What is the distortion of arthritis of hip joint and why is it happening
The articulation of the hip joint (also known as a trunk and distorting hip joint) is one of the most commonly diagnosed pathologies of the bone muscle system.In Russia, this disease is a leading cause of disability in people with common diseases.
For reference
Coksarrosis is a chronic inflammation of the hip joint, which is characterized by premature cartilage destruction, decrease in common gap and reducing foot mobility by damage.
Virtually the problem of a person suffering from hip arthritis 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 causes pain and restriction (such as a crack and tight door).Later, if the disease is ignored, developments ("rust") occur on bone surfaces, which increasingly restrict the movements in the joint and with a negative effect cease to fulfill its function.
It is usually believed that hip arthritis is an age problem.Statistics confirm this view: After 40 years, such a diagnosis has become one of ten, after 60 years - one of the three patients and those who are 70 in 80% of cases for 70, but often the pain in the thigh in the office of orthopedics and youth.
Thus, among the causes of hip joints, the following most important are distinguished:
- Internal development (dysplasia) of the joint, which may not occur until adulthood.
- Early damage to the joints that occurs due to intensive loads to athletes or obesity.
- Injuries and infections that affect the musculoskeletal system.
- Other diseases of the musculoskeletal system, which lead to a pathological redistribution of the load in the joints.
- Violation of blood supply to the joint (for example, due to atherosclerosis ships).
Doctors believe that a combination of factors leads to arthritis of the hip joint, therefore, in people with predisposition to this disease, the pathological process occurs earlier, such as in patients with obesity, diabetes mellitus or ischemic damage to the heart.
Symptoms
The first sign of articulation is pain after physical activity.The unpleasant sensations arise both in the groin area, so on the thigh and knee.
This is important
Often, with corruption, the pain is initially concentrated on the knee joint and a person is addressed to the doctor with such a complaint.An inexperienced doctor can prescribe an X -caring of this area and, if there are minor changes, make a wrong diagnosis - fertilization of the 1st degree.As a result, you will waste time.Therefore, with foot pain, it is worth dedicating time to the search for a competent orthopedic doctor and a good orthopedic clinic.
If Coksarrosis has not begun to cure in the early stages, the following symptoms unite pain: stiffness and joint crisis, a change in walking.Over time, the pathological process leads to hip muscle atrophy and the visual reduction of the disease.In the later stages, the hip joints osteoarthroom develops in ankling - the full dirty of the femoral bone with a basin, so the foot is stable in one position and only performs the support function.
Degree of illness
For the ease of diagnostics, doctors distinguish three degrees of trunk:
- 1 grade of osteoardThe hip joint is regulated with moderate pains of pain and the absence of restriction on movements.With x -ray, a slight narrowing of the joint gap and developing individual bones, the osteophytes are noticeable a small stenosis.Subject to adequate treatment, the 1st degree cooperative can be stopped by eliminating the symptoms of the disease.
- 2 degreeIt is accompanied by pain in pain even on the rest of the foot.The movements in the joint are difficult: a person cannot lift and take the foot to the side.The pain is particularly remarkable when trying to unfold the leg of the straightened leg to the right and left.The patient is lame, sometimes a crisis in the joint is heard.In pictures X - deformation of the femur, numerous osteophytes and stenosis of the joint gap per third party.Therapeutic measures allow the disease to be suspended for many years.
- To3 degrees of trunkJoint pain does not recede around the clock, the atrophy of the thigh muscles and buttocks develop - the whole body of a person appears to be oblique to the damage.The x -ruy indicates a deep deformation of the joint and the stenosis of the gap to the full bone.The therapeutic approach, as a rule, does not give tangible effect - a joint replacement is required for an intent.
It is used as an external examination to diagnose the deformation of osteoarthritis, in which the doctor studies the mobility of the foot, evaluates the walking and appearance of the patient, as well as radiography.In doubt about the correctness of the diagnosis, the specialist additionally prescribes a direction for Magnetic Coordination Tomography (MRI) of the hip joint.
How to cure hip articulation articulation
The fight against Cokesarrosis requires the involvement of various methods: from drug and physiotherapy exercises to joints of the joint and surgery, which is usually prescribed for unsuccessful efforts to turn back the development of the disease.
