Coxarthrosis is deforming arthrosis of the hip joint, a disease that is a leader among degenerative-dystrophic diseases of the musculoskeletal system. Very often this disease can be heard under another name - osteoarthritis of the hip joint. There are many causes of coxarthrosis, which is why all age groups are susceptible to this disease. But most often people over 40 years of age are susceptible to this pathology of the hip joint. Like any other disease, arthrosis of the hip joint can be very successfully treated without surgery in the initial stages. But unfortunately, patients do not seek to immediately visit a doctor and ignore mild pain, and in the meantime the disease progresses every day.
There are primary coxarthrosis (a disease of unknown etiology) and secondary, which is a consequence of other diseases, such as:
There is damage to one or both hip joints at once. So bilateral coxarthrosis of the hip joints is not uncommon. In primary cases, the knee joint and spine are often affected.
To better understand the meaning of all measures for the treatment of coxarthrosis, it is necessary to know at least a little about the structure of the joint and the changes that occur to it during arthrosis of the hip joints .
The formation of the hip joint involves two articulating bones: the femur and the ilium. It is the acetabulum of the ilium that acts as a “pocket” into which the articular spherical head of the femur is inserted. Together, the articular head and acetabulum form a hinge, thanks to which the hip joint in a healthy state is able to produce various rotational movements.
In normal condition, the head of the femur and the cavity of the acetabulum are covered with a layer of hyaline cartilage. Articular cartilage is a very smooth, strong and elastic “lining” that ensures that the connecting bones slide relative to each other just perfectly. Cartilage is also involved in shock absorption and load distribution when walking and moving.
Perfect sliding of articulating bones is possible thanks to the special physiology of cartilage. It works on the principle of a wet sponge, which releases water during compression, and after compression again fills its pores with water. Only, unlike a regular sponge, it is not water that is released from the cartilage, but joint fluid, which has special lubricating properties. It is the joint fluid that forms a protective film on the surface of the cartilage. The thickness of the protective film depends on the degree of load on the joint. That is, the greater the pressure, the larger the layer.
Filling all the free space in the joint cavity, articular synovial fluid provides nutrition and lubrication to the cartilage. The joint cavity is surrounded by a capsule, which consists of very strong and dense fibrous fibers.
A very important role for the normal functioning of the hip joint is played by the massive muscles surrounding it - the gluteal and femoral muscles. If the muscles are poorly developed, proper movement of the joints is impossible. In addition, the thigh and gluteal muscles take on part of the load when running and walking, thus playing the role of active shock absorbers. It is thanks to very well-developed muscles that joint trauma is reduced during unsuccessful movements, running, jumping or long walking.
And we must not forget about another very important function of the muscles: during their intense motor work, they act as a kind of pump and pump very large volumes of blood through their vessels. It is thanks to this that blood circulates better around the joint and delivers the necessary nutrients to it. Accordingly, the more ideal the work of the muscles, the more actively the blood circulates through them and the more nutrients the joint receives from the body.
So what happens to the joint during the development of deforming coxarthrosis? At the onset of the disease, changes in the properties of the joint fluid occur - for various reasons it becomes viscous and thick. And without proper “lubrication,” the articular cartilage begins to dry out, and its surface becomes rough and covered with cracks. As a result, the cartilage begins to thin out, as it cannot withstand increased friction during movement. And the distance between the articulating bones of the joint gradually decreases. The bones seem to be exposed from under the cartilage, the pressure on them increases and they begin to deform. That is why the disease coxarthrosis is called deforming arthrosis of the hip joint.
In addition to changing the properties of the joint fluid, blood circulation is impaired and thus the metabolism in the joint slows down, due to a decrease in blood circulation through its vessels. Over time, the muscles of the affected leg atrophy. This whole process occurs gradually in the body. But sometimes the chronic course of the disease is accompanied by periods of severe exacerbation of joint pain - this is the so-called period of “reactive” inflammation of the joints. It is during this period that sick patients most often turn to a doctor for medical help.
