What is deformation of the hip node arthrosis and why does it happen
Hip joint arthrosis (also known as coxarthrosis and deformation of hip osteoarthrosis) is one of the most diagnosed pathologies of the bone muscular system.In Russia, this disease is a leading cause of disability in people with common disease.
For reference
Coxartrosis is a chronic inflammation of the hip joint, which is characterized by premature destruction of the cartilage, narrowing of the joint gap, and a decrease in the motility of the foot from the lesion.
Figuratively the problem of a person suffering from arthrosis of the hip joint can be compared to a door whose loops are not lubricated.Due to the lack of "lubrication" within the joint, the bones begin to come into contact, which provokes pain and restraint (such as a wrinkle and a narrow course of the door).Later, if the disease is ignored, the results ("rust") occur on the bone surfaces, which increasingly limit movement in the joint, and with adverse result, it ceases to fulfill its function.
It is usually believed that hip joint arthrosis is an age problem.Statistics confirm this point of view: After 40 years, such a diagnosis has become one by ten, after 60 years - one of the three patients, and in those who are 70 in 80% of cases for 70.
So, among the causes of the hip node osteoarthrosis, the following are the most important:
- Damaged Brabt development (dysplasia) of the union, which may not be shown itself to adulthood;
- premature coating of joints that occurs due to intense loads on athletes or overweight;
- damage and infections affecting the skeletal muscle system;
- Other diseases of the musculoskeletal system, which lead to the pathological redistribution of load in the joints;
- Violation of blood supply to the joint (for example, due to vessel atherosclerosis).
Doctors believe that a combination of factors leads to arthritis of the hip joint, therefore, in people with a predisposition to this disease, the pathological process occurs earlier, as in patients with overweight, diabetes mellitus or ischemic heart damage.
Symptoms of coxarthrosis
The first sign of arthrosis is pain after physical activity.Unpleasant sensations arise as in the inguinal region, so in the thigh and knee.
This is important
Often, with coxarthrosis, the pain initially concentrates on the knee joint, and a person appears to the doctor with such a complaint.An inexperienced doctor can prescribe an X -ray of this area and, if there are minor changes, make a wrong diagnosis - gonartrosis of the 1st degree.As a result, time will be missing.Therefore, with pain in the legs, it is worth devoting time to search for a competent orthopedic doctor and a good orthopedic clinic.
If the coksartrosis has not begun to treat in the early stages, the following symptoms join the pain: stiffness and cramping on the joints, a change in walking (often to avoid unpleasant sensations, patients unfold the foot externally and transmit when walking from side to side - a "duck" stroll is formed).Over time, the pathological process leads to the atrophy of the hip muscle and the visual shortening of the diseased limbs.In later stages, the hip osteoarthrosis develops into ankylosis - complete strengthening of the femur with a pelvis, which is why the foot is fixed in one position and only performs the support function.
Degree of illness
For ease of diagnosis, doctors distinguish three degrees of coxarthrosis:
- 1 degree of osteoarthrosisThe hip bond is set with moderate manifestations of pain and lack of restriction in motion.With radiographs, a small narrowing of the joint gap and single bone results, osteophytes are significantly a small narrowing.Depending on an adequate treatment, the 1 degree coxarthrosis can be stopped by eliminating the symptoms of the disease.
- 2 degree of coxarthrosisIt is accompanied by painful pain in the rest of the leg as well.The movements in the union are difficult: a person cannot stand up and take the leg to the side.The pain is especially noticeable when you try to unfold the foot of the right foot to the right and left.The patient is lame, sometimes a crisis in union is heard.In the X -Ray photographs - deformation of the femur's head, numerous osteophytes and the narrowing of the common gap for the third.Therapeutic measures allow to suspend the course of the disease for many years.
- on3 degrees coxarthrosisThe pain in the joints does not diminish around the clock, the atrophy of the thigh muscles and buttocks develops - a person's whole body appears sculpted towards the lesion.X -Ray indicates a deep deformation of the joint and narrowing the gap gap to the complete bonding of the bone surfaces.Therapeutic approach, as a rule, does not give a tangible effect - a common replacement for a prosthesis is required.
For the diagnosis of osteoarthritis deformity, it is used as an external examination, in which the doctor studies foot movement, evaluates the patient's walking and appearance, as well as radiography.In doubt in the correctness of the diagnosis, the specialist also describes a direction for the tomography of the magnetic resonance (MRI) of the hip node.
