Arthrosis of the hip joint is a type of arthrosis.Hip Joint (HJ) is larger than all others and has a multi-vector axis of rotation, it experiences a huge load during a person's life - walking, running, jumping, climbing stairs, playing sports and daily activities.
Often, patients at the age of 25-35 already have to worry about the symptoms and treatment of arthrosis of the hip joint.The disease can progress rapidly under the influence of injury, fragmented physical activity (sports, work, overweight, overweight), hereditary factors, infectious and chronic diseases.
Effective treatment of osteoarthritis of the hip can preserve mobility and prevent bone breakdown.In old age, this helps prevent more dangerous pathologies such as necrosis or fracture of the femoral head.
Symptoms of arthrosis of the hip joint
Symptoms and treatment of hip arthrosis depend on the stage of the disease.
- Stage 1. Patients feel a mild pain in the groin area that occurs after physical activity, long standing or sudden movements, and then disappears completely at rest.
- Stage 2. The pain syndrome aggravates and bothers the patient even with normal household activities.The pain may radiate to the lower back or inner thigh.Stiffness and stiffness appear and joint range of motion decreases.The musculo-ligamentous system begins to weaken, which leads to increased fatigue.
- Stage 3. Pain is felt constantly and it is difficult for patients to move without a cane or a walker.Joint movement is limited.Climbing stairs is a serious problem.There are light disturbances (conscious, falling on one or both legs).With one-sided coxarthrosis, pelvic distortion and spinal curvature are visible to the naked eye.
- Stage 4. It is almost impossible for osteophytes to spread and join any movement in the joint.Due to bone destruction, it loses its functions and is severely deformed.
Prognosis for arthrosis of the hip joint
With successful lifelong treatment, pain due to arthrosis of the hip joint can disappear completely or rarely bother the patient.The prospects of this therapy depend on the patient's compliance with the rheumatologist's rules and personal training.Remember that the most accurate prognosis for the disease can only be made by the attending physician.
With timely and regular treatment
If chronic diseases do not contribute to the progression of the disease and do not contribute to the treatment of hip arthrosis, started in Stage 1 or 2, hip replacement can be avoided.Disability and loss of work ability, if the doctor's recommendations are followed, slips for 20 years, and sometimes the patient maintains an almost unlimited range of motion of the joint until old age.The best prediction is possible by word of mouth.Benign arthrosis - cartilage wear depends on external factors (occupational activity, sanitary violations).In this case, it is worth excluding them and conducting a course of restorative therapy in order to slow down the further reduction of the joint.
Out of class 3 treatment, timely treatment of osteoarthritis of the hip joint will help prevent joint immobility, prevent consequences for the entire musculoskeletal system and pain for many years.If there are no contraindications, prostheses will help you return to your former activity.
While self-medicating
When choosing a treatment method for arthrosis of the hip joint, the doctor, the patient's age, constitution, physical fitness, health, specific symptoms of the disease and its stage and its stage, its stage and stage are taken into account.In this case, the narrowing of the lumen of the joint space, the presence of osteophytes, the degree of progression of arthrosis, the quality of the synovial fluid and the quality of other indicators are investigated.
Self-treatment of osteoarthritis with traditional methods does not take into account these individual indicators and, instead of the desired result, can lead to severe exacerbation, metabolic disorders and deterioration of the stage of the disease.But the worst thing is the time spent on the illusion that such a serious chronic disease, arthrosis of the hip joint, can only be treated with traditional methods.Avoid taking anti-inflammatory drugs without a doctor's prescription - this can cause serious problems with the digestive and endocrine systems!
Attitude
Left untreated, hip joint arthrosis progresses 2-4 times faster on average.Deterioration in the quality of life and in this case disability begins at a relatively young age - about 45-50 years.Patients' sleep worsens, physical activity decreases and psycho-emotional disorders are observed.Pain prevents them from getting out of bed in the morning, walking with their grandchildren or starting work.