There are actually many reasons for the appearance of this disease:
You can identify general symptoms of coxarthrosis of the hip joint, but you need to understand that the symptoms depend on the stage of the disease:
The main symptom of coxarthrosis and the main complaint with which patients consult a doctor is pain. The nature, duration, intensity and localization of which depends on the stage of the disease. At the initial stage, when it is best to begin treatment, pain in the joint is quite mild. This is why patients are in no hurry to see a doctor right away, hoping that the pain will somehow miraculously go away on its own. And this is the most important mistake, which leads to loss of time and destruction of the joint. The pain begins to intensify, and the mobility of the affected leg is limited. The pain appears already with the first steps and subsides only at rest. The patient begins to limp, falling on the affected leg when walking. The thigh muscles atrophy - they dry out and decrease in volume.
The most interesting thing is that atrophy of the thigh muscles causes pain in the knee area and at the tendon attachment points. Moreover, the intensity of pain in the knee can be much more pronounced than in the hip or groin. That is why very often an erroneous diagnosis is made - arthrosis of the knee joint and the doctor prescribes completely inappropriate treatment, and the real disease only progresses.
By the way, pain in the hip and groin can be caused in a patient not only by arthrosis. Very often, pain in these areas is radiated from an inflamed femoral tendon or a damaged part of the spine. Moreover, the complaints of such patients almost 100% coincide with the complaints of those people who suffer from coxarthrosis of the hip joint. Therefore, trust only experienced doctors to make the correct diagnosis. Diagnosis of the degree of the disease and the choice of treatment method are determined only by a doctor!
There are three degrees of arthrosis of the hip joint:
Coxarthrosis of the 1st degree is characterized by periodic pain that occurs after physical activity (long walking or running). The pain is mainly concentrated in the area of the hip joint, less often it occurs in the area of the hip and knee joint. The pain usually goes away after rest. The range of movements is not limited, gait is not impaired, muscle strength is not changed. If you take an x-ray of the patient at this stage, you will see minor bone growths, but they do not go beyond the limits of the labrum. Bone growths are located around the inner or outer edge of the articular surface of the acetabulum. The neck and head of the femur are practically unchanged. The joint space is unevenly narrowed.
With coxarthrosis of the 2nd degree, the pain intensifies and is more intense. In addition to pain in the joint itself, it radiates to the groin area, thigh and occurs even at rest. Long walking causes lameness. The joint can no longer function normally. Internal rotation and abduction of the hip are significantly limited. The abductor and hip extensor muscles lose their former strength. The patient's radiograph shows significant bone growths both along the inner and outer edges of the acetabulum, extending beyond the boundaries of the cartilaginous lip. The head of the femur is deformed, increases in volume and has an uneven contour. In the most loaded parts of the head and acetabulum, cyst formation is possible. The neck of the femur widens and thickens. The gap of the hip joint narrows unevenly (to 1/3 - 1/4 of the initial height). The patient has a tendency to shift the head of the femur upward.
Pain in grade 3 coxarthrosis is already constant, occurring even at night. When walking, the patient must use a cane. Movement in the joint is sharply limited, the muscles of the thigh, lower leg and buttocks atrophy. Due to the weakness of the hip abductor muscles, the pelvis tilts in the frontal plane, which leads to shortening of the limb on the affected side. In order to reach the floor when walking, the patient has to step on his toes and tilt his body to the affected side. This is how you have to compensate for the shortening of the limb and the tilt of the pelvis. But the method of compensation leads to a movement of the center of gravity and to excessive loads on the joint. Radiographs show extensive bone growths on the side of the femoral head and the roof of the acetabulum. The joint space narrows sharply. The neck of the femur is significantly expanded.
Diagnosis is based on clinical and radiological data. X-ray examination helps to establish the stage of the disease and its etiology. For example, with dysplastic coxarthrosis, flattening and sloping of the acetabulum and an increase in the neck-diaphyseal angle are clearly visible. If the disease was a consequence of juvenile epiphysiolysis or Perthes disease, then changes in the shape of the proximal end of the femur are noticeable. Deformation of the head occurs and the neck-shaft angle decreases with the formation of coxa vara. Features of the X-ray picture of post-traumatic coxarthrosis depend on the nature of the injury and the shape of the articular surfaces after fusion of the bones forming the hip joint.
