Hip joint arthrosis is considered a age -related disease, though young people are not safe from it.This disease causes significant torment, and in severe cases, it can deprive a person from mobility.
Why does the deformation of hip union arthrosis occur
The arthrosis of the hip joint (coxartrosis) is a degenerative-toss disease, in which the crack covering the surface of the thigh and sovereign cavity.The disease develops gradually and is caused by a variety of causes.
Development of hip joint arthrosis can lead to:
- Hormonal changes - both age and pathological, for example, in diabetes;
- circulatory disorders due to damage, excessive physical exercise, general problems with blood vessels;
- inflammatory processes (for example, with arthritis);
- Obesity-due to excess load on the hip joint, it is possible to compress and destroy it;
- congenital predisposition (abnormalities of the femur head structure);
- Excessive physical activity - they themselves rarely lead to arthrosis, but can accelerate the development of the disease with other adverse factors;
- Injuries - such as displacements, fractures and alignment.
Symptoms of coxarthrosis
Since the knot is gradually destroyed, four phases of the arthrosis of the hip joint are distinguished.
First degree
Symptoms may be absent or mild.The first stage of hip joint arthrosis is characterized by:
- pain on the side and lateral surfaces of the thigh and in the groin after prolonged or intense physical exercise;
- a feeling of rigidity in the joints after long immobility (most often in the morning);
- Commodity or clicking on coupling when moving.
The second degree
At this stage, the destruction of the union has already gone away.Most often, people seek a doctor at this stage.Among the symptoms of second degree hip arthrosis:
- constant pain that does not disappear even at rest;
- violation of union mobility;
- Progressive height - a person instinctively tries to reduce the load on the affected joint.
The third degree
If in the first and second stages of developing the disease it is still possible to do with conservative methods of treatment, then the third often requires surgical intervention.
Signs of the third phase of Coxarthrosis:
- severe pain in the affected joint, which affects the whole thigh and gives the knee;
- madness;
- A decrease in the leg length by the diseased joint (sometimes, in approximately 10% of cases, the extension of the foot);
- Hip muscle atrophy.
Fourth degree
At this stage, the hip muscles do not work almost completely, and the patient experiences persistent pain.The only effective measure will be replacing the union destroyed with an artificial prosthesis.
How to treat hip arthrose arthrosis
There are many methods of coxarthrosis therapy.Typically, the doctor prescribes their combination, as the treatment of this disease should be complex.
Treatment
With a disease 1 and 2 disease, the medication is used successfully for treatment.First of all, medicines from hip joint arthrosis include non -steroidal anti -inflammatory drugs, vasodilative agents that improve blood supply to the joints, muscle relaxants that relax muscles and relieve spasms.Preparations for joints that restore cartilage tissue are also used.In the early stages, local products in the form of plaster, applications and driving also help - they improve blood circulation.
Without timely treatment, arthrosis of the hip joint can lead to ankylosis.Anquilosis is the complete friction of the femur with a pelvis.With this disease, the foot becomes completely stationary in the joint.
Methods of non -operative treatment
Physiotherapy often becomes the main way to treat hip joint arthrosis.If the funds are properly selected, it gives very good results.Non -operative methods include:
Uvt.Shock wave therapy is a new method, but, according to many physiotherapists and patients, effective.UVT is based on the influence of waves with a frequency of 16 to 25 Hz on the affected joint, which has a healing effect, restoring blood supply and activating metabolic processes in the area of pain localization.
Plasma therapy(plasmolifting joint).Another modern way of treating arthrosis is blood plasma injections into the affected joint.Plasma contains platelets that regenerate tissues.
Myostimulation.Muscle contractions when exposed to electrical impulses on them.The method helps to cope with the manifestations of arthrosis.After the course of myostimulation, the weakened and non -working muscles are strengthened, their connection to the nerve endings is restored.