Treatment of osteoarthritis of the hip joint
The priority direction of treatment for 1st degree arthrosis of the hip joint is ambulatory conservative therapy.This includes drug treatment of arthrosis of the hip joint, physiotherapy, dietary therapy, wearing bandages and adjustable orthoses.This approach allows you to relieve pain, preserve muscle function and increase mobility in the joint.Treatment of grade 2 arthrosis of the 2nd grade is carried out in a similar way.
If conservative treatment of arthrosis of the hip joint is delayed or ineffective, cartilage degeneration progresses rapidly and surgery is performed.Sometimes the doctor may decide on osteotomy or arthroplasties, but in most cases, endoprosthetics is a partial or complete replacement of the diseased joint when treating grade 3 arthrosis of the hip joint.A prosthesis made of metal and a ceramic or polymer lining lasts from 15 to 25 years, after which it is replaced.Total arthroplasty (total joint replacement) is the most effective treatment for hip arthrosis.With the ability to support a length of up to 8 cm and within a day, it allows full recovery of functionality.Full rehabilitation lasts 1-3 months.
Physiotherapy methods for the treatment of arthrosis of the hip joint
Physiotherapy for arthrosis of the hip joint is carried out in courses according to the indications of doctors.Almost all techniques, with the exception of magnetism and cryotherapy, are allowed only in the period of remission, in the absence of complete signs of inflammation.The following measures are used to treat osteoarthritis of the hip joint:
- Ultra high frequency therapy;
- ultrasound therapy;
- laser therapy;
- magnetic therapy;
- therapeutic exercises (therapeutic gymnastics);
- therapeutic massage and manual therapy;
- ozone therapy;
- Cryotherapy;
- Acupuncture;
- traction therapy (traction);
- Paraffin applications and dressings;
- balneotherapy and mud therapy;
- Hydromassage.
Treatment of arthrosis of the hip joint treatment with exercise therapy
Physical therapy for arthrosis of the hip joint is aimed at strengthening the muscles and ligaments - they are a natural orthosis that reduces the load on the joint and keeps it in a physiologically correct position.As a result, the treatment of osteoarthritis of the hip joint helps to relieve pain and inflammation, increase mobility, slow down the wear of cartilage and ensure the supply of nutrients with synovial fluid.The following exercises will help strengthen your legs:
- Starting position - sits on the floor, focusing on the arms stretched behind.Straight legs in front of you.We bend and straighten our toes.
- The starting position is the same.Alternately bend and straighten your legs (points toward you, toes).
- The starting position is the same.Bend the leg at the knee by pulling the leg to the side at the knee or along the weight.After completing the movement, it is recommended to only touch your feet.
- Starting position - lying on your back, legs on the knees, feet bent on the floor.We do the "frog" exercise - we spread our bent knees and hold for 20 seconds.Then we put it back together.
- Starting position - on your back, one leg is straight, the other is bent and placed to the side.We lie for a minute, then we switch legs.
- Starting position - Lying freely on the back, legs.We bring the socks inside, knit them, and then spread them separately.Repeat 10 times at a pace.
- Starting position - lying on your back, one leg (on the side of the affected joint) crossed over the other.We move the foot of the lower leg as in the exercise above.
- Starting position - lying on your back.We pull the knee towards the stomach, hold the back of the thigh with bent fingers.Perform for 30 seconds on each leg.
- The starting position is the same.Bending our legs at the knees towards the stomach, we pull them under the knees with curled toes.Perform at least 30 seconds.
- The starting position is the same.We move the right leg to the side above the floor.20-30 times on each leg.
- Starting position - Permanent.Place a chair, facing your back.Holding the back of a chair and standing on one leg, swing the other back and forth like a pendulum.20-30 times.
Massage in the treatment of osteoarthritis of the hip joint
Massage is an effective relaxation and restorative technique for the treatment of arthrosis of the hip joint in the early stages.Arthrosis of the hip joint of the 1st degree (as well as the 2nd - in the absence of pain and swelling), it is possible to disrupt discomfort and pain, improve tissue tropism and slow down cartilage degeneration.It also interferes with sleep and movement, strengthens ligaments, normalizes gait and allows you to quickly warm up when changing from rest to active activity and vice versa.