Let us remind you once again that the difficulty of primary diagnosis lies in the fact that the symptoms of arthrosis of the hip joint resemble those of the knee. But X-ray studies help make an accurate diagnosis. The chosen treatment methods depend on the correct diagnosis of the disease. We will tell you more about all possible methods of treating this disease in the article “Treatment of coxarthrosis.”
And most importantly, do not diagnose yourself. Only an experienced doctor will be able to correctly diagnose and choose the optimal treatment method.
Symptoms of many diseases often go unnoticed in the early stages. The fast pace of life does not allow a person to listen carefully to the body. Signs of the disease, which manifest themselves at the initial stage as mild and quickly passing pain, are often ignored.
After the age of 40, pain syndrome may manifest itself as diseases of the hip joints. The diseases predominantly affect women and men who play sports or experience severe physical stress on the body.
In everyday life, older people are concerned about diseases of the hip joints caused by various reasons:
The progressive course of the disease is characterized by the gradual destruction of the cartilage tissue of the joint, impaired functionality, and pain. At the initial stage, the pain is mild, passes quickly, the joint remains mobile. Symptoms appear gradually, in some cases they go unnoticed. The development of the disease is accompanied by increased pain, and lameness may appear. Without timely preventative and treatment measures, the joint may lose mobility.
Characteristic symptoms of inflammatory processes in the hip region at different stages of the disease manifest themselves in a similar way:
The listed symptoms, which appear during a normal lifestyle, are a signal to consult a doctor. It is much easier to treat diseases at an early stage with non-surgical methods, allowing you to prevent serious complications associated with the complete loss of joint mobility.
Hip disease diagnostics has many detection tools. Knowing the symptoms of the disease, in the presence of an x-ray, the doctor makes an accurate diagnosis. In addition to the common diagnosis of “arthrosis,” various diseases are known that are associated with inflammatory processes in this area of the musculoskeletal system.
Inflammatory processes of the joints in the pelvic area have different etiologies. To diagnose the causes that influenced the occurrence of inflammation, the following methods are used:
A comprehensive examination of the body will allow the doctor to make an accurate diagnosis and begin timely treatment of the hip joint when the first signs of inflammatory or metabolic-dystrophic processes appear.
Depending on the stage of the disease, treatment of the joint in the pelvic area is carried out using non-surgical methods and with the help of surgical intervention:
The main goal of treating diseases of the joints of the hip area is to relieve pain and muscle spasms, restore the motor ability of articular bones, nourish and improve cartilage and soft tissues. The use of a complex of methods in treatment improves the patient’s quality of life and overall well-being.
As a person ages, diseases appear, the symptoms of which are almost invisible and do not cause discomfort. Preventive measures to maintain the healthy condition of the hip joints will help avoid complications.
Preventive measures aimed at maintaining joint mobility and the full functioning of these parts of the body are agreed upon with the attending physician. Individual additions and recommendations are possible based on available health data. When the first symptoms of illness appear, it is better to prevent the disease than to treat it later.
Hip diseases have a great impact on a person's lifestyle. Timely preventive measures and comprehensive treatment methods will help avoid the transition of the disease from an early to a more severe stage.
Extraskeletal ossification is the formation of bone in tissues where it should not be. Ossification can occur in damaged ligaments, tendons, joint capsules, and muscles. More often they form near large joints or fracture sites several months after injury or the onset of the disease. The pathology leads to dysfunction of the joint, decreased motor activity and quality of life.
The ossification process can be lengthy, taking several months. The intensity of the formation of ectopic bone tissue depends on the size of the lesion, its proximity to the joint, and the loads it experiences.
The etiology and pathogenesis of the appearance of these bone formations is not completely clear. But today the main factors of the disease have been identified:
Extraskeletal ossification, according to statistical data, is observed in almost 40% of patients with nervous and joint pathologies. The ability to move in the affected area is lost on average in one out of ten patients.
