Hip joint arthritis (coxartrosis) is a disease of a progressive type, which affects the bone tissue and cartilage of the joint (up to destruction).Most often after 40 years, people with skilled body manifest due to the negative impact of various injuries to factors, sports loads and physical plan, overweight.
Characteristics of the disease
The initial stage of the disease is manifested by insignificant but periodic pain in the joints, practically does not cause disturbance.Gradually, the pathology develops, without treatment can cause complete loss of mobility (disability).
Under the influence of adverse factors, metabolism and blood circulation worry, which adversely affects the cartilage.It becomes less elastic, the cracks form on its surface.The progression of the disease forms cartilage deformity, cracking and erosion.
Often particles fall into the joint cavity, which becomes the basis of inflammation processes.Gradually, the inflammation process extends to the bone, which causes the life of death in the plots, also formed bone growth, which seriously damage soft tissue and cause serious pain.
Causes
- Traumatic impacts,as well as the implementation of complex physical exercises, professional sports.All of these reasons often become the basis for the development of arthrosis in the absence of proper and timely treatment, as well as the style of the correct life.
- The appearance of the microtrauma of the Union,Which were not cured in a timely manner, also the cause of arthrosis formation can be scoliosis, kyfosis, that is, spinal cord bending.
- Flat -footCreates an improper distribution of load on the back and pelvic area, which forms the microtrauma of the joint.
- Infectious disease,as well as arthritis.Gout in which serious inflammation processes are formed, which make the stages of arthrosis more intense.
- With arthritis,as well as all types of cartilage type defects.
Idiopathic or primary arthritis is most often formed in old age due to the natural coating of the joints, characterized by the symmetrical characteristics of the lesion, has an unfavorable course (most often it is possible to suppress the manifestations, but a full cure is almost impossible).
Secondary coxetrosis develops most often against the backdrop of other diseases - degenerative, damage, vascular damage or soft tissue, diabetes, excess weight with metabolic disorders, etc.
degree
- 1 degree.It continues almost asymptomatic, so patients are perceived in a non -sisorrous way.There are still manifestations, and if you start treatment in a timely manner, this is a complete guarantee of recovery.The patient feels periodic pain in the pelvis area, the removable function remains the same, but in the X -Ray photo you can see immediately, even a small narrowing, but still narrowing the gap between the joints.The first degree is treated through methods of a conservative nature.
- 2 degrees.In the absence of treatment, the disease progresses, the discomfort increases, a small restriction of motor functions is formed, the manifestations gradually become more pronounced, and the dementia is provoked during prolonged walking and the pain in the morning appears.The muscles in the legs and buttocks can deform and dry.At this stage, drug treatment is prescribed, combining the elimination of inflammation processes, slowing progress as well as restoring cartilage type tissue.
- 3 degrees.The most difficult (final).At this stage, a motor type violation is formed, a person can become a person with disabilities.Pain becomes constant, physical activity is almost impossible, shortening a limb.Surgical intervention is used as treatment, after which anti -inflammatory and painkillers are prescribed.Preparations that restore cartilage type tissue are also described.
Why is arthrosis dangerous?
The most effective will be treatment in the first stage.If there is a lack of treatment in the second phase, then tissue necrosis will be the consequence.Osteophytes formation, inflammation processes (in certain purulent cases).
In the third stage, articulations of the joint occur, which almost completely disrupt the function of the movement.A person can only move with crutches or a stick.
Symptoms
1 degree:
- The periodic effect of pain on the joining of the pelvis, most often occurs with important sports or physical exercise.
- The effect of pain of a painful nature, which develops after a little rest.
- Movement is not limited.
2 degrees:
- The discomfort is stronger, the performance of physical exercise becomes almost impossible.
- It is difficult to shoe yourself, bend the foot to the joint joint, get it on the side.
- When you walk, serious madness is formed (one person leaves from side to side).
- After awakening, serious pain occurs, within minutes the engine function is seriously limited.
- Limb muscles atrophy occurs, during an X -ray, necrosis, increased osteophytes, deformation of the joint and bones can be diagnosed.
3 degrees:
- The pain becomes just unbearable, it is constant, sleep is worried, serious depression occurs.
- A limb, as a rule, is 10% shorter (due to the destruction of the joint), additional joint pathologies are developing, which forms a complete lack of motor function.
- When you walk - a strong madness.
Troubleshooting
- Visual inspection.
- Clinical tests.
- X -Ray.
- Tomography of a computer type.
- Ultrasound research.
Treatment features
- The anti -inflammatory type of non -steroidal nature is a symptomatic agent that reduces the effect of pain and reduces the spread of inflammation (meloxicam, celloxib, diclofenac sodium, phenylbutazone).
- In the second phase, glucocorticoids are prescribed, the most effective drugs that reduce the appearance of discomfort and inflammation (triamcinolone acetonide).
- Chondroprotectors - resetting cartilaginous tissue, normalization of fluid production (synovial), prevents the destruction of cartilage (sodium chondroit).
- Hyaluronic acid is a liquid prosthesis, the product is inserted into the joint as a replacement of fluid, for lubricating the surface of the joints.
- Musorexants are medicines that reduce muscle spasm, and also normalize the normal functioning of the circulatory system (hydrochloride tolperisone).
- Physiotherapy - the effects of sound waves, phonoforesis, ozone therapy.
- Surgical intervention (puncture, endoprosthetic).
Therapeutic gymnastics and massage (performed only by specialists) are also used.
PREVENTION
- Weight control (proper nutrition, physical activity).
- With considerable sports and physical exercise, mandatory rest.
- Prevent injuries, consume complex vitamins.
- With the first manifestation of unpleasant sensations - looking for a doctor.
In preventing the appearance of the hip joint coksartrosis, it is recommended to use a drill bike, as it is what provides the optimal and uniform load on the hip muscles, which allows them to strengthen, as well as ensure improved blood circulation.The exercise bike provides the possibility of choosing the optimal load parameters taking into account the individual condition of a person who does not allow the formation of damage as well as the appearance of complications.
Consequences and complications
The complications of the arthrosis of the hip joint are very significant - destruction of cartilage tissue, destruction of the joint, appearance of gout, arthrosis (other joints), tissue necrosis and the appearance of inflammation processes.
In the absence of competent treatment, engine function decreases to zero, serious limb muscles atrophy, buttocks occur, chromium manifests.In the last stage, a person cannot be raised without external help.Against the backdrop of arthrosis, other pathologies of all systems and organs of the body arise.