Treatment of hip arthrosis

Coxarthrosis is a deforming arthrosis of the hip joint.This is a chronic disease characterized by degenerative tissue changes, cartilage damage. Symptomatic coxarthrosis is determined by regular pain and deformities in the hip joint, impaired mobility. Pathological changes are based on cartilage damage and subsequent inflammatory reaction. In osteoarthritis, the bone tissue is modified. The lesion occurs locally, but other joints may also be affected. The main contingent of patients are the elderly. Risk factors can be hereditary predisposition, high body weight and trauma. Endocrine disorders and metabolic imbalances are found in people with this problem. But the main emphasis in treatment is placed on restoring the structure and function of cartilage. Treatment of coxarthrosis is a long-term process, which includes anti-inflammatory therapy, the use of chondroitin and glucosamine preparations to supplement joint nutrition, exercise and physiotherapy. Herbal treatment is recommended for maintaining joints at home. Proper diet and moderate exercise are crucial.

Symptoms of coxarthrosis

In coxarthrosis, the articular cartilage is primarily subjected to deforming changes. There are 3 stages of disease development. In the initial stage, there are no morphological changes in the joint tissues. Only its functional viability suffers. The person feels periodic pain in the joint after physical exertion, running, walking long distances. After rest, the pain syndrome disappears. In the second stage, the bone begins to deform. The naturalness of the movement is sharply reduced. The pain is intense and often occurs at rest. The third phase is characterized by chronic pain syndrome. Pain bothers patients day and night. Walking without a cane is difficult, the person is forced to lean the body forward. Multiple growths appear on the joint bones.

The main symptoms of osteoarthritis include:

• morning stiffness;
• joint pain;
• difficulty moving more than 1 km;
• increased pain by prolonged sitting or standing.

Podiatrists call coxarthrosis one of the most common types of arthrosis. The risk group includes people with obesity, hard physical work, the elderly. Lack of treatment leads to complete destruction of the hip joint, followed by unnatural mobility or complete immobility, as well as severe dysfunction of the lower extremities.

Drug therapy

Coxarthrosis treatment begins with exercise restriction. This is a lengthy process that combines different therapeutic methods: taking anti-inflammatory and analgesic medications, intra-articular injections, physiotherapy, and exercise therapy.

Characteristics of treatment of coxarthrosis 1, 2, 3 degrees:

• in the first phase, NSAIDs are prescribed to stop the inflammatory process, drugs that normalize metabolic processes are needed, analgesics, folk remedies are used in complex therapy;
• in the second stage of coxarthrosis, intra-articular injections based on hyaluronic acid are added to drug therapy, laser treatment and electrical stimulation are performed;
• the third phase is treated in a conservative and operative way, when it is impossible to cope without surgery, joint prosthetics are performed.

Medications play the biggest role. Without anti-inflammatory and supportive agents, dystrophic changes cannot be avoided and persistent pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the condition of patients during exacerbations.

• Medications play the biggest role. Without anti-inflammatory and supportive agents, dystrophic changes cannot be avoided and persistent pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the condition of patients during exacerbations.
• Muscle relaxants. Reduce skeletal muscle tone. The muscles relax, due to which the pain syndrome decreases, the person rests from the pain. These drugs are contraindicated in patients with cardiac arrhythmias.
• Chondroprotectors. Symptomatic preparations containing collagen. They nourish and repair damaged cartilage. They supply the compound with collagen and stimulate its production in the body. Chondroprotective drugs are taken for a long time. Under the influence of these means, the metabolism in the tissues improves, the destroyed cartilage gradually grows. In complex therapy, these drugs are of undoubted benefit, especially in the initial phase of the disease. In chronic arthrosis, they delay disability.

In order to stop the destruction of cartilage tissue and enable "lubrication" of the joint, injections are made on preparations based on hyaluronic acid and synthetic substances, which are similar in composition to synovial fluid. They are highly compatible with the tissues of the human body. They effectively stop the process of cartilage destruction, have analgesic and chondroprotective effects. Synthetic substances contain silver ions, which give an additional bacteriostatic effect.

Prosthetics

Endoprosthetics is a surgical method to treat the hip joint. When, as a result of coxarthrosis and dysplasia in the cartilaginous tissue, irreversible consequences occur, joint replacement is resorted to. As a result of the operation, it is possible not only to reduce the constant pain syndrome, but also to restore the function and mobility of the joint. Artificial joints are made of metal-polyethylene and ceramics. Fixation to living bone occurs on cement and without cement. Endoprostheses are well rooted and can serve for decades. But in some cases, the prosthesis wears out quickly, then another operation is needed.

Physiotherapy treatment

Treatment of osteoarthritis of the hip is carried out by complex measures, including with the help of physiotherapy. This direction is related to physical rehabilitation, body support during the period of recovery and remission, prevention of worsening. Physiotherapy is performed by orthopedists, traumatologists, rheumatologists, masseurs, exercise therapy instructors.

The following methods have been identified as effective in treating coxarthrosis:

• ultrasound therapy;
• laser therapy;
• inductothermy;
• massage;
• manual therapy.

With ultrasound therapy, high-frequency waves penetrate the tissues and act like a vibrational massage. They improve biochemical processes, prevent stagnation, promote better absorption of medicinal substances. Ultrasound reduces inflammation.

Laser treatment dilates blood vessels, stimulates lymph flow, inhibits inflammation and heals tissues. The technique improves tissue trophism, helps preserve the structure and function of organs.

During inductothermy, high frequency waves affect the body. The method is effective in case of any inflammation and pathology of the musculoskeletal system. It stimulates the immune system, relieves pain and has a regenerating effect.