At the site of the hematoma, the damaged tissue disintegrates and connective tissue begins to form. Granulations appear around the lesion, where the biosynthesis of bone and cartilage formations begins. Chondroid tissue and bone trabeculae are formed.
Mineralization gradually occurs, some of the young bone structures mature, the other part atrophies. That is, osteogenesis and destruction, resorption occur simultaneously.
Over time, the ossificate becomes covered with a dense capsule, inside of which there is spongy bone.
Bone tumors form in various tissues of the body:
Complaints arise after injury, surgery, or against the background of a disease:
A doctor's examination reveals:
This pathology can be confused with a number of diseases - thrombophlebitis, arthritis, sarcoma, post-traumatic hematoma. Therefore, a thorough examination of the patient is performed.
Various examination methods are used to help identify the process and its degree of maturity. First of all, the patient is prescribed an x-ray.
In photographs taken several weeks after the injury, you can see a blurry shadow or several fuzzy islands near the affected area. After 2 months they thicken, the contours become clear.
After about six months, the formation of the ossificate is completed, it is considered mature and has a bone structure. An x-ray clearly shows a dense capsule covering the ossificate, corresponding to the cortical layer, with looser spongy bone tissue located inside.
Sometimes there may be fusion with the nearest bone, the formation of elements similar in structure nearby.
A biopsy of the lumps is performed. A blood test shows an increase in alkaline phosphatase levels (a marker of osteogenic transformation).
Ossification of the lower extremities is typical of spinal injuries, of the upper extremities is characteristic of strokes and traumatic brain injuries.
Ossification of the hip joints as a complication occurs with advanced coxarthrosis, spinal cord lesions of various etiologies, with a fracture of the femoral neck, after endoprosthetics. It is often difficult to completely remove a bone formation surgically. Operations must be gentle. The goal is to regain the ability to care for oneself and move independently.
Bone tumors of the knee joint are found in athletes; they form quite quickly, and as they grow, they significantly impair motor functions.
The ankle joint is damaged as a result of dislocations, sprains, and fractures of the bones of the foot.
Most often, ectopic bones form near the elbow joint. It is well supplied with blood, so injuries are accompanied by the formation of extensive hematomas. Ossifications are located in the intermuscular connective tissue; they occur after brain injuries and strokes.
In addition, strokes lead to contracture of the shoulder joint, which causes ossification of the ligaments and tendons of the adductor muscles of the shoulder.
Pathology leads to the following consequences:
The main method is surgery.
Surgery is performed when the ossification is fully formed, that is, about a year after the injury. If you try to remove it earlier, complications and relapses occur. To decide on surgical treatment, a radiologist's opinion on the maturity of the ossification is required.
Indications for surgery:
Conservative treatment is used before and after surgery:
Physiotherapy (heat therapy, electrophoresis, ultrasound) is used with caution, according to strict indications, as it can stimulate the growth of ossifications.
Motor rehabilitation is carried out with the development of joints. It is important to perform exercise therapy in any case. Dose the load very carefully. You cannot make sudden, sweeping movements, or overload. Damage to the ossification during exercise can lead to its growth and increased pain. Therefore, you should only exercise under the guidance of a doctor.
Currently practically undeveloped. After operations and joint injuries, it is better to refrain from early massage, heat treatment, and intensive gymnastics.
Ossification of the hip and other joints is common and leads to limited movement and impaired self-care. The reasons and mechanism of their formation are not fully understood. Relapses often occur. But timely conservative and surgical treatment and persistent rehabilitation measures give good results.
The knee joint is one of the most disease-prone joints in the human skeleton. This is due both to its complex structure and susceptibility to high loads and injuries. One of these pathologies is enthesopathy of the knee joint, most often expressed as crow's foot syndrome. To effectively treat this disease, it is worth understanding the causes of its occurrence, the mechanism of development, as well as modern and folk remedies.
The knee joint differs from most other joints in the complexity of its structure. In the mechanism of development of his enthesopathy, the main role is played by the tendons of three muscles - the gracilis, the sartorius and the semimembranosus - which are attached to the tibia and form a formation called the “crow's foot” at the site of fixation. In addition, the inflammatory process also involves the articular capsule covering the bone in the same place.
