Osteoarthritis of the hip joint is characterized by pain, muscle atrophy in the pelvis and destruction of the cartilage tissue of the joint.
The risk group consists mainly of older people. And like any other type of arthrosis, women suffer from it 30 percent more often than men.
The main symptom is pain. Since coxarthrosis of the hip joint is a chronic disease, it gradually gains this form. Pain, which at first may seem like just fatigue after active physical labor, may well turn out to be the initial stage of the development of the disease.
Most often, the pain manifests itself in the groin area or radiates to the knee. Over time, the pain increases and becomes constant. Already at the second stage, lameness appears, since a person, on a subconscious level, tries to alleviate the pain syndrome and does not step with full force on the site of the disease.
If you find signs of coxarthrosis, you should definitely consult a doctor to clarify the diagnosis. The sooner the correct diagnosis is made, the easier the treatment will be.
When making a diagnosis, the doctor can pay attention to the accompanying causes and signs of the development of arthrosis. The primary cause is excess weight. Obese people are the first to be at risk.
Excess weight puts a lot of stress on the joints and, as a result, their rapid wear and tear. Also, in overweight people, bilateral coxarthrosis most often occurs.
There are also secondary reasons due to which the disease develops:
The course of coxarthrosis is divided into 3 degrees. Each degree has its own symptoms and treatment.
Stage 1 coxarthrosis does not manifest itself in any way. This is the main problem of the frequent neglect of the disease. The only symptom in grade 1 is symptomatic pain. It often appears suddenly, and if you leave the joints without physical activity, it also disappears.
You should be more attentive even to such symptoms if a person is at risk or has had a disease concomitant with the development of arthrosis of the hip joint.
The first stage of coxarthrosis is easy to treat, since the joint may have only minor damage, but does not show signs of destruction. Here you can confidently apply conservative treatment with the use of NSAIDs (non-steroidal anti-inflammatory drugs).
The complex also uses compresses and ointments, which help relieve pain and help relieve swelling. There are also special exercises that help improve blood circulation, which accordingly makes the metabolism in cartilage tissue more nutritious and timely for the restoration of joints.
Characteristic signs for stage 2 coxarthrosis are intense pain when moving. Although even during a period of calm, pain can be felt in the groin, buttocks and knee.
In stage 2, the joint begins to deteriorate and visible signs may appear. Lameness, crunching when walking, difficulty walking up stairs.
At this time, an x-ray examination will help diagnose arthrosis. The pictures will clearly show osteophytes (bone growths), deformation of the head of the articular cartilage, as well as a decrease in the interarticular space in the pelvic area, which has uneven outlines.
At stage 2 of the disease, chondroprotectors are used for treatment. Preparations containing glucosamine and chondrosulfate help restore depleted cartilage tissue and stop joint destruction.
In combination with conservative treatment, a variety of physiotherapeutic procedures are prescribed. The experience of using laser therapy and mud therapy has also been successful (but only during remission). Gymnastics and special exercises for arthrosis of the hip joint must be done every day so as not to provoke a new course of the disease.
Massage for coxarthrosis of the hip joint can be used only during the period of remission and after the inflammation in the joints has been relieved with chondroprotectors.
The third degree of coxarthrosis is obvious atrophied limbs, heaviness when moving (complete loss of mobility is possible), joint destruction.
For grade 3 arthrosis, surgical methods are used. The operation to replace a damaged joint is quite complex. No doctor can give a 100% guarantee that the prosthesis will be able to take root in the new place and there will be no rejection of the foreign body by the pelvic or femoral bone.
A healthy active lifestyle is the best prevention of not only diseases such as coxarthrosis, but other related diseases. Daily physical exercise will help maintain healthy joints in a certain tone and prevent the appearance of muscle sagging, and then atrophy.
Proper nutrition also plays an important role. At the first signs of coxarthrosis, it is advisable to adhere to a special diet. The diet for coxarthrosis of the hip joint is not at all strict, but excludes foods containing a high amount of fat. It is worth paying attention to protein products, dairy products and products containing increased amounts of calcium.
Arthrosis of the hip joint, what it is and how to treat it - this is a question that torments people of a certain age who have been diagnosed with this. Let's deal with everything in order.
Arthrosis of the hip joint (also known as coxarthrosis) is a dystrophic-degenerative disease that progresses most often in people who have reached the age of forty. It can be triggered by several factors: infectious and non-inflammatory joint disease, trauma, hereditary predisposition, curvature of the spine.
