It is necessary to comprehensively treat arthrosis of the hip joint, and the help is the elimination of the provoking factors of the disease and the relief of pain, as well as inflammation. Thus, it will be possible to eliminate the unpleasant symptoms associated with pain and limb dysfunction that appear with this disease. Therefore, the diagnosis of this pathology is important and consists of performing an x-ray examination in several projections.
Causes and rates of leakage
Provocative factors that cause the development of arthritis include the following phenomena:
- hereditary predisposition;
- weakness of the muscular-articular corset;
- anomalies in the structure of the skeleton;
- history of trauma;
- inflammation;
- autoimmune processes;
- purulent infections;
- heavy physical work or sports;
- advanced age.
There are 3 stages of the course of the pathological process. Thus, arthrosis of the first degree of the hip joint is characterized by the appearance of pain only after physical exertion and there are no other symptoms of the disease. The next stage is characterized by constant pain, including at rest. X-ray examination shows narrowing of the joint space. 1 and 2 degrees with proper and timely treatment are reversible conditions, but in the absence of therapy they quickly develop into a more severe form. With the further progress of arthrosis, the pain becomes excruciating and limits the mobility of the femur in the hip joint. The muscles of the lower limbs atrophy and do not perform their functions. The detection of osteophyte growths is typical for the 3rd degree of severity of arthrosis of the hip joint.
Symptoms of pathology
The first symptom of the disease is severe pain in the thigh when moving.
Osteoarthritis of the hip joint is characterized by the appearance of such manifestations:
- pain syndrome provoked by physical activity;
- fever, while the body temperature varies from normal to subfebrile;
- atrophy of the musculo-ligamentous corset;
- lameness;
- limb deformation accompanied by massive edema and the formation of osteophytes;
- the change in the length of the limbs;
- crackling noise when moving TBS.
Deformative arthrosis develops more often in the region of the right hip joint than in the left hip joint.
Signs are expressed depending on the stage of the process. Often the whole leg of the patient hurts completely, which is accompanied by a violation or inflammation of the nerve endings that pass near the joint. At the same time, arthrosis of the hip joint of the 2nd degree is characterized by the appearance of pain at rest. And there is also stiffness of movements, especially in the morning. This is caused by the accumulation of intra-articular exudate around the neck and head.
The hyaline cartilage atrophies, so the joint space narrows significantly, which provokes the appearance of a characteristic crack during movement, shortening the length of the limb. In this case, the thigh bone is destroyed and the density of its tissues is lost. Osteopathy is progressive in nature and is associated with tissue trophic disorders. The development of chronic inflammation is a provoking factor in the destruction of the hip joint. Therefore foci of pathological ossification or osteophytes appear. This is typical for 2 3, and sometimes the first degree of the course of the disease.
How is the diagnosis performed?
A traumatologist can determine arthrosis of the hip joint during an external examination and a question about the course of the disease in a patient. X-ray examination is used to confirm the diagnosis. In the photo, arthritis looks like a seal and deformation of the ends of the hip pelvis. This significantly increases the size of the head. An important symptom of the disease is the formation of osteophytes, which are also well detected using this method.
What is dangerous?
The hip joint is a component of the human musculoskeletal system. Therefore, a violation of its functions causes immobilization of the patient and over time provokes the onset of disability. In addition, the inflammation spreads to the bones of the pelvis, causing dysfunction of urination and defecation. It is possible to damage the nerve endings that pass near the head of the femur, which causes a violation of the tactile sensitivity of the limbs.
The progress of the disease leads to the formation of cartilage defects, its erosion and cracking. Cartilage particles enter the joint cavity and cause aseptic or "sterile" inflammation that occurs without the participation of pathogens.
Further, the inflammatory process spreads to the bone tissue, causing aseptic necrosis (necrosis) of the acetabulum and femoral head areas. Bone growths are formed - osteophytes - which damage the surrounding tissues, worsen the inflammatory process and cause severe pain.
In the advanced stage of the disease, signs of periarthritis appear, when the soft periarticular tissues (muscles, ligaments, nerves, vessels) are affected. The end of the disease is the complete destruction of the joint, which leads to its immobilization - ankylosis of the hip joint.
Treatment of arthrosis of the hip joint
Therapy of joint disease should be aimed at eliminating the cause of the process. It is necessary to treat with the use of medications, and if necessary, they are directed to surgical intervention. The complex effect also includes folk remedies in the form of herbal medicines, which should complement the main therapy. When the aggravation of the disease is overcome, physiotherapy is used. They will also help if there is an initial pathological process. Prevention of osteoarthritis lies in proper nutrition. The diet should limit foods rich in salt.
With a significant severity of the lesion, joint replacement is recommended, including the prosthesis of the pelvic section of the joint.
training
Conservative treatment is able to remove the unpleasant symptoms caused by hip arthrosis in the early stages of development. It helps to anesthetize the soft tissues of the thigh and pelvis, as well as to remove some other unpleasant manifestations. For this purpose, non-steroidal anti-inflammatory drugs based on Diclofenac or Ibuprofen are used. They should be administered intramuscularly, taken orally or applied to the affected area. Muscle relaxants are also used to reduce muscle spasm in the affected limb. Drug treatment consists of prescribing a long course of chondroprotectors and vitamin complexes.
Physiotherapy
It is possible to cure arthrosis of the hip joint in the initial stages of the course with the help of physiotherapy. It can also be used after prolonged drug exposure and elimination of signs of the inflammatory process. This type of intervention can help reduce muscle spasm and restore the functional activity of the joint.
If the patient has an initial stage of the pathology, then it will be useful to do the following types of physiotherapy:
- magnetic therapy;
- electrophoresis;
- paraffin applications;
- mud treatment;
- baths with essential oils.
Folk remedies
Treatment of arthrosis of the hip joint using non-traditional methods involves the use of various tools. For this purpose, you can also use crushed leaves of mint and aloe with the addition of petroleum jelly to give better viscosity and application. Celandine, which has been soaked in olive oil for 2 weeks, will be useful. Horseradish root compresses or healing mud wraps are also used.
In most cases, traditional methods of treating rheumatic pathology include the use of various medicinal ointments, creams and gels as local therapy. Traditional medicine also uses drugs in the form of ointments. Natural herbs are usually used for their preparation.
Treatment of arthrosis with folk remedies at home is not able to completely save you from the disease, but it is quite possible to reduce clinical symptoms such as pain, swelling and inflammation.
Exercise therapy and massage
Mild osteoarthritis of the hip is treated with these types of exposure. Manual therapy is indicated after complete elimination of inflammation and pain. The massage should be performed by a doctor after reviewing the patient's medical history. Most often, a course of 15 massage sessions is prescribed. Home treatment includes the use of special gymnastic exercises that will help restore full functional activity of the joint.
Severe arthrosis is not treated with massage and exercise therapy.
prevention
Sufficient physical activity will help prevent arthrosis of the hip joint, but physical activity provokes rapid consumption of cartilage tissue, so it is not particularly recommended for people who are predisposed to the occurrence of joint diseases. An untreated hip dislocation or other limb injury is also dangerous. Proper nutrition with sufficient intake of vitamins and mineral complexes is also important.