The arthrosis of the hip joint is a serious pathology that develops in the hip joint as a result of diet and, as a result, destroying cartilage tissue and real estate thighs.
With a healthy cartilage wrist, movement easily occurs and does not cause inconvenience.If the cartilage is damaged by arthrosis, then its surface is no longer smooth, has a rebuge, a foss that makes it difficult to flex / ankle extension.The thigh becomes like rusty loops of garden gates, which is heard creak and feel tension when moving.
The disease is in this dangerous with not too early at the beginning of treatment, the cure is not only impossible, but the course of disease leads to further real estate and joint loss.
Causes
What is it?Coxartrosis develops for a number of reasons, is the main sitting way of life.The most common athletes suffer from this disease due to the large loads that can injure the wrist.Unfortunately, the arthrosis is often inherited, there is a congenital dislocation in the inguinal area.
Reasons causing the development of the coxartrosis of the hip joint:
- PERTES Illness;
- Bedar door fracture;
- obtaining injury or microtrose in childhood;
- Excess weight, high load;
- Drinking alcohol;
- Congenital diseases;
- Increased hormone levels (changes in age);
- tissue inflammation;
- destruction of common tissues;
- taking powerful drugs;
- stressful situations;
- Infectious and inflammatory processes;
- Pathological diseases of thighs in an inguinal end.
Special attention should be paid to the presence of injuries (microtrows).They heal for a long time, which leads to disease development for years.The most common disease begins to develop in people between 40 years.Inflammation begins with a single side compound, but if you do not take over timely treatment, the disease refers to other areas.
Symptoms of Arthrosis Hook's wrist
Coxartrosis is most often developed in people over the age of 40.This is progressing gradually, and the man gets worse from year to year.If you do not treat a damaged compound, after a while, pathological changes can occur in another compound.
In the world practice, the hook joint arthrosis has three phases or phases of development.Each of them is characterized by their own symptoms.
1 degree arthrosis hip joint
At this stage of the disease, the person is experiencing pain only with and after physical effort, from prolonged running or walking, while generally hinges the hinges, very rarely hurts pain or knee.
Also, at the same time, the stroke in the person is plain, chrome is not noticed, the hip muscles are not atrophied.When diagnosing images, bone growth was observed located around the inner and outer edge of acetabulum, other pathological disorders in the neck and the bonel bone.
2 degree arthrosis hip joint
With the arthrosis of the second degree, the symptoms become significant and pain already gain more permanent and more intense nature, and in rest and when moving, the patient, the patient is already inbound.There is also a berd limit, the volume of the hook movement is reduced.
In the pictures, narrowing the gap is becoming half of the norm, on outer and in the inner edge are located on the inside and in the inner edge, the head of a hip head that begins to increase, deform, deform, deform.
3 degrees Arthrosis hip joint
At this stage of the disease, pain is a painful constant in nature, as the patient and night moves independently, so reeds or crutches, lower leg muscles, hips and buttocks are atrophic.
The leg is shortened and the person is forced to lean the body when he walks toward the sick leg.From the displacement of the center of gravity, the load on damaged joints increases.In the X -Ray images, there are multiple bone growth, the thigh head expands and a joint gap are significantly narrowed.
Diagnostics
The diagnosis is based on anamnesis data (identifying risk factors or causal disease), clinical data and additional test methods.
To clarify the diagnosis and implementation of differential diagnostics will help:
- X -raj hip joints;
- Ultrasound joints;
- MRI or CT.
As a rule, establish an accurate diagnosis, a clinical and radiological examination.On the radiographs, specific changes were found characteristic of each disease phase: the narrowing of the common spaces, the presence of osteophytes, displacement and deformation of the Bedreška head, subhondral cysts and periarticular osteosclerosis, osteoporotic changes in bones.Depending on the presence of these pathological changes and their severity, the degree and phase of the disease was established.
Treatment Arthrosis Hook Hook
In the first phase, the hip joint arthrosis is perfectly borrowed by conservative treatment.The paragrain task is to mitigate pain, which prevents the patient from moving.
In the process of coxartrosis therapy ::
- Food restoration and blood circulation in the muscles and cartilage;
- Physical activity on damaged shared decreases;
- Reconstruction of damaged cartilage;
- Activation of hidden reserves of the human body, which will contribute to the regeneration of tissues at the microcellular level;
- Increasing the shared gap;
- Restoring the mobility of the wrist.