Therapy for this disease is very complex and lengthy, first using conservative methods, and then surgical ones. The main complaint of patients with arthrosis of the hip joint is pain that limits movement. In the later stages, shortening of the affected limb with atrophy of the femoral muscles is observed.
Arthrosis, as a disease, is not transmitted at the genetic level, but the features influencing its development are quite capable of being transmitted from parents to children. This includes weakness of cartilage tissue, metabolic disorders, and a certain skeletal structure. So if one of your relatives has been exposed to the disease, then close family members immediately fall into the risk group.
Some heredity, and some previous diseases often become the main cause of arthrosis:
The development of the disease is a rather long process, it can affect one or both sides. Factors contributing to the occurrence of arthrosis of the hip joint:
Pathology can be diagnosed using MRI, computed tomography and x-rays. The first method provides data from which one can understand the condition of the soft tissues; CT reveals pathological formations in bone tissues, taking into account the clinical signs and symptoms of arthrosis of the hip joint.
For example, if changes in the images are associated with the proximal femur, then the cause of arthrosis is Perthes disease; if an increase in the neck-shaft angle is observed with a noticeable flattening of the acetabulum, the conclusion is that hip dysplasia affected the disease. X-rays will tell you about the injuries.
Over the years, the situation with tuberculosis in all regions of the country is worsening, and the scale of the disease is reaching epidemic proportions. In addition, not only the pulmonary form is actively spreading, but also bone tuberculosis of the hip joint. Diagnosing this insidious disease is not so easy, because... its first signs are very similar to other diseases of the musculoskeletal system.
This problem is much more clouded by the lack of specialists in this field. The detection of extrapulmonary tuberculosis using x-ray cannot be guaranteed with 100% certainty.
Therapy for bone tuberculosis of the joint differs significantly from that usual for arthrosis, so if tests show deterioration, then it is worth thinking about revising treatment taking into account tuberculosis.
It is quite logical what exactly affects arthrosis of the hip joint, the symptoms of which are as follows:
At this stage, the patient may feel pain during or after physical activity, running or walking a long distance, and it is concentrated in the joint and extremely rarely in the hip or knee. The patient's gait has not yet undergone changes, as well as lameness and muscle atrophy. Diagnosis may reveal minor bony growths along the edges of the acetabulum.
The second stage of the disease is already beginning to make itself felt. The pain increases significantly, becoming constant and intense. Regardless of movement or rest, it can radiate to the thigh and groin, and the patient begins to limp when walking. Abduction of the hip becomes impossible, and the photographs show a narrowing of the gap by half, the inert growths increase, as does the head of the femoral bone, which is actively deformed and shifted upward.
This stage is characterized by excruciating and round-the-clock pain, independent movement becomes impossible, the patient resorts to the help of a cane or crutches. The movement of the joint is severely limited, thereby causing active atrophy of the gluteal, femoral and calf muscles. The leg is noticeably shortened, which forces the patient to lean on the affected side while walking, which increases the load on the affected joint. With the help of radiography, a set of bone growths, expansion of the femoral head and maximum narrowing of the joint space are clearly visible.
In order not to prolong the disease to the stage at which the only solution is surgical intervention, you should regularly listen to your body and, at the slightest “urge”, go to the hospital. Timely establishment of the correct diagnosis is the key to successful treatment.
Treatment of grade 1 and 2 arthrosis of the hip joint requires complex conservative therapy with the help of medications, manual procedures, therapeutic exercises and massage, and only under the supervision of an orthopedic doctor.
Various non-steroidal anti-inflammatory drugs have an analgesic effect. They do not in any way affect the development or stopping of the process of tissue destruction, however, improving well-being for some time is their goal. Long-term use is strictly prohibited due to unpredictable side symptoms. NSAIDs include: Celebrex, Ketonal, Nurofen, Ketanov, Voltaren, Diklak, etc.
To relieve pain, you can use warming ointments (Espol, Nicoflex-cream, Gevkamen).
As a treatment for grade 2 coxarthrosis, to activate blood circulation and improve the nutrition of cartilage tissue, there are so-called chondroprotectors (Glucosamine, Chondroitin sulfate). These are the most important medications that improve the condition of cartilage tissue.