For arthrosis of the hip joint, professional therapeutic massage is desirable (at least 10-12 sessions).But gentle self-massage at home also helps to improve the condition.It is important to avoid pain and severe discomfort.At the slightest sign of joint inflammation, manipulations are temporarily stopped - after a course of anti-inflammatory therapy, they can be restarted with the permission of the attending physician.
In cases where the patient suffers from one-sided coxarthrosis, the massage is performed on both sides.How to do it right?
- To begin, assume a comfortable position that allows you to relieve stress on your hips and lower back.For example, it stretches on the back, side or stomach.
- Start gently massaging the area around the joint.If you have an assistant, hit your cart with your shoulder blades for 7-10 minutes to improve blood circulation.
- Continue to slowly stroke the lower back, then circular heating of the sacrolumbar region with two fingers.
- As much as the pose allows, it grows, allowing you to gradually move towards the lower sphere.
- Press your palms on the sacrificial area and begin to rub and stretch the muscles.This completes the preparation.
- Rub your thighs with your palms and then rub your thighs in a circle with your thumbs.
- Knead the inner thigh without applying pressure (so as not to squeeze the blood vessels).It is better to hold the layer of fat between your thumb and other fingers and knead it thoroughly.
- It is important!Complete the procedure with comfortable strokes and pats.
Thigh massage uses transverse, longitudinal, holding, squeezing movements.The litter is carried with the palm or fingers bent towards the groin area.
After surgical treatment of grade 3 osteoarthritis from grade 3, massage is used for suture removal and motor rehabilitation and recovery.
Treatment of arthrosis of the hip joint with diet
The main principle of nutrition in the treatment of arthrosis of the HIP Joint is its diversity and balance of the main indicators (including vitamins, minerals, proteins, including essential amino acids).It is important to eat foods high in calcium, sulfur, zinc, magnesium and selenium.Vitamins, A and group B vitamins (having an anti-inflammatory effect), C, D, e are of primary importance.A low-protein diet is contraindicated in the treatment of osteoarthritis of the hip joint.Therefore, be sure to include in the menu:
- Diet meat, poultry, fish.
- Egg.
- Milk and milk products.
- Fruits, vegetables and fresh herbs.
- Whole grain and fatty (such as flax), as well as nuts.
- Foods and products with natural chondroprotectors (jelly, jelly, cartilage, pork, ears, etc.).
But it is better to reduce the consumption of carbohydrates - even after the flow, excess weight also creates a great burden on the pain.This is the joke of rehabilitation specialists, who are accused of several kilos, the most effective treatment for arthrosis of the hip joint.You should also avoid salty, spicy, sweet and fried foods that cause the body to retain water.To minimize your intake:
- fast food and semi-finished products;
- baked goods, sweets and confectionery;
- Sausages and marinades.
Don't forget to drink at least 2.5 liters of water a day!
Drug treatment of arthrosis of the hip joint
Treatment of osteoarthritis of the hip joint is carried out strictly as prescribed by the doctor.In the case of separation and severe pain, conventional analgesics or mild anti-inflammatory drugs (Ibuprofen) are allowed, but not more than 10 days without contacting a specialist.Otherwise, the picture of the disease will be blurred and it will be difficult to choose an adequate treatment for arthrosis of hiplon.
There are several drug groups for the treatment of arthrosis of the hip joint.In the complex treatment of arthrosis of drug combination, 5 main pharmaceutical groups are used.
Anti-inflammatory drugs in the treatment of osteoarthritis of the hip joint
Swelling, stagnation of blood and other fluids, local fever and pain - these general symptoms of this general inflammation in arthrosis not only poison the patient's life, but also aggravate the course of the disease.Over time, they cause tissue starvation, depletion of synovial fluid, disruption of the cartilage and its specificity (due to the destruction of the surface of the articular membrane), destruction of muscle dystrophy, and continuous deterioration in mobility.