Phonophoresis.This is a well -known method, which consists of the effect of an ultrasound affected joint.Thus, it is possible to deliver therapeutic substances to the affected tissues and at the same time affect the joint physical.Phonophoresis saturates the tissue with oxygen, accelerates regeneration, relieves pain and swelling.
Ozonotherapy.Ozone saturates the tissues with oxygen, accelerating cell metabolism and effectively relieves inflammation.After all, this leads to an accelerated restoration of damaged tissue.
Hirudotherapy.Hirudotherapy, or the treatment of lehns, can really have a positive effect on the treatment of hip joint arthrosis.The secrets of the rods have high biological activity, improves blood circulation.
Bathroom.Such baths have an overall strengthening effect, having a beneficial effect on the heart and blood vessels.They also improve blood circulation and relieve pain with arthrosis.
Exercise therapy.Physical therapeutic education for arthritis is aimed at not only preserving muscle tone and strengthening the ligaments, but also in the development of the joint, as well as forming the habit of moving properly.
Massage (including lymphodnage) and manual therapy.Massage is, it can mean, a universal method that helps to relieve the condition with various diseases, including arthrosis.Therapeutic massage relieves tension from the muscles, improves blood supply to tissues and joints, promotes the production of synovial fluid and has an analgesic effect.
Mechanical.To carry out this procedure, special simulators, specially created for therapeutic loads, are used.
Traffic.This method for hip joint arthrosis is used quite often.Based on the results of the course of procedures, the gap between the surfaces of the joint increases, which reduces the cargo in the cartilage.
Dietary therapy.Proper nutrition is very important for cure.With arthritis, it is advisable to adhere to a special diet.If the patient suffers from overweight, you will need to apply all efforts to lose weight, otherwise the constant load on the joint will cancel all the efforts of doctors.The base of the menu should be fish and low meat, bobic, leafy vegetables and bread made of thick flour - the source of group B vitamins indispensable for proper metabolism.Fully fry falls under stops, like fast food.You should eat fifth, in small portions, several times a day.
Surgical treatment
All of the above methods are effective in the early stages, but if the disease has gone away, surgery will be required.
EXPLORATION(Minimum invasive intervention).Puncture is performed in order to remove excess juice from the joint bag.This restores the motility of the joint and relieves pain.
Debridement arthroscopic.This is the removal of the distorted part of the cartilage, which gives relief, but without comprehensive treatment the effect will be temporary.
Osteotomia near the joints.Osteotomy - bone dissection with its subsequent fixation.This operation is performed to improve the operation of a worn node and reduce the load on it.The method is often used in cases where the cause of arthrosis is the deformation of the bone head.
Endoprosthetics.This term indicates the replacement of its common artificial, made by titanium.This is an extreme measure, they only turn to it when the knot is completely destroyed and its restoration is impossible.
Characteristics of treatment at different stages of the disease
The sooner you see a doctor, the easier and the sooner the treatment will be.In the first and second stages of coxarthrosis, there is plenty of drug treatment and a physiotherapy course for a complete recovery.However, the disease can return if you do not review the lifestyle.To maintain health, you will have to lose weight, rationalize diet, abandon bad habits.
In the third and fourth stages, you can no longer do without operations.Physiotherapy and medication treatment are also applicable, but now as post -operative rehabilitation measures.
To prevent arthrosis, you should regularly pass an examination from an orthopedic doctor, especially if there were common injuries in the past.Close attention to these examinations should be paid to professional athletes as well as people with overweight.
Treatment of coxarthrosis by UVT
Among all non -operative methods of arthritis treatment, UVT is considered one of the most progressive.Orthopedic doctor says in detail:
Shock wave therapy is the only method of physiotherapeutic treatment today, which not only relieves unpleasant symptoms but fights the cause of joint destruction.UVT promotes resorption of wounds and calcium crystals, improves blood circulation, stops inflammatory processes.From my experience I can say that the effectiveness of treatment exceeds 85% - and this is a very good indicator.
UVT is considered a new method, but in fact it has been used for more than 20 years in more than 50 countries around the world.