Vasodilators are prescribed to patients to normalize the blood circulation process (Trental, Stugeron, Agapurin, Xanthinol nicotinate).
The effectiveness of some physiotherapeutic procedures remains in question, but laser and magnetic laser therapy should not be neglected.
Therapeutic massages and physical exercises with professional specialists are a necessary addition to all of the above components of complex treatment.
With the third degree of arthrosis, doctors insist on surgical intervention, and this is not in vain. Modern technologies use an endoprosthesis that replaces the affected joint.
After such an operation, six months later, the body completely restores the functionality of the hip. The service life of such a prosthesis is 20 years.
If for some reason the patient insists on treating grade 3 coxarthrosis without surgery, then this is possible, although not so effective and extremely long-lasting. In order to somehow slow down the inflammatory process in the joint cartilage, anti-inflammatory tablets or injections are prescribed. Ibuprofen, Voltaren and the like are sufficient here. If the inflammation is pronounced and has spread to the articular ligaments, then a corticosteroid-type drug is administered intra-articularly.
When the intensity of inflammation is minimized, strengthening treatment begins. It is based on the use of drugs whose action is aimed at improving microcirculation to restore metabolic processes in the joint (Trental, etc.).
Deforming arthrosis of the hip joint causes a lot of unpleasant sensations, which is why a person begins to spare the sore leg and distribute the entire load onto the second healthy limb. This is very bad because it can lead to atrophic problem in the muscles. As a treatment for arthrosis of the hip joint at home, you can use therapeutic exercises, previously agreed upon with a knowledgeable doctor.
Any movements should be performed after complete unloading of the affected joint. To do this, they either lie down or stand, but only on one healthy leg. Doctors also recommend pre-warming the muscles, but dry heat or warm therapeutic baths are determined after an individual consultation.
As an option, ancient medicine can be used to treat arthrosis of the hip joint with folk remedies. Several good recipes based on accessible, natural and safe ingredients have been preserved from it. A pleasant lemon infusion with honey should be drunk for a whole month, three glasses of which should be drunk each day. It is prepared in a three-liter jar, into which three crushed citrus lemons (with peel) and boiled water to the top are placed. After cooling, you need to add three tablespoons of honey and the medicine is ready.
The first signs of arthrosis of the hip joint begin with pain and limitation of movement. This is due to limb shortening and muscle atrophy.
This disease often affects older people. Factors for the development of the disease can be infections, joint diseases, injuries, curvature of the spine or a hereditary factor. Treatment of arthrosis is quite complex and lengthy, often requiring surgical intervention if drug therapy does not help.
A progressive disease of the degenerative-dystrophic type is arthrosis of the hip joint, the symptoms and treatment of which must be known. Another name for the disease is osteoarthritis, and most often this is the diagnosis made by specialists. When the disease occurs, an inflammatory process occurs in the joint area, which affects the structure of cartilage tissue and begins to change it. This process results in degeneration, cracking and disintegration, leading to complete destruction of the joint.
The disease itself is not inherited, but diseases that can provoke arthrosis, for example, those associated with the metabolic process and genetic features of the skeletal structure, can be genetically transmitted.
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Arthrosis of the hip joint occurs in the presence of the following diseases:
The disease develops quite slowly and can occur on one side or on both sides at once. This disease can be caused by scoliosis, kyphosis, osteochondrosis, flat feet, and knee arthrosis.
In addition to these reasons, we can also list hormonal disorders caused by various diseases of the endocrine system. In addition, there is excessive physical activity, especially among professional athletes.
The development of this disease mainly occurs in old age. So, sensations of pain and a sedentary limb are all arthrosis of the hip joint, symptoms. Treatment of the disease must begin as soon as possible. Therefore, you should immediately go to a specialist for a diagnosis.
The main diagnostic methods are MRI and CT. The first method allows you to establish the condition of soft tissues, and the second method is needed to consider pathologies of bone tissue. To make a diagnosis, it is necessary to collect a complete clinical picture of the course of the disease. It is important to establish the extent of the disease, as this will help prescribe adequate treatment. Among other things, it would not be amiss to establish the exact cause of the disease, since effective treatment will require its elimination. Most often, it is enough to take an x-ray to understand the cause of arthrosis.
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According to available statistics, patients who have undergone surgical treatment for arthrosis of the hip joint may develop various complications:
Most often, in this category of patients, infection occurs in the area of the endoprosthesis that performs the functions of the joint. In this case, doctors perform a second operation, during which the endoprosthesis is removed, and after that a course of antibiotics is prescribed.