The main reasons provoking the development of knee enthesopathy are the following factors:
Enthesopathy of the knee joint can be characterized by both rapid and slow progression. This is largely determined by the cause of the disease. In particular, inflammation develops rapidly after serious knee injuries, due to autoimmune diseases, etc. Conversely, monotonous and prolonged stress caused by heavy physical labor and degenerative changes in the joint lead to the gradual onset and progression of the disease.
The causes and mechanisms of development of this disease make it possible to accurately determine the risk group. It includes people who are professionally involved in sports, especially such sports as athletics and weightlifting, football, basketball, ski racing, etc. Enthesopathy of the knee joint is also characteristic of people engaged in physical labor associated with lifting weights, for example, loaders , builders. Due to the fact that this pathology often develops as a secondary lesion of periarticular tissues in deforming osteoarthritis, the risk group includes elderly people suffering from degenerative changes in cartilage tissue.
The clinical manifestations of this disease are determined by the degree of its severity, as well as the reasons that provoked the pathology. The following main symptoms of enthesopathy of the knee joint can be identified:
When this disease becomes chronic, complications arise that can lead to disability. Thus, due to degenerative changes in connective tissue, tendons lose elasticity and can tear even under light loads, which provokes destabilization and hypermobility of the joint. A prolonged inflammatory process leads to the formation of deposits of calcium salts and the proliferation of bone formations (osteophytes), which not only impair the mobility of the limb, but also irritate the surrounding tissues, triggering a secondary inflammatory process. As a result, the patient loses the ability to move independently, which partially or completely deprives him of the ability to engage in professional activities or care for himself independently.
Modern medicine offers quite effective methods of treating joint enthesopathy. At the same time, the likelihood of a positive outcome of treatment significantly depends on the speed of detection of pathology. For this reason, it is very important to promptly seek help from a professional medical institution when the first signs of the disease appear or immediately after a serious knee injury. Specialists such as a therapist, orthopedist, or traumatologist will help diagnose an injured knee for characteristic symptoms using the following techniques:
After carrying out the required diagnostic measures, the doctor is able to accurately identify the presence of inflammation of the periarticular tendons in the injured knee. Medical treatment of knee enthesopathy is determined by the severity and the specific factor leading to the pathology. Therapy for this disease should be comprehensive and use the following techniques.
Drug treatment. This method of treating enthesopathy of the knee joint involves the patient taking the following groups of medications:
Drug therapy is the main method of treating knee enthesopathy, but in most cases it is used in conjunction with other approaches to increase the chance of successful relief from the pathology.
Physiotherapy. As an addition to drug treatment for the treatment of inflammation of the tissues of the knee joint, the patient is prescribed courses of manual, shock wave, laser and ultrasound therapy, microelectric muscle stimulation, physical therapy and other techniques. This treatment is aimed at preventing side complications of enthesopathy, in particular muscle fiber atrophy, the appearance of bone growths (osteophytes), tendon hardening due to the deposition of calcium salts and other negative changes.
Surgery. Severe enthesopathy of the knee joint in most cases cannot be cured with conservative therapy. To eliminate changes in joint bones, deformation of ligaments and other similar consequences resulting from pathology, direct surgical intervention is performed in the affected area. Surgical treatment of enthesopathy of the knee joint usually includes excision of modified, atrophied and fibrous tissue, as well as bone outgrowths, potassium deposits and other procedures. Currently, minimally invasive methods of surgical intervention are most often used, ensuring minimal damage to the external integument of the body and associated risks.
Traditional treatment. Of course, our ancestors’ knees existed long before the advent of modern medicine and, therefore, they suffered from enthesopathy, despite the fact that the loads in past eras were no less than now, in the era of general mechanization. In the absence of pharmaceutical drugs and modern clinical equipment to combat this pathology, they used the means provided by nature. Treatment of enthesopathy of the knee joint with the help of traditional medicine is now also widely practiced, although professional doctors recommend them as an additional tool to the more effective “official” methods. In particular, among such universal recipes it is worth mentioning ointments made from the fat of a badger, bear, marmot and some other animals. These products contain natural ingredients that effectively relieve inflammation and pain, as well as a combination of vitamins and components of tendon and cartilage tissue. Colostrum, the milk of a recently calved cow, which is saturated with beneficial compounds during this period, has approximately the same effect. In addition, people practice therapy against inflammation of the tendons of the knee joint with infusions of such medicinal herbs as comfrey, plantain, calendula, elecampane, etc. Geranium, clove and geranium oils, as well as ointments created on their basis, are widely used.
