What is the hip joint deforming joint and why it occurs
The hip joint is one of the most commonly diagnosed pathologies of the bone muscular system (also known as coxarthrosis and the hip joint deforming osteoarthosis).In Russia, this disease is one of the main causes of disability in people with joint disease.
As a reference
Coksartrosis is the chronic inflammation of the hip joint, which is characterized by the injury early destruction of the cartilage, the narrowing of the joint gap and the reduction of foot mobility.
Figurally, the problem of a person with the arthrosis of the hip joint is comparable to a door whose loops are not smeared.Because the joint is not "lubricated", the bones come into contact, which causes pain and restrictions (such as the squeak and tight course of the door).Later, when the disease is ignored, outgrowth ("rust") occurs on bone surfaces, which increasingly limits the movement of the joint and does not fulfill its function with harmful consequences.
It is generally believed that the age problem of arthrosis of the hip joint.Statistics confirm this point of view: after 40 years, such a diagnosis is 60 years -one of the three patients, 70% in cases 70, in the 70s, but the thigh pain often leads to the Orthopedic and Youth Office.
Thus, among the causes of osteoarthrosis of the hip joint, the following is the most significant distinction:
- Congenital impaired development of the joint (dysplasia) that cannot show itself until adulthood;
- Early wear of the joints due to the intense load of athletes or in obesity;
- injuries and infections affecting the muscle system;
- other diseases of the muscle bone system that result in abnormal redistribution of joint load;
- Blood supply to the joint (eg atherosclerosis of the blood vessels).
Doctors believe that a combination of factors leads to arthrosis of the hip joint, so people who are prone to the disease are previously a pathological process, such as obesity patients, diabetes mellitus or heart ischemic.
Symptoms of coxarthrosis
The first sign of arthrosis is pain after physical activity.The discomfort all arise in the inguinal region, that is, in the thigh and in the knees.
This is important
Often, in the case of coxarthrosis, the pain is initially concentrated in the knee joint and a person deals with such a complaint with the doctor.An inexperienced doctor can prescribe an X -Seris of this area, and if there are minor changes, you can make a misdiagnosis - grade 1 gonarthrosis.As a result, the time will be missed.Therefore, with the pain on his feet, it is worth spending time searching for a competent orthopedic doctor and a good orthopedic clinic.
If coksartrosis is not treated early in the early stages, the following symptoms connect to the pain: stiffness and crunching in the joint, walking (often to avoid discomfort, patients develop outward on their feet and get through the side).Over time, the pathological process leads to the atrophy of the hip muscles and the visual shortening of the patient's limb.In later stages, the hip joint is converted to osteoarthrosis into ankilosis - the entire femoral fraction of the femur with a pelvis, so the foot is secured in one position and only performs the support function.
Illness
For the comfort of diagnostics, doctors distinguish three degrees of coxarthrosis:
- 1 degree osteoarthrosisThe hip joint is adjusted by moderate pain and lack of movement restrictions.With radiography, the joint gap and the outgrowth of the single bone, the osteophytes are noticeably a little narrowing.With proper treatment, degree 1 Coxartrosis can be stopped by eliminating the symptoms of the disease.
- 2 degrees CoxartrosisIt is accompanied by pain in pain, even in the rest of the leg.The movement of the joint is difficult: one cannot lift and take their feet to the side.The pain is particularly noticeable if you try to unfold the straightened leg to the right and left.The patient is lame, sometimes hearing cracking in the joint.In the X -Ray images - the deformation of the femur, a number of osteophytes and the joint gap is the third.Therapeutic measures allow the disease to run for years.
- -Circle3 degrees CoxarthrosisThe pain of the joint does not decrease at night, day, the atrophy of the thigh muscles and the bottom develops - it seems that the whole body is distorted towards the lesion.X -Ray indicates a deep deformation of the joint and narrowing the gap to the full relationship of the bone surfaces.The therapeutic approach usually does not give a tangible effect - a common replacement of the prosthesis is required.
It is used to diagnose deforming osteoarthritis as an external examination in which the doctor examines foot mobility, evaluates the patient's walk and appearance, and radiography.In the doubt of the diagnosis, the specialist also prescribes the direction of the magnetic resonance tomography of the hip joint (MRI).
How to treat the hip joint Arthross
The fight against Chekesartrosis requires a variety of methods: from drugs and physiotherapy exercises to joint and surgery joint, which is usually prescribed for unsuccessful attempts to repay the disease.