During thrombolism, the patient experiences a blockage of the pulmonary artery. This type of complication is often fatal, especially for those patients who have a predisposition to blood clots. To prevent such a complication after surgery, patients are given special medications that reduce blood viscosity.
Severe bleeding during surgery is a common complication of surgical treatment of arthrosis of the hip joint. In modern medical centers there is a large supply of blood and its substitutes, thanks to which specialists can easily cope with this complication.
Modern medicine divides this disease into the following categories:
To date, the following reasons for the development of arthrosis of the hip joint have been identified:
Understanding the problem of treating arthrosis of the hip joint will not be complete if a person does not know the main parts and structure of this part of the musculoskeletal system of his body.
The hip joint consists of:
Surrounding the joint is a layer of muscle tissue (gluteal, thigh muscles, etc.), the functionality of which largely determines its condition.
Osteoarthritis of the hip joint is a process of destruction of the hyaline (articular) cartilage lining the surface of the acetabulum and the spherical head of the femur.
However, in modern medicine this disease also includes various degenerative processes occurring in the structures surrounding the main elements of the joint:
The changes underlying the degenerative processes of cartilage are always associated with some kind of primary damage, against the background of which inflammation then occurs.
Subsequently, the bone tissue is also subject to destruction.
It is for this reason that all arthrosis is called deforming or osteoarthrosis (“osteo” - bone).
With arthrosis of the hip joint, patients experience the following symptoms:
With arthrosis of the hip joint, there are 3 degrees of severity of the disease. Each of them is characterized by certain symptoms, which allow us to establish the correct diagnosis. The clinical manifestation of arthrosis is quite clear:
Arthrosis of the hip 1st degree is characterized by severe pain only after active physical activity, especially after running or walking. The pain is localized only in the groin area, rarely radiating to the knee joint. The gait is preserved, there is no lameness, and the muscles are not atrophied. The examination reveals the proliferation of bone tissue, there are no other pathologies.
Grade 3 is considered the most severe and is usually treated only with surgery and joint replacement. The pain becomes unbearable, the patient practically cannot move independently. Aids such as crutches, walkers, and canes are required for movement. The movement of the joint is severely limited, the muscles atrophy. The hip joint is destroyed, which leads to shortening of the leg, the patient tilts the body to the side when walking. Due to the fact that the center of gravity shifts when walking, the load on the affected joint doubles. Upon examination, multiple growths of bone tissue, an enlarged femoral head, and a narrowed joint space are observed.
As soon as such a problem is discovered, treatment must be started immediately. To do this, you should contact a specialist. Which doctor treats arthrosis? This is a completely understandable question from patients. In order to start treatment, you need to visit a rheumatologist, orthopedist and arthrologist. All these specialists together will be able to develop an individual effective treatment regimen. If surgical treatment is required, you must consult a surgeon.
At the first stage of this disease, patients do not experience pronounced symptoms, as a result of which people rarely go to a medical facility.
With the development of arthrosis of the hip joint of the 1st degree, the following occurs:
At the first stage of this disease, the structure of the cartilage tissue begins to deteriorate and microcracks form in it. Over time, as arthrosis progresses, thinning of the cartilage tissue is observed. In many patients, replacement processes begin to occur, against the background of which bone growths form at the location of the cartilage.
At the first stage, arthrosis of the hip joint is very easy to completely cure. The problem is that patients, due to late access to specialists, cannot receive medical care. That is why doctors strongly recommend that people who discover any of the symptoms of arthrosis immediately visit the nearest clinic and undergo a comprehensive diagnosis.
Arthrosis of the hip joint of the 2nd degree is accompanied by severe pain, which can be integrated from the hip and pelvis to the knee. At this stage of the disease, patients experience severe damage to cartilage tissue.
All damage can be seen using radiography:
When carrying out diagnostic measures in this category of patients, inflammation of the periosteum is detected. If this disease is not treated, patients will experience increased pain, motor functions will be impaired, and muscle tissue dystrophy will develop in the lower extremities. Such patients will experience unbearable pain, even while at rest.