How to treat hip arthrose arthrosis
Fighting Corsartrosis requires the inclusion of different methods: from medicines and physiotherapy exercises to joints of the joint and surgery, which is usually prescribed for unsuccessful efforts to return the development of the disease again.
Conservative treatment
Non -operating treatment requires time and financial cost, but can improve the patient's quality of life in the long run - cancel the need for surgical surgery.The first thing an orthopedist prescribes coxartrosis is medicines that relieve pain and inflammation (non -steroidal and steroidal anti -inflammatory drugs, muscle relaxants).To activate the blood supply in the field of arthrosis and the restoration of the cartilage tissue, vasodilating and chondroprotectors are prescribed.Moreover, the patient can provide a modern methodology for stimulating regenerative processes - plasmolifting, that is, the injection of the patient's blood components into pathological focus.These measures are more effective for the osteoarthritis of the hip joint of severity 1 and 2.
Methods of non -operative treatment
In addition to tablets, ointments and injections, the treatment of coxarthrosis requires the use of physiotherapy and kinetherapy, as well as diet correction.An auxiliary strategy developed by an experienced orthopedic allows people with 1 and 2 arthritis degrees of the hip joint to avoid endoprosthetics and limit the need for medication.
Physiotherapy
- Shock wave therapy (UVT)It is used in cardiology, neurology, orthopedics and sports medicine.The basis of the effect on the body is a healthy wave that ensure blood flow to the desired area of the body, which stimulates regeneration processes and accelerates metabolism.This relatively new method already shows important results in the treatment of diseases of the muscular system and becomes one of the most popular.
- MyostimulationIn the case of coxarthrosis, it aims to restore muscle function, weakened due to a forced restriction of movements in the joint.
- 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 an oil or cream penetrates more effectively through the skin in the hip joint.
- OzonotherapyIt reduces unpleasant sensations and activates the growth of cartilage due to the properties of the ozos-acid mixture.
Kinetherapy
- Exercise therapyIt is considered the basis for the successful treatment of arthrosis of any localization: regular implementation of a particular system of exercise strengthens ligaments and muscles around the injured node, which reduces discomfort with ordinary daily loads.
- Massage(including lymphatic drainage) and manual therapy are aimed at working passive with muscles, ligaments and joints.Approaches used to help people with coxarthrosis reduce the need for tablets and injections, which reduces the pharmacological load on the body.
- MechanicalIt means working with simulators that help exercise union without significant physical effort, which is especially in demand in advanced age patients.
- TrafficWith the help of a special traction apparatus or the hands of a manual therapist, it enhances the space inside the node, which "casts" the pathological process a few steps back, relieving the symptoms and giving the body time to restore the hip joint function.
Dietary therapy
All patients with coxartrosis are required, but the most important for patients with overweight.Weight loss 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 hip joint arthrosis.
Surgical treatment
This group includes the procedures performed by a surgeon in the operating room.All of them, in addition to the hip knot beer, require hospitalization and a very -monthly period of recovery.With the 3rd degree coxarthrosis, when conservative treatment does not bring relief, only prosthetics helps to save the patient from discomfort and pain, restoring the joy of movement.
- Puncture (minimum invasive intervention)It means pumping from the excess fluid joint, which relieves pain and improves the movement of the foot.It can be performed repeatedly, especially when prescribing steroid medication.
- Arthroscopic debateIt means cleaning the inner surface of the joint from fragments of changed cartilage tissue and washing its cavity with a therapeutic solution to relieve inflammation.This operation is performed through several puncture, without opening the joint cavity.
- Osteotomy hemive- an artificial fracture of the femur, followed by its strengthening from another angle, which allows to reduce the load on the joint.Such an intervention cannot be called Panacea - after 2-5 years, the pain returns, but under some conditions when the endoprostetics is impossible, the periotomy of the hip joint is the best solution to the problem of coxarthrosis.
- Endoprostheticsimplies a complete replacement of the joint for a prosthesis, which can serve 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 condition for success is the preliminary treatment of overweight and the use of China methods or in order to restore the strength of the muscles surrounding the joint.
Prevention of hip union osteoarthritis is important for humans after 40 years, athletes and relatives of people with already diagnosed coxartroses or a femoral neck fracture.Doctors recommend that the risk group monitor the figure, beware of damage (for example, wear in winter shoes on non -slip) and be regularly included in the gym.In the first symptoms of hip joint arthrosis, immediately head to the orthopedic.The treatment of the disease should be maintained with a specialized, experienced and attentive physician for any changes in the patient's health.