The arthrosis of the hip joint (Coksartrosis) is a progressive type disease, which affects the bone tissue and cartilage of the articulation joint (up to destruction).More often it occurs after 40 years, in skilled people it manifests itself due to the negative impact of various factors, the loads of sports and physical plan, obesity.
Characteristics of the disease
The initial phase of the disease manifests itself from insignificant pain, but periodic in the articulation, practically does not arouse concern.Gradually, the pathology develops, without treatment it can cause complete loss of mobility (disability).
Under the influence of adverse factors, metabolism and blood circulation are disturbed, which negatively affects cartilage.It becomes less elastic, the cracks are formed on its surface.The progression of the disease constitutes the deformation of cartilage, its crack and abrasion.
The particles often fall into the joint cavity, which becomes the basis of the inflammation processes.Gradually, the inflammation process extends to the bones, which causes the death of the graphs, bone growth are also formed, which seriously damages soft tissues and cause serious pain.
Causes
- Traumatic influences,In addition to the implementation of complex physical exercises, professional sports.All these reasons often become the basis for the development of arthrosis in the absence of adequate and timely treatment, as well as the correct lifestyle.
- The occurrence of microtrauma of the joint,That have not been cared for in a timely manner, even the cause of the formation of arthrosis can be scoliosis, cifosis, that is, the curvature of the spine.
- Flat feetCreate an improper load distribution on the spine and the pelvic area, which forms the joint microtrauma.
- Infectious diseases,as well as arthritis.Gout in which serious inflammation processes are formed, which make the phases of osteoarthritis more intense.
- With arthritis,as well as all types of cartilage fabric defects.
Idiopathic or primary arthrosis is often formed in old age due to the natural wear of the joints, characterized by symmetrical characteristics of the lesion, it has an unfavorable path (very often it is often possible to suppress events, but a complete cure is almost impossible).
Secondary Coksartrosis develops more often against the background of other diseases: degenerative, injuries, vascular damage or soft tissues, diabetes, excess weight with metabolic disorders, etc.
Grade
- 1 degree.It proceeds almost asymptomatic, so patients are perceived frivolous.There are still events and if you start the treatment in a timely manner, this is a complete guarantee of recovery.The patient feels periodic pain in the pelvic area, the mobile function remains the same, but in the image of X -ray you can immediately see, also a light, but still narrowing the gap between the joints.The first degree is treated through conservative methods.
- 2 degrees.In the absence of treatment, the disease progresses, the discomfort increases, a slight limitation of motor functions is formed, the manifestations gradually become more pronounced and the lameness is caused during the prolonged walking and morning pain occurs.The muscles on the leg and the buttock can deform and dry.At this stage, the pharmacological treatment is prescribed, combining the elimination of inflammation processes, the slowdown of the progression and the restoration of the cartilage type tissue.
- 3 degrees.The most difficult (final).At this stage, a violation of the type of engine is formed, a person can become a disabled person.Pain becomes constant, physical activity is almost impossible, an shortening of a limb occurs.Surgical intervention is used as a treatment, after which anti -inflammatory and painkillers are prescribed.Preparations are also prescribed that restore the cartilage type tissue.
Why is arthrosis dangerous?
The most effective will be the treatment in the first phase.If there is a lack of treatment in the second phase, then the necrosis of the fabric will be the consequence.The formation of osteophytes, inflammation processes (in some cases purulent).
In the third phase, articulation joints occur, which almost completely interrupts the function of the movement.A person can only move with crutches or a wand.
Symptoms
1 degree:
- The effect of periodic pain in the joint of the pelvis occurs more often with significant sports or physical efforts.
- The effect of pain of a painful nature, which takes place after a small rest.
- The movement is not limited.
2 degrees:
- The discomfort is stronger, the performance of the physical exercises become almost impossible.
- It is difficult to download yourself, bend your leg into the joint, bring it to the side.
- When walking, a serious lameness is formed (one person oscillates from one side to the other).
- After waking up, serious pain occurs, in a few minutes the motor function is seriously limited.
- During an X -ray, the atrophy of the muscles of the limbs occurs, necrosis, the growth of osteophytes, it is possible to diagnose the deformation of the joint and bones.
3 degrees:
- Pain becomes simply unbearable, it is constant, sleep is disturbed, a serious depression occurs.
- As a rule, a limb is shorter than 10% (due to the destruction of the joint), further pathologies of the joint are developing, which constitutes a complete absence of motor function.
- When walking - a strong lame.
Diagnostics
- Visual inspection.
- Clinical tests.
- X -raggi.
- Tomography of a type of computer.
- Ultrasound search.
Characteristics of the treatment
- The anti -inflammatory type of non -sterileidal nature is a symptomatic agent that reduces the effect of pain and reduces the spread of inflammation (Meloxicam, Cellaxib, diclofenac of sodium, phenylbutazone).
- In the second phase, glucocorticoids are prescribed, more effective drugs that reduce the manifestation of discomfort and inflammation (acetonide of triamcinolone).
- CONDROPROTECTORS - Restoration of cartilaginous tissues, normalization of the production of fluids (synovial), prevents the destruction of the cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced into the articulation as a replacement of the liquid, to lubricate the surface of the joints.
- Musroxanti are drugs that reduce muscle spasm and also normalize the normal functioning of the circulatory system (Tolperisone hydrochloride).
- Physiotherapy - Sound wave effects, sounds, ozone therapy.
- Surgery (puncture, endoprothetic).
Gymnastic and therapeutic massage are also used (performed only by specialists).
Prevention
- Weight control (correct nutrition, physical activity).
- With significant sports and physical effort, mandatory rest.
- Prevent injuries, consume vitamin complexes.
- With the first manifestation of unpleasant sensations, looking for a doctor.
As a prevention of the occurrence of Coksartrosis of the hip joint, it is recommended to use a training bike, since it is that it provides optimal and uniform load on the hip muscles, which allows them to strengthen, as well as providing improved blood circulation.The operating bike offers the possibility to choose optimal load parameters taking into account the individual state of a person, who does not allow the formation of injuries, as well as the occurrence of complications.
Consequences and complications
The complications of the arthrosis of the hip joint are very significant: the destruction of the cartilage tissues, the destruction of the joint, the presence of Gotta, the arthrosis (other joints), the necrosis of the tissues and the occurrence of inflammation processes.
In the absence of competent treatment, the motor function is reduced to zero, a serious atrophy of the muscles of the limb, buttocks occurs, the chroma manifests.In the last phase, a person cannot get up without external help.Other pathologies of all systems and organs of the body arise against the background of arthrosis.