Conservative treatment
Non -surgical treatment requires time and financial costs, but it can improve the patient's quality of life in the long run - to cancel the need for surgery.The first thing an orthopedist prescribes Coksarrosis is the drugs that relieve pain and inflammation (non -essential and steroidal anti -inflammatory drugs, muscle relaxants).To activate the supply of blood in the field of articulation and the restoration of cartilage tissue, vasodilator drugs and chondroprostates are prescribed.In addition, the patient can provide a modern methodology for stimulating regenerative processes - plasmolophore, that is, injection of patient's blood components into pathological focus.These measures are more effective for the osteoarthritis of the hip joint of the 1st and 2nd severity.
Non -surgical methods of treatment
In addition to tablets, ointments and injections, the treatment of cherryosis requires the use of physiotherapy and Chinese copying as well as diet correction.A helping strategy developed by an experienced orthopedic allows people with 1 and 2 degree arthritis of the hip joint to avoid the endoprotheistic and to limit the need for drugs.
Physiotherapy
- Shock Waves Treatment (UVT)It is used in cardiology, neurology, orthopedics and sports medicine.The basis of the effect on the body is the 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 has significant results in the treatment of musculoskeletal diseases and becomes one of the most popular.
- WretchednessIn the event of a consensual, it aims to restore muscle function, weakened due to a forced restriction on joint movements.
- PhoneticIt combines the advantages of the effects of ultrasound and drugs on the body: under the influence of the device, a medicinal medicine in the form of ointment or cream penetrates more efficiently through the skin into the hip joint.
- OszonotherapyIt reduces unpleasant sensations and activates cartilage growth due to the properties of the ozos-acid mixture.
Kinesithine
- Exercise treatmentIt is considered the basis for the successful treatment of the articulation of any detection: Regular application of a special exercise system enhances the joints and muscles around the painful joint, which reduces the hassle with the usual daily loads.
- Massage(including lymphatic drainage) and manual treatment aims to passive work with muscles, joints and joints.Approaches used to help people with crotrification reduce the need for tablets and injections, which reduces the pharmacological load on the body.
- Mechanical treatmentIt implies work with simulators who help to exercise the public without significant physical efforts, which are highly in demand in advanced patients.
- Public circulationWith the help of a special attraction or hands of a manual therapist, it increases the space in the joint, which "launches" the pathological process several steps back, facilitating symptoms and giving body time to restore hip joint function.
Diet
All patients with coksarrosis are required, but more important for patients with obesity.Weight loss reduces the load on the inflammatory joint and improves metabolism.Combined with other conservative methods, a balanced diet allows you to forget about the pain and other arthritis arthritis events.
Surgical treatment
This group includes procedures performed by a surgeon in the operating room.All of them, except the puncture of the hip joint, require hospitalization and a multi -month period.With the 3rd degree coach, when conservative treatment does not bring relief, only prosthetic helps to save the patient from discomfort and pain, returning the joy of movement.
- Puncture (minimally invasive intervention)It implies pumping from the joint of excessive liquid, which relieves pain and improves foot mobility.It can be performed repeatedly, especially when prescribing steroid drugs.
- Arthroscopic discussionIt implies the cleaning of the inner surface of the joint from the fragments of the tissue of the cartilage and the washing of its cavity with a therapeutic solution to relieve inflammation.This feature is performed through several shells, without opening the hinge cavity.
- Osteotomy- An artificial fracture of the femoral bone, followed by its horror from a different angle, which allows the load to be reduced to the joint.Such an intervention cannot be called a panacea - after 2-5 years, the pain returns, but in certain conditions when the endoprotective is impossible, the osteotomy of the hub of the joint is the best solution for the problem of carxar.
- EndoprothicIt means complete replacement of the joint for an intent, which can serve up to 20 years.Despite the complexity of the intervention, it is well tolerated by patients of different ages ready for active rehabilitation after surgery.Surgeons note that an important prerequisite for success is the preliminary treatment of obesity and the use of Kinesitherapy methods in order to restore the muscle strength surrounding the joint.
Prevention of osteoarthritis of the hip joint is important for humans after 40 years, athletes and relatives of people with already diagnosed coksarrosis or a fracture of the femur.Doctors recommend that the risk group monitors the shape, watch out for injuries (for example, wear in winter shoes on non -soles) and are regularly involved in fitness.In the first symptoms of the arthritis of the hip joint, they immediately turn to orthopedics.The treatment of the disease should be performed with a specialist physician, experienced and careful in any changes in the patient's health.