During the transition of arthrosis of the hip joint to the third stage, patients experience:
At the 3rd stage, treatment of this disease is possible only surgically, since no medications can restore cartilage and restore mobility to a person. Currently, this category of patients undergoes sparing operations, during which the damaged hip joint is replaced with an artificial prosthesis. Thanks to endoprosthetics, patients, after undergoing long-term rehabilitation, can return to normal life.
Before figuring out how to treat arthrosis of the hip joint, it is necessary to make a correct diagnosis. If coxarthrosis is suspected, a person will be referred for a biochemical blood test - if the disease is present, patients will experience a slight increase in ESR, globulins, immunoglobulins and seromucoid.
The next stage in identifying arthrosis is an x-ray photo. It will reveal:
Unfortunately, the X-ray photo does not allow one to see the joint capsule and the cartilage themselves; if it is necessary to obtain information about these soft tissues, the patient will be referred for tomography.
This study combines radiography and modern computer technologies, which allows for a more detailed, almost layer-by-layer study of the joint cavity and all intra-articular components.
To carry out the study, a special device is used - a computed tomograph. Before starting the examination, the patient removes all metal jewelry ( since metal is impenetrable to X-rays, it can interfere with the tomogram ) and lies down on a special retractable table, which is then moved inside the device. After this, a special X-ray machine begins to rotate around the area under study, which takes many pictures of the joint from different angles. The obtained information is transferred to a computer, processed and presented in the form of a detailed three-dimensional image of all articular components and adjacent tissues.
CT scan of the hip joint allows you to more accurately assess the nature of the lesion of the femur and pelvic bones and their articular surfaces, identify deformations of hyaline cartilage, osteophytes and other changes characteristic of arthrosis.
MRI is another modern method that allows you to examine in detail not only bone and cartilage formations, but also soft tissues of the joint ( such as ligaments, joint capsule, and so on ). The principle of the method is the phenomenon of nuclear magnetic resonance - when body tissues are placed in a strong electromagnetic field, the nuclei of atoms are charged with a certain energy, which is emitted into the external environment when the exposure ceases. This energy is recorded by special sensors, and the composition and shape of tissues in the area under study can be determined by the nature and strength of its radiation.
Before an MRI, it is also necessary to remove all metal jewelry, since the electromagnetic field created during the examination can heat the metal to such an extent that the patient may suffer burns. During MRI, the human body does not experience any radiation load, so the only contraindication for its implementation is the presence of metal implants, fragments, and so on in the body.
MRI for coxarthrosis can reveal:
Also, to identify the cause of coxarthrosis and to assess the degree of disruption of the blood supply to the joint, an MRI with contrast can be performed - a contrast agent is injected into the blood vessels feeding the structures of the hip joint, after which an MRI examination is performed. This allows you to evaluate the structure of blood vessels and identify areas of damage or narrowing.
As mentioned earlier, in the later stages of coxarthrosis, shortening of the lower limb on the affected side occurs, which can be determined by measuring and comparing the length of the patient’s legs. It is immediately worth noting that with bilateral coxarthrosis, the value of this method decreases, since both legs will be shortened approximately equally.
Bone landmarks are used to measure leg length, which allows for the most accurate assessment of the data obtained. The superior landmark is the anterior superior spine of the pelvic bone, which can be palpated on the anterolateral surface of the abdomen in the area of the outer edge of the inguinal ligament. Inferior landmarks may be the bony formations of the patient's knee, ankle, or heel. The examination is carried out in a standing position, while the legs should be straightened as much as possible at the hip and knee joints.
Also, during the diagnostic process, it is important to try to establish the cause of the disease, since its elimination is often a necessary condition for successful treatment.
To identify the cause of coxarthrosis, the following may be prescribed:
ESR may also indicate the presence of an inflammatory process in the body . This laboratory indicator reflects the time during which red blood cells placed in a test tube will sink to the bottom. An increase in ESR during inflammation is caused by the release of a large amount of so-called acute phase proteins into the blood. These proteins attach to the surface of red blood cells and “glue” them together, as a result of which the rate of their sedimentation in the test tube increases significantly.
Normal ESR values are considered:
Exceeding these figures in combination with clinical manifestations of coxarthrosis may indicate the infectious-inflammatory nature of the disease.
How to treat arthrosis of the hip joint? In order to avoid ending up on the operating table, it is necessary to promptly identify the disease and begin adequate treatment. In the case of arthrosis, traditional medicine will not help solve all problems, so you should not rely on it. The first thing you need to do is strictly follow all the specialist’s recommendations.
