aflatoon, Teraflex). Such tools are essential in the treatment of osteoarthritis due to their ability to restore cartilage.

Effective action has the combination of Chondroitin sulfate with Glucosamine is scheduled for 6 months. We recommend the use of painkillers compresses on the basis of Dimexidum applied on the affected area for 12-15 days.

In the treatment should be rest the affected limb, to eliminate and relieve the main symptoms.

An integrated approach

Well as therapy diseases, the following methods and approaches:

  1. Physiotherapy. After the restoration of joint mobility are assigned physiotherapy, electrophoresis. Good effect has a massage and laser treatment. In the future, will be recommended to the swimming pool.
  2. Diet. During treatment should follow a special diet based on the exclusion from the diet of sweet, fatty, and meat products. Definitely should eat vegetables, fruits, fish, dairy products and brown bread. Definitely need to add onions, garlic and foods with micronutrients. But you want to exclude egg yolk, black pepper, potatoes and tomatoes as they contain solanine, amplifying pain.
  3. Hirudotherapy. Leeches help to alleviate the symptoms of the disease.
  4. Physiotherapy. These treatments help to stop muscle atrophy. These include circular rotation in the joint, extension and flexion, bike riding. Sometimes specialists prescribe the traction of the patient’s joint held at the hospital. The patient needs to move around with crutches to reduce the load of the joint. The complex is added underwater or classic massage.


To surgery is resorted to in osteoarthritis of the hip 3 degrees, with a strong deformation of the joint with the inability of normal movement.

After primary treatment the patient is required to perform additional procedures. Thus, the achieved result can be fixed with physical therapy, — massage of the muscles of the thighs and buttocks, swimming.

At the last stage of osteoarthritis TZB under impossible restoration of cartilage there is one alternative to surgery with joint replacement. But its implementation is complex.

The main complication is a fracture in the neck of the femur, which is hard and long time recovering. The cartilage loses cushioning performance, while moving with increased load on the thigh.

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What is offered to traditional healers?

Traditional medicines used for the treatment of osteoarthritis of the hip joint:

  1. You can take vegetable oil, honey and mustard a tablespoon, mix and put in an enamel bowl. The mixture is brought to boiling, cooled and filtered. The composition should be applied in a compress, hold it for 2 hours and the next day to repeat.
  2. To reduce pain with a mixture of castor oil (2 tbsp) of gum turpentine (1 tbsp), which is rubbed the patient’s joint before bed or in the evening for 1-2 weeks.
  3. Do herbal from the leaves of birch and nettle, calendula flowers and elder, juniper berries, buckthorn bark and willow, horsetail in equal volumes. Then take 2 tbsp of the composition and brew in a liter of boiling water, boil for 10 minutes and simmered under the lid. The collection should take 3-4 cups a day for half an hour before meals for 3-4 months and month rest.

To prevent and to stop!

In the presence of arthrosis, it is not necessary to remain long in a sitting position, as this decreases blood flow to the affected bones. Do not have a lot to squat, jump and run. You should alternate the load with the rest, when it is advisable to lie down or sit with your legs extended, not drawing and not folding them.

In osteoarthritis, it is desirable to do sports exercises at a moderate pace, swimming is recommended where the joints do not work, and involved only the muscles. You can also ride the bike on a level surface, engage walking, running, and skiing.

To preventive measures include proper selection of shoes that must be comfortable, soft with a slight heel to see 2-3 Doctors recommend the use of elastic clips, which are selected individually.