During drug treatment, these patient categories are prescribed by the following medications:
- Non-ecoid anti -infalmatory.They will help eliminate pain, remove formed edema and inflammation, however, their uncontrolled use will contribute to the combating natural possibility of cartilage for reconstruction.Doctors do not recommend using more than one non-asteide drug at the same time;
- Relaxing muscles.Remove muscle cramps, increase blood supply in the joints, but their use should take place under the supervision of the doctor due to side effects;
- The expansion of the vessel.They are able to relax smooth muscles and increase the space between the muscles.Have a minimum of contraindication, but their efficiency is an individual indicator;
- Steroid type.Assistance with simultaneous diseases such as the presence of the inflammation of the bone of the thigh, but have many side effects;
- Restore cartilage.Chondroprotectors are most useful in healing for deforming arthrosis.Food cartilage with desired elements and stop the development of the disease;
- Local use.The main positive effect lies in the process of rubbing products in the skin, which relieves muscular cramps and helps improve blood circulation.
During the conservative treatment, patients need to be adhered to food, especially designed for patients with hip joint arthrosis.The course of therapeutic therapy includes a therapeutic massage, which is shown to patients with 1 and 2 phases of arthrosis.
Endoprosthetics
The third phase of the disease alone is given only to the surgical treatment.The patient is recommended to replace a compound or endoprosthetics.The surgeon cuts the head of the thigh bone, inserted a metal connection to the cut, which secures the artificial head.
The prosthesis itself is one-half (replacement of only heads) and a total (replacement of both components).The next day after surgery, some elements of exercise therapy are performed in a lemen position in bed, the patient can rise, but so far without support on the leg, after a few days in crutches.After 2-3 months, the crutches will not need, the full load on the leg will be allowed.
Patients who have been subjected to endoprosthetics are recommended for rehabilitation, consisting of physiotherapy exercises, massage course and physiotherapy.In most cases, the LIMB function returns.Denture life is from 10 to 20, then it is replaced with a new one.
Gymnastics with the arthrosis of the hip joint
Exercises for the fight and prevention of coxartrosis must be carefully performed.The exercise movement should be smooth, do not cause pain.The LFK for treatment of the disease should be mainly intended for strengthening the muscles themselves and do not load compounds.A good way to prevent coxartrosis is swimming, especially in salty water.
- Launch position: Lay on the floor, stretch your arms and legs along the body.Slowly, raise the painful leg corrected in the knee joint 15 cm from the floor and hold it about half a minute.After that, lower your leg and repeat the exercise with another foot;
- Launch position: Lie on your stomach, legs and hands stretches along the body.Lift straight legs 15 cm, make, then spread them on the sides.Everything should be done slowly.
The patient should remember that some exercises with an arthrosis of the hip joint from exercise therapy can be difficult for physical training.They are quite effective methods for the prevention of various problems, are therefore included in the system of exercise therapy and with arthrosis and other diseases.
National medications
There are many successful coxartrose treatment methods in folk medicine:
- Tinctures and decoctions used inward (there are many recipes to prepare medicinal folk remedies, which include garlic, lemons, mom and various parts of plants and honey and so on);
- Fats based on different natural components (fats of the Celand, eucalyptus oil, aloe and other plants);
- Compressants and bathtubs (imposing sheets of cabbage, bathroom with Jerusalic artichok and so on).
The application of all folk remedies must be borne in mind that the warranties of 100 percent recovery do not exist.
Prevention
Prevention measures are very important, especially if you have had a history of hip joints, fractures, powerful bruises or gnody processes in this area.
- Control of body weight (reduce the use of flour products, salts of table, sweet, strong tea and coffee in a diet).With excess weight, the risk of hip joint arthrosis increases.
- Exception of weight transmission, jumps (especially from height).Try not to be on your feet long.
- If there are diseases associated with metabolism (diabetes, atherosclerosis), they must be made up.
- Dosage physical exercises focused on strengthening the muscles of hips and buttocks (cycling or cycling, swimming, therapy gymnastics).
Respect for preventive measures, early detection of coxartrosis and its adequate treatment is key with a positive prognosis in this disease.