1 week of treatment consists of taking Paracetomol as a pain reliever. However, if there is no effect from taking it, then stronger analgesics are prescribed together with proton pump blockers. For better results, a chondroprotector is prescribed. This combination should help relieve pain and stop bone destruction. However, many drugs prescribed by specialists have a number of side effects. Long-term use of such drugs can greatly harm the body. The most common side effect is dehydration of cartilage tissue. For this reason, analgesics should only be used under the supervision of a specialist; the prescribed dosage should not be exceeded, and if your health condition worsens, you should immediately stop taking the medications.
To relieve pain, the following are prescribed: Celebrex, Arcoxia, Nise, Nimisulide, Diclofenac, Ibuprofen, etc. You can reduce pain with the help of warming ointments and balms, although they do not have a special therapeutic effect, they can help reduce pain. Among the local drugs, Gevkamen, Espol, Menovazin are especially distinguished.
In extremely severe forms of coxarthrosis, a person should seek help from an orthopedist.
However, if the patient only has guesses that, for example, he has developed arthrosis of the left hip joint, because after running 10 km he felt pain in the groin on the left side the next day at the start of walking, then he needs to contact a rheumatologist.
In general, it is recommended that all people over 30 years of age, without exception, undergo periodic examination by this medical specialist.
How to treat arthrosis of the hip joint? Of course, for the best effect of treatment, it is necessary to restore blood circulation. For this purpose, drugs from the Glucosamine and Chondroitin sulfate group are prescribed, but they can improve the condition only at the very beginning of the development of the disease. Such drugs are sold in the form of creams, tablets or injections. Along with these medications, a course of vasodilators, such as Stugeron, Cinnarizine, Agapurin, is prescribed. And the effect on the body is twofold: on the one hand, they relieve pain and improve blood circulation, and on the other, they reduce muscle tone.
An integrated approach to the treatment of the hip joint provides better results compared to the use of only one therapeutic agent - this is a fact recognized by the world's leading arthrologists. Therefore, the patient is often simultaneously prescribed several types of treatment from the following:
A hip joint bandage will relieve the load on the joint and reduce the factor that is the main reason for the onset of tissue irritation leading to the inflammatory process. Therefore, together with drug therapy, fixation of the damaged area is often prescribed.
In addition to prescribing anti-inflammatory drugs, intra-articular injections and other drugs, the patient can undergo physiotherapy and take advantage of alternative methods of therapy.
Some of the recipes not only do not contribute to improvement, but also lead to the opposite effect, provoking accelerated destruction of cartilage.
In folk medicine, there are many successful methods for treating coxarthrosis:
When using all folk remedies, it is necessary to remember that there is no guarantee of 100% recovery.
For this purpose, today there is a huge selection of various NSAIDs - non-steroidal anti-inflammatory drugs, which, although they relieve pain, do not affect the development of the disease; they cannot stop the process of destruction of cartilage tissue. They have a number of serious side effects, the long-term use of which is also unacceptable due to the fact that these drugs affect the synthesis of proteoglycans, promoting dehydration of cartilage tissue, which only aggravates the condition. Of course, it is unacceptable to endure pain, but painkillers should be used with caution, under the supervision of a doctor, only during periods of exacerbation of the disease.
NSAIDs include: Celebrex, Arcoxia, Texamen, Nise, Nimulid, Nimica, Nalgesin, Movalis, Meloxicam Artrozan, Ketanov, Ketorolac, Ketarol, Artrosilen, Ketonal, Bystrumcaps, Flexen, Burana, Ibuprofen, Faspik, Nurofen, Voltaren, Diclofenac, Ortofen , Diklak. (see the full list, side effects and contraindications of all NSAIDs in our article injections for back pain).
Such local remedies for the treatment of deforming arthrosis, such as warming ointments, are not drugs with a pronounced therapeutic effect, but they reduce pain, acting as a distraction and partially relieve muscle spasm, such remedies include Gevkamen, Espol, Menovazin, Nicoflex-cream.
Only according to strict indications can muscle relaxants be prescribed - drugs that promote muscle relaxation, such as Tizanidine - Sirdalud, Tizalud, Tizanil, as well as Tolperisone - Mydocalm. Their use can have both a positive and negative effect, muscle relaxation, on the one hand, reduces pain, improves blood circulation, but on the other hand, muscle spasm and tension is a protective reaction of the body, and removing it can only accelerate the destruction of joint tissue.
