What is the joint deformation of the hip joint and why it happens
The joints of the hip joint (also known as the Coxarthrosis and the joint deformation of the hip joint) are one of the most commonly diagnosed diseases of the skeletal muscle system.In Russia, this disease is the leading cause of disability in people with common diseases.
For reference
Coksartrosis is a chronic inflammatory condition of the hip joint, characterized by the early destruction of cartilage, narrowing the joint distance and reducing the ability to move the foot from the damage.
In the sense of the ball, the problem of a person with arthritis can be compared to an undetized door.Due to the lack of the Viking lubrication inside the joint, the bone begins to contact, this causes pain and binding (like a cry and tightness of the door).Then, if the disease is overlooked, the rust rust occurs on the bone surface, more and more limited movements in the joints and with the adverse results, it is no longer to perform its function.
It is often believed that the joint disease of the hip is an age problem.Statistics confirm this view: after 40 years, such diagnosis has been performed one of the ten, after 60 years - one of the three patients and in people 70 in 80% of cases in 70. But often the pain in the thigh leads to orthopedic office and youth.
Therefore, among the causes of osteoarthritis of the hip joint, the following most important is distinguished:
- The development of congenital impairment (dysplasia) of joints, may not show itself until maturity;
- The early wear of joints occurs due to positive load in athletes or obesity;
- Injury and infection affect the musculoskeletal system;
- Other diseases of the musculoskeletal system, leading to the diseases of the disease of the joints;
- Violation of blood supply for joints (for example, atherosclerosis).
Doctors believe that the combination of factors leading to joints of the hip joint, therefore, in people with this disease, the previous pathology occurs, such as in patients with obesity, diabetes or ischemic damage to the heart.
Symptoms of coxarthrosis
The first sign of arthritis is pain after physical activity.The discomfort arises both in the groin area, so in the thighs and knees.
This is very important
Typically, with Coxarthrosis, the initial pain is concentrated in the knee joint and one speaks to the doctor with such a complaint.An inexperienced doctor can prescribe the X -Ray of this area and, if there are small changes, make the wrong diagnosis - Gonartrosis of level 1. The result is time to be missed.Therefore, with the pain in the leg, it is worth taking time to find a capable orthopedic doctor and a good orthopedic clinic.
If Coksartrosis does not start treating in the early stages, the following symptoms are involved in the pain: hardness and brittle in the joints, a change in the gait (often to avoid discomfort, the patient opens his feet out and transmits it from one side to the other - a duck's gait formed).Over time, the pathology leads to hip muscle atrophy and shorten the vision of the disease.In the later stages, the osteoarthritis of the hip joint develops into ankylosis - the completely of the femur with the pelvis, which is why the foot is fixed in a position and only performs the support function.
Disease level
To facilitate the diagnosis, doctors distinguish three levels of COXARTHROSIS:
- 1 level of osteoarthritisThe hip joint is placed with moderate pain manifestations and there is no constraint in the movement.With X -ray, a small narrowing of the general distance and single bone growth, the notable bone cells are a small narrowing.Can be fully treated, COXARTHROSIS at level 1 can be stopped by eliminating the symptoms of the disease.
- 2 degrees CoxarthrosisIt comes with pain even in the rest of the leg.The movements in the joints are very difficult: a person cannot lift and take their feet aside.The pain is especially noticeable when trying to open your legs straight to the right and left.The patient is lame, sometimes a crisis is heard in the joints.In the image of X -Ray - the deformation of the femur, countless bone cells and narrowing the joint distance every third.Treatment measures allow the suspension of the disease for many years.
- In3 degrees CoxarthrosisThe pain in the joints did not settle down around the clock, the muscle atrophy of the thighs and buttocks developed - the entire body of a person seemed to be skewed towards the injury.X -Ray indicates a deep deformation of the joint and narrows the distance of the distance until the full connection of the bone surfaces.The approach to treatment, as prescribed, does not bring tangible effects - need to replace joints for prostheses.
For diagnosis of deformed osteoarthritis, it is used as an external test, in which the doctor studies the mobile mobility, evaluates the body and appears of the patient, as well as the X -ray.Doubt of the accuracy of the diagnosis, the expert also assigned one direction for the magnetic resonance layer (MRI) of the hip joint.
How to treat hip muscle disease
The war against Cokesartrosis requires the participation of various methods: from drugs and physiotherapy exercises to joints and surgery, often prescribed for unsuccessful efforts to return to the development of the disease.