The massage is hardware and mechanical. Contrary to popular belief, not only the surface layer of skin and muscles is exposed during the massage. During the work of the masseur, the reflex and humoral mechanisms of regulation of internal organs are activated. By combining a wide range of massage techniques, the patient gets antispasmodic, tonic, lymphatic drainage and analgesic effects.

A chiropractor works on a person's bones and joints. Relieves tension from some areas, tones others, removes pain, restores functional sustainability of joints. First, the doctor applies diagnostic techniques, during which he determines the condition and capabilities of muscles, ligaments, joints. He then moves on to treatment. Manual techniques are not used during exacerbations and complications.

The role of spa treatment

Sanatorium treatment is of great importance for coxarthrosis. Treatment and prevention institutions use mostly natural factors to support patients with the musculoskeletal system.

• Climatotherapy. These are the characteristics of the terrain, the combination of weather factors, sea water, sun, air. Climatotherapy helps recovery, prevents the development of deterioration, improves the flow of biological and physiological processes in the body. Ideal conditions for the treatment of osteoarthritis are created in areas with high air temperatures and a lot of solar radiation.
• Healing mud. They differ in origin. They are peat, sulfide-sludge, sapropel, hydrothermal. They are characterized by a large heat capacity. They contain mineral, organic, biologically active components that penetrate the skin and have a beneficial effect on the joints. They improve metabolic processes, reduce inflammation and normalize blood circulation.
• Mineral water. It contains trace elements, dissolved salts, biologically active substances. For diseases of the musculoskeletal system, the intake of mineral baths is indicated. The procedures increase mobility, tone, activate blood circulation, and improve metabolism.
• Phytotherapy. A method based on the use of medicinal herbs. Infusions, decoctions contain a large amount of active substances that not only effectively support the diseased body, but also have a pronounced therapeutic effect.

Treatment with natural factors in sanatoriums is combined with physiotherapy methods, exercise therapy, diet, adherence to the daily routine. Spa programs have been developed for all stages of joint disease.

Physical activity

In recommendations for people with osteoarthritis, doctors advise to limit the load on the legs. It is worth to stop squatting, squatting and do more physical work in the house and garden. Do not strain the joint if the pain is already felt (reduce the cardinal load). It is especially worth excluding running, jumping. However, you can't do without gymnastics.

In order for the joint to function, special exercises need to be done. A person with osteoarthritis is categorically not suitable for "youth" gymnastics - at a fast pace, with increasing loads, with high intensity of the whole session. With a sore joint, gymnastics should be done extremely slowly, smoothly, evenly, until discomfort or pain occurs. If there is pain - it is worth taking a break.

Therapeutic gymnastics allows you to normalize the condition of the muscles, improve blood circulation in the joint, provide proper nutrition and remove the products of putrefaction and inflammation. Gymnastics helps medications to quickly enter a sore joint and begin a therapeutic effect. The most difficult task of physiotherapy exercises is proper dosing of the load. Too short a workout will not achieve a healing effect. And an excessive load will bring additional damage to the joint. Competent recommendations can only be given by the attending physician. They will depend on the patient's condition and the characteristics of the course of the disease in each case.

Diet for coxarthrosis

There are many reasons for the destruction of cartilage. Nutrition is of great importance in the treatment of hip arthrosis of 1, 2, 3 degrees. Today, the market is crowded with food rich in preservatives. Attractive hams, smoked meat, sausages, which are spread on the shelves, contain a large number of specific components. Meat is treated with enzymes, active substances that speed up the production process and quickly get an attractive product. Preservatives increase the shelf life of any product: finished or raw, which cannot but be widely used among manufacturers.

When eating food full of preservatives, a person gets excess salt that retains moisture. Salt is retained and accumulates in the cartilaginous tissue, and the joints do not work. Such osteoarthritis is basically a simple inflammation that responds well to therapy. And coxarthrosis, which arose in the background of metabolic disorders, metabolic failure, unhealthy food intake, requires adherence to a diet. It is not necessary to strictly limit your food intake or give up the entire list of healthy foods. Just follow some simple rules:

• refuse any ready-smoked meat from the store;
• exclude the consumption of concentrated broth;
• according to the method of cooking, give preference to cooking and stewing;
• completely exclude salt consumption, do not buy salted fish, sausages, canned food;
• consume no more than 10-15 g of animal fat per day, prepare meals with the addition of various vegetable oils;
• monitor the calorie content of food, give up so-called "fast" carbohydrates, sugars, sweets;
• eliminate mayonnaise from your diet, season salads and sauces with low-fat sour cream;
• exclude the consumption of alcoholic beverages;
• limit consumption of fatty fish, caviar.

Instead of smoked meat, buy natural meat, chickens that are raised on farms by local producers. It is better to cook the first meals in vegetable soups, without boiling foods rich in vitamins for several hours. Today's popular bouillon cubes are almost 100% chemical. This is a pity in its purest form.

you should not completely abandon cooked meat. But it is better to take pre-cooked lean pieces and put them in meals on a plate, and only then pour over the vegetable soup. Complete rejection of meat is an extreme.

The old recipe for preserving the strength of bones and joints is jelly meat. Decades ago, when little was known about artificial preservatives, that was justified. Now such a product can only increase cholesterol.

Fresh fish has not been previously treated with preservatives. But modern manufacturers have also learned that. Today, we can only talk about the benefits of fish if it came to the counter directly from the fishing huts or was bought alive.

Only by changing the principles of nutrition, a person can reduce the suffering from deforming arthrosis. The diet should contain a large amount of fresh vegetables, berries, herbs, fruits. Low-fat dairy products, lean meat and chicken are useful. Rice, beets, potatoes, watermelon help remove salt from the body. Once a week, it is recommended to give a day of fasting on kefir, fresh cheese, fruit, herbal decoctions.