The above-mentioned folk solutions provide the opportunity to be treated for enthesopathy of the knee joint at home. However, it should be remembered that they should be used only as an additional technique to increase the effectiveness of clinical therapy or in case of unavailability of medical care. In this case, you should consult with your doctor, who will instruct you on possible individual contraindications or incompatibility.
Coxarthrosis of the hip joint is a degenerative-dystrophic disease of the musculoskeletal system, which is characterized by a slow but progressive course, accompanied by the destruction of intra-articular cartilage tissue and secondary changes in the structures of the hip joints. As a result of such changes, the mobility of the joint is impaired, and over time, if no therapeutic measures are taken, it disappears altogether. Ankylosis of the joint develops, which can cause disability and the inability to move independently.
There are other names for this disease: deforming coxarthrosis, osteoarthritis, osteoarthritis. This is the most common form of degenerative-dystrophic lesions of the musculoskeletal system, which is of great medical and social importance. The disease mainly affects older and older people, but the pathology occurs even in adolescents and children.
So what happens inside the hip joint with coxarthrosis? Due to the long-term negative influence of causal or risk factors, the composition and consistency of the intra-articular fluid changes. As you know, it is this substance that nourishes cartilage tissue, since there are no blood vessels in the cartilage itself. The synovia becomes thick, viscous, its quantity decreases, and it contains much less nutrients necessary for cartilage tissue to regenerate.
Changes in the hip joint with coxarthrosis
In such pathological conditions, cartilage ceases to receive everything it needs and succumbs to degenerative changes. And constant overloads and microtraumas contribute to its drying out and cracking. Hyaline cartilage gradually thins out and eventually disappears altogether, exposing the articular surfaces of the bones.
The joint becomes unstable. The body, in order to somehow improve this situation, reacts with the formation of osteophytes (marginal bone growths). In severe cases, they completely “brick up” the joint space, causing deformation and complete ankylosis of the hip joint. As a rule, coxarthrosis is bilateral, but one joint may also suffer.
Depending on the causes of occurrence, coxarthrosis of the hip joint can be primary or secondary. In the first case, it is not possible to detect a specific etiological factor that led to cartilage damage. Such patients have only risk factors for this disease. In the case of secondary coxarthrosis of the hip joints, there is a clear relationship between the primary disease and its consequence in the form of osteoarthritis.
Excess body weight leads not only to arthrosis of the hip joint
The following diseases can lead to secondary coxarthrosis:
Risk factors for coxarthrosis of the hip joints include:
Pain in the hip joint is the main symptom of coxarthrosis
Signs and their severity depend on the stage of osteoarthritis. The main clinical symptoms of the disease can be identified in which coxarthrosis should be suspected:
Important to remember! At the initial stage of coxarthrosis, patients are only bothered by minor pain or discomfort in the joint area. Often such signs are ignored and the disease progresses. Therefore, all warning symptoms, even minor ones, should not be left without medical attention. If this happens frequently, you should suspect the disease and undergo an examination. At the first stage, the pathology responds well to conservative treatment.
The clinical course of the disease is divided into three degrees:
At a later stage, arthrosis of the hip joint can lead to the inability to move independently
There is no 4th degree of coxarthrosis, but the 4th radiological stage of the disease is distinguished. This is complete ankylosis of the hip joint. Such arthrosis can only be treated with surgery.
The diagnosis is based on medical history (identification of risk factors or causative diseases), clinical data and additional examination methods.