But the main danger of inflammation is the death of cartilage cells - chondrocytes.When it breaks down in large quantities, it creates an accumulation of enzymes that "remove" the surface of the articular cartilage.
Therefore, to eliminate inflammatory symptoms and restore tissue metabolism, 2 groups of anti-inflammatory drugs are used: steroidal (NSAIDS, NSAIDS) and glucocorticosteroids.
Although NSAIDS can also affect the digestive system, they are considered NSAIDs.That is why they are appointed first.In courses or when necessary, in the treatment of arthrosis of the 2nd class - in courses or when necessary.
These include: nimesulide, iBuprofen, meloxicam, ketoprofen, indomethacin, Diclofenac.
If NSAIDS fail, rheumatologists prescribe "heavy artillery" - corticosteroid drugs.They also relieve severe pain and inflammation immediately, but they cannot be taken for a long time and in large doses.Like any hormonal drugs, they can affect the weight and condition of internal organs, and if the therapeutic dose is exceeded, they can aggravate the course of arthrosis.
The drugs of choice for the treatment of class 3 arthrosis in class 3 are: hydrocortisone, prednisolone, methylprednisolone.
Chondroprotectors for osteoarthritis of the hip joint
Although anti-inflammatory drugs relieve the symptoms, they do not solve the problem - they do not restore the damaged surface of the cartilage and do not enrich the synovial fluid with glycosaminoglycans.Therefore, the effective treatment of arthrosis of the hip joint is unthinkable without drugs containing chondroitin and glucosamine sulfate, which are the building material of the body for the formation of new cartilage cells.
Since the metabolism in cartilage tissue is very slow, chondroprotectors should be taken for a long time - 3-6 months every year.But with lifelong preventive use, they help to achieve drug-free remission.
Chondroprotectors include: glucosamine, chondroitin.
Angioprotectors and microcirculation correctors
Inflammation and microtraumas accompanying arthrosis disrupt the blood supply around the affected joint.But it is the capillaries that bring nutrients to the borders of the joint capsule.
The following help relieve swelling and improve tissue trophism: Troxerutin, horse chestnut extract, other drugs, diosmin with pentoxiflifl.
Muscle streamers
When the supporting function of a joint is impaired, the body tries to compensate for it by using muscles and ligaments designed for almost constant load.Pain and spasms appear in the muscles due to chronic overstrain.These cramps can interfere with sleeping or walking.
To eliminate them, the following are prescribed in the treatment of osteoarthritis of the hip joint: Baclofen, Tizanidine, Tolperisone.
External and warming agents
Drugs in this group have a vasodilation effect.They help to eliminate swelling, reduce pain and psychologically distract from joint discomfort.
Usually, products based on animal poisons or sharp plant extracts are used to treat arthrosis of the hip joint.
Drug release for the treatment of arthrosis of the hip joint
Depending on the clinical manifestations of arthrosis and the patient's lifestyle, the rheumatologist prescribes drugs in different forms for the treatment of osteoarthritis of the hip joint.
Tablets, capsules, powders
These products are easy to dose and carry with you for the treatment of arthrosis of the hip joint.What you get is a glass of water.Also, the blister or packaging allows you to track how many days the course lasts.Such drugs have good bioavailability.However, it is better to give preference to anti-inflammatory tablets for the mucous membranes of the stomach and intestines, for gastritis, ulcers, colitis, injections for the treatment of osteoarthritis.
Injections for intramuscular and sentinel administration
Anti-inflammatory drugs, muscle relaxants and chondroprotectors are usually administered by injection.It guarantees maximum bioavailability and is gentle on the gastric mucosa, but generally requires the presence of a medical professional.It is strictly forbidden to make fine injections without special qualifications!
Ointment, gel and creams
External agents for the treatment of arthrosis of the hip joint have a low bioavailability (about 5%), which limits their use in adjuvant therapy.But there are fewer contraindications to its use.
Less common, liquid preparations for the treatment of arthrosis of the hip joint - in the form of balms, solutions for compresses.