Conservative treatment
Non -surgical treatment requires time and financial costs, but it can improve the quality of life of patients for a long time - to cancel surgical needs.The first thing that a Coksartrosis orthopedic doctor is pain relievers and inflammation (nonsteroidal anti -inflammatory drugs and steroids, muscle relaxants).To activate blood supply in the field of arthritis and restore cartilage tissue, vasodilators and chondroprotector are prescribed.In addition, patients may offer a modern method to stimulate the regeneration process - Plasmolifting, meaning that the patient's blood components are injected into the pathological focus.These measures are most effective for osteoarthritis of the hip joint of the severity of 1 and 2.
Surgical non -surgical treatment
In addition to tablets, ointments and injections, Coxarthrosis treatment requires physical therapy and Kinesereo, as well as adjusting diet.A assistant strategy developed by an experienced orthopedic allows people with 1 and 2 degrees of joints to avoid hormones and limit drug needs.
Physiotherapy
- Shocking wave therapy (UVT)It is used in heart, neurology, orthopedic and sports medicine.The basis of the body effect is the sound wave that provides blood flow to the desired area of the body, which stimulates regeneration processes and accelerates the metabolism.This relative method has shown an important result in the treatment of diseases of the musculoskeletal system and becomes one of the most common types.
- MyostimulationIn the case of COXARTHROSIS, it is aimed at restoring muscle function, weakening due to limited mandatory movements in the joints.
- PhonophoresisIt combines the advantages of ultrasound and drug effects on the body: Under the influence of the device, a pharmaceutical drug in the form of ointment or cream more effectively penetrates through the skin to the hip.
- Ozone therapyReduce discomfort and trigger the development of cartilage due to the properties of the ozos acid mixture.
Kinesititacco
- Exercise therapyIt is considered to be the basis for successful treatment of arthritis of any localization: the regular implementation of a special exercise system enhances ligaments and muscles around the joints, reducing discomfort to the usual daily load.
- Massage(Including lymphatic drainage) and manual therapy for passive work with muscles, ligaments and joints.The methods are used to help people with Coxarthrosis disease reduce the demand for tablets and injects, helping to reduce the amount of pharmacological load on the body.
- Treatment therapyIt implies working with simulation processes that help perform joints without significant physical effort, especially the need in patients of high age.
- General trafficWith the help of a special traction device or the hands of a manual therapist, it increases the space inside the joint, which has given a few steps a few steps, facilitating the symptoms and the body time to restore the function of the hip joint.
Diet therapy
All patients with Coksartrosis are necessary, but the most important for obese patients.Losing weight reduces inflamed joints and improves metabolism.Combined with other conservative methods, balanced diet allows you to forget the pain and other manifestations of hip muscle disease.
Surgical treatment
This group includes procedures performed by a surgeon in the operating room.All of them, except for puncturing hips, requires hospitalization and recovery time for months.With Coxarthrosis at level 3, when conservation treatment does not bring relief, only the fake part helps save patients from discomfort and pain, returning him the joy of moving.
- Holes (minimally invasive intervention)It implies that pumping out of the joints of the excess liquid, helping to relieve pain and improve the movement of the leg.It can be done many times, especially when prescribing steroids.
- Deborn about endoscopyIt implies the purification of the internal surface of the joints from the pieces of the cartilage tissue changes and washing its cavity with a treatment solution to reduce inflammation.This activity is carried out through some puncture, without opening the general compartment.
- Bone cut- A artificial fracture of the femur, then its rapidness from a different angle, allowing to reduce the load on the joint.Such an intervention cannot be called an oppressive medicine - after 2 years 5, the pain returns, but in some conditions when it is impossible to surgery for laparoscopic surgery, the joints of the hip joint is the best solution for Coxarthrosis.
- EndrostheticIt means completely replacing a fake leg, which can be served for up to 20 years.Despite the complexity of intervention, it is well tolerated by patients of different ages, who are willing to recover function after surgery.The surgeon noted that an important condition for success is to treat obesity and use Kinesiterner methods to restore muscle strength around the joints.
Preventing osteoarthritis of hip joints is very important for people after 40 years, athletes and relatives of people with Coksartrosis have been diagnosed or broken femur.Doctors recommend that the risk group monitors the number, be careful with trauma (for example, wearing in winter shoes on the sole is not no) and regularly participating in gymnastics.At the first symptoms of joint disease of the hip joint, immediately turn to orthopedic.Treatment must be organized with a specialist, experienced and pay attention to any patient's health changes.