Conservative treatment
Non -surgical treatment requires time and financial costs, but in the long run it can improve the quality of the patient's life - to eliminate the need for surgery.The first thing that an orthopedist prescribes in coksartrosis is drugs that alleviate pain and inflammation (non -steroid and steroidal anti -inflammatory drugs, muscle relaxes).Cartilage tissue is to restore joint and chondroprotectors, cartilage tissues, vasodilators and chondroprotectors and restore cartilage tissue.In addition, the patient can provide a modern methodology to stimulate regeneration processes - plasmolification, that is, injecting the patient's blood components into the abnormal focus.These measures are most effective in osteoarthritis of the severity of severity 1 and 2.
Non -surgical treatment methods
In addition to tablets, ointments and injections, treatment of coxarthrosis requires the use of physiotherapy and kininopia and a diet correction.The assistance strategy developed by the experienced orthopedic enables the 1 and 2 degrees of arthrosis of the hip joint to avoid endoprostics and to restrict the need for medicines.
Physiotherapy
- Shock wave therapy (UVT)It is used in cardiology, neurology, orthopedics and sporting medicine.The effect on the body is based on sound waves that provide blood flow to the desired area of the body, which stimulates regeneration processes and accelerates metabolism.This relatively new method already shows significant results in the treatment of muscle -bone diseases and is one of the most popular.
- MyostimulationIn the case of coxarthrosis, the restoration of muscle function, which was weakened due to forced restrictions on the movement of the joint.
- PhonophoresisIt combines the benefits of ultrasound and the drug's effects on the body: the device, in the form of an ointment or cream, penetrates a more effective penetration of the skin through the skin.
- Ozone therapyIt reduces discomfort and activates cartilage growth due to the properties of the ozosic acid mixture.
Kinin -nitherapy
- Practice therapyThe basis for successful treatment of any localization is: regular implementation of a special exercise system strengthens the ligaments and muscles around the sore joint, which reduces the discomfort with the usual daily loads.
- Massage(including lymphatic drainage) and manual therapy is aimed at passive work with muscles, ligaments and joints.Approaches to help people with coxarthrosis reduce the need for tablets and injections, which reduces the body's pharmacological load.
- MechanotherapyThis means that they work with simulators that promote joint practice without significant physical efforts, which is especially the need for advanced patients.
- Common trafficWith the hands of a special traction device or handheld therapist, it increases the space inside the joint, which hinders multiple steps, facilitating the symptoms and giving the body time to restore the function of the hip joint.
Diet treatment
All patients with cocsartrosis are needed, but the most important for patients with obesity.Losing weight reduces the load on the inflamed joint and improves metabolism.In combination with other conservative methods, a balanced diet allows you to forget the pain and other manifestations of arthrosis of the hip joint.
Surgery
This group includes the procedures performed by a surgeon in the operating room.Each, except for punching the hip joint, requires hospitalization and several months of recovery period.With degrees 3 coxarthrosis, when conservative treatment does not bring relief, only prostheses help save the patient from discomfort and pain and refund the joy of movement.
- Puncture (minimally invasive intervention)This means leaks from the joint of the excess fluid, which relieves pain and improves foot mobility.It can be done several times, especially when prescribing steroid drugs.
- Arthroscopic debateThis includes cleaning of the inner surface of the joint from the fragments of the changed cartilage and washed with a therapeutic solution to relieve the inflammation.This operation is performed with multiple punches, without opening the common cavity.
- Awesome osteotomy- Artificial fracture of the femur from another angle that allows the joint load to be reduced.Such an intervention cannot be called a miracle cure - after 2-5 years, pain returns, but in some circumstances, when endoprostics is impossible, periosurge osteotomy of the hip joint is the best solution for coxarthosis.
- Endoprostics: Full replacement of the joint for a prosthesis that can serve for up to 20 years.Despite the complexity of the intervention, it is well tolerated by patients of different ages who are ready for active rehabilitation after surgery.Surgeons note that an important prerequisite for success is preliminary treatment of obesity and the use of kinin -nitherapy methods to restore the muscle strength of the joint.
Prevention of osteoarthritis of the hip joint after 40 years is important for people, people with already diagnosed coksartrosis, or fracture of the femur.Doctors recommend that the risk group monitor the figure, take care of the injuries (for example, wear winter shoes on non -slip), and regularly use the fitness.When the first symptoms of hip arthrosis, contact orthopedics immediately.The treatment of the disease should be kept with a special doctor, experienced and attentive to changes in the patient's health.