All these therapeutic measures are very useful in the complex treatment of the disease; they help strengthen the muscles surrounding the joint, increase its mobility and, when properly combined with drug treatment, can help increase the distance from the head to the socket and reduce pressure on the head of the femur. This is especially true for physical therapy; without its competent selection and regular implementation outside of exacerbations, it is impossible to achieve a real improvement in the patient’s condition.
If the patient is overweight, then, of course, the diet can help reduce the load on the diseased joint, but it does not have an independent therapeutic effect.
Such operations today are performed quite often, only after a thorough examination, routinely under general anesthesia. They ensure complete restoration of hip function with proper and careful implementation of all postoperative measures - antimicrobial antibiotic therapy and a rehabilitation period of about six months. Such hip prostheses last up to 20 years, after which they require replacement.
Modern medicine today has only one natural solution available - joint replacement, during which the following procedures are performed:
With a successful operation and proper use, such a joint will serve for about two decades.
Due to the fact that such procedures are associated with a fairly high risk of developing all kinds of complications, many well-known doctors, such as Dr. Evdokimenko, recommend postponing the operation and using the latest methods of therapeutic treatment.
Treatment of arthrosis of the hip joint with physical exercise is to achieve two goals: increase the mobility of the legs and prevent muscle atrophy. All standard exercise therapy complexes for coxarthrosis also have a general strengthening character and a positive effect on the entire body.
The diet will reduce the load on the hip joints and provide them with everything necessary for tissue restoration.
Pregnancy with arthrosis in the hip joint is double stress for the woman’s body. Taking most medications during pregnancy is prohibited. At the very least, they must be taken with great care so as not to harm the child.
In addition to drug treatment, physiotherapy is widely used. However, experts have two opinions about this procedure. Some believe that such therapy is simply necessary, while others, on the contrary, believe that it is useless. Laser and magnetic procedures help most in treating arthrosis. Other influences are simply useless, since the hip joint sits quite deep, and not every device can influence it properly.
The combined effects of manual therapy and massage help reduce symptoms, strengthen muscles and increase joint mobility.
If coxarthrosis, a deformity of the hip joint, develops, then surgery is indispensable. Most likely, if the joint is completely destroyed, it will not be possible to restore it, so it is worth considering prosthetics. This procedure will help restore joint mobility and normalize the ability to walk. A bipolar prosthesis is used, which replaces the head and socket or replaces only the femoral head. The operation can be performed only after a thorough examination and in urgent need, when there are no other ways to restore the joint. The operation is performed under general anesthesia and then requires recovery time. After the operation, a course of antibiotics and antibacterial drugs is prescribed. Rehabilitation lasts about 6 months. At this time, a person learns to walk again. At first this is only possible with the help of aids, but after getting used to the prosthesis you can begin to walk independently. Dentures are installed for a period of 20 years, after which they need to be replaced.
After surgery and rehabilitation, it is possible to return to normal life, even engage in moderate physical activity, which is simply necessary to maintain healthy muscle tissue.
It is imperative to be checked once a year for problems with other joints, and to treat all infectious and inflammatory diseases that can cause complications.
In the later stages of the disease, it becomes impossible to cure coxarthrosis in the usual way. Prompt surgical intervention is required. The operation is a last resort and can be performed in different ways.
All types of surgical intervention are temporary, but without them the patient becomes disabled.
Early diagnosis of coxarthrosis and a properly prescribed course of restorative therapy is the only reliable way to combat the disease. Ignoring symptoms leads to disability.
Undoubtedly, arthrosis of the hip joint in any case is a dangerous disease, which if not treated correctly leads to disability.
However, there are very special cases when coxarthrosis poses a greater threat than in typical cases: for example, when children and pregnant women suffer.
This natural question can be answered unequivocally - yes, but there are some peculiarities here.
If a woman has a congenital predisposition or already has the initial stage of this disease, then childbirth will lead to its development or complication (during childbirth there is a huge load on the joints themselves, and on the surrounding ligaments and muscles).
Therefore, women are recommended to resort to caesarean section.
Coxarthrosis occurs at any age and even in the early years of life.
The most common form of this disease in childhood is dysplastic arthrosis of the hip joint.
Congenital underdevelopment of joints is the main cause of this disease.