The following will help clarify the diagnosis and carry out differential diagnostics:
As a rule, a clinical and radiological examination is sufficient to establish an accurate diagnosis. Radiographs reveal specific changes characteristic of each stage of the disease: narrowing of the joint space, the presence of osteophytes, displacement and deformation of the femoral head, subchondral cysts and periarticular osteosclerosis, osteoporotic changes in the bones. Depending on the presence of these pathological changes and their severity, the degree and stage of the disease is established.
Radiography is the main method for diagnosing coxarthrosis
Treatment of coxarthrosis depends entirely on the stage of the pathology. If at the beginning a positive effect can be achieved with the help of therapeutic physical exercises, medications and other conservative measures, then if the process is far advanced, only surgery will help you get back on your feet.
The main goals of the treatment program:
All this can be achieved only with the help of an integrated approach, which should include not only therapeutic measures, but also lifestyle changes in order to get rid of risk factors for coxarthrosis.
The diet for coxarthrosis of the hip joint is not specific. Nutrition for coxarthrosis should be complete and balanced, enriched with vitamins and microelements necessary for the restoration of intra-articular cartilage. A low-calorie diet is necessary if you are overweight. Very often, normalization of the mass index leads to a cessation of the progression of pathological changes and restoration of cartilage.
Therapeutic exercises for coxarthrosis of the hip joint is one of the main methods of treatment and prevention. No patient will be able to achieve long-term improvement in their condition without performing special exercises for coxarthrosis of the hip joint. Charging should be selected depending on the stage of the pathological process, general health, the presence of concomitant diseases, and the age of the patient. It’s great if the therapeutic and preventive gymnastic complex is selected by a physiotherapist, because there are also contraindicated sports for coxarthrosis, for example, running.
Therapeutic gymnastics is one of the main methods of treatment and prevention of arthrosis
Treatment with medications is used in all cases of coxarthrosis. This is an affordable method that does not require much effort and can quickly relieve a person from pain. But it is important to understand and remember that the use of medications can only temporarily eliminate pain. This is far from the most important method of treatment; it allows you to get rid of pain so that the patient can begin other treatment measures.
Medicines from the following groups are used:
These medications are used in the form of intravenous, intramuscular and intra-articular injections, tablets, ointments, and gels for topical use. If the pain is severe, your doctor may prescribe a hip block. In this case, a local anesthetic and a glucocorticoid anti-inflammatory drug are injected into the soft tissue around the joint. This procedure effectively relieves pain for several weeks.
Drugs can also be injected into the joint cavity - liquid grafts of synovial fluid (Syinvisk, Giastat, Fermatron, etc.). They are based on hyaluronic acid, which replenishes the deficiency of synovium, promotes the regeneration of cartilage tissue and reduces its injury.
Joint blockade for coxarthrosis is an effective method to quickly get rid of pain
Must be included in the treatment package. They allow you to improve blood circulation, improve muscle elasticity, strengthen them, and reduce the load on joint structures.
Most often used:
Physiotherapeutic methods of treatment for coxarthrosis have a secondary role. This is due to the deep location of the joint and the massive layer of soft tissue above it. However, laser therapy, magnetic therapy, UHF, electrophoresis, and shock wave therapy are often prescribed. Some patients feel relief from this treatment.
Shock wave therapy can improve arthrosis of the hip joint
A large number of people with coxarthrosis resort not only to traditional, but also to alternative methods of therapy, for example, treatment with folk remedies, hirudotherapy, apitherapy, and herbal medicine. Such techniques can be used, but not as primary therapy, but only as an addition. It is also important to get specialist advice on this matter, since the chosen method may be contraindicated for you.
Surgery for arthrosis of the hip joint is prescribed for the 3rd degree of the disease, when it is no longer possible to eliminate pain and stiffness of the joint using conservative methods. Organ-preserving operations can be performed, but hip replacement surgery is more common and effective. Sometimes only surgical treatment can return the patient to the ability to move freely without pain.
The prognosis and consequences of coxarthrosis depend on how timely the diagnosis was made, as well as on the patient’s discipline and compliance with all medical recommendations. To avoid surgery for coxarthrosis, you should never be lazy. You should do gymnastics daily and for life. After 3-4 months of regular training, the result will not be long in coming.