The osteoarthritis of the hip joint (Coksartrose) is a disease of a progressive type that influences the bone and cartilage tissue of the joint (up to destruction).Most of the time occurs after 40 years when the possibilities of various factors, the charge of sport and physical plans, obesity, have a negative impact on the possibilities of the possibilities.
Features of the disease
The initial stage of the disease is practically no concern due to insignificant but periodic pain in the joint.Gradually, pathology develops without having treatment can cause complete loss of mobility (disability).
Under the influence of undesirable factors, the metabolism and blood circulation are disturbed, which negatively affects the cartilage.It is less elastic, cracks are formed on its surface.The progression of the disease is the deformation of the cartilage, the cracks and abrasion.
Particles often fall into the articular cavity, which becomes the basis of the inflammatory processes.The inflammatory process gradually extends to the bones, which creates the blanket for the plots.In addition, bone growth is formed, which violates serious soft tissues and causes serious pain.
Causes
- Traumatic influences,as well as the implementation of complex physical exercises, professional sports.All of these reasons are often the basis for the development of osteoarthritis in the absence of proper and timely treatment and the real lifestyle.
- The occurrence of microtrauma of the joint,Which have not been healed in time, the cause of the formation of osteoarthritis can also be scoliosis, kyphosis, ie the curvature of the spine.
- Flat feetCreates an improper distribution of the load on the spine and the pelvic area, which forms microtrauma of the connection.
- Infectious diseases,as well as arthritis.Gout, in which serious inflammatory processes are formed that make the stages of osteoarthritis more intense.
- With arthritis,as well as all types of lack of cartilage tissue.
Idiopathic or primary osteoarthritis is most often formed in old age due to the natural wear of the joints, which are characterized by symmetrical properties of the lesion, it has an unfavorable course (it is most common to suppress manifestations, but complete healing is almost impossible).
Secondary coksart rose most often develops against the background of other diseases - degenerative, injuries, vascular damage or soft tissues, diabetes, obesity for metabolic disorders, etc.
degree
- 1 degree.It is almost asymptomatic, so that patients are perceived lightly.There are still manifestations, and if you start treatment in good time, this is a complete guarantee for recovery.The patient feels periodic pain in the pelvic area, the mobile function remains the same, but in the X -Ray picture you can see immediately, even a slight, but still an enlargement of the gap between the joints.The first degree is treated by conservative methods.
- 2 degrees.In the absence of treatment, the disease is progressed, the symptoms increased, a slight restriction of motor functions, the manifestations are gradually becoming more pronounced and the lameness is provoked during longer walking, and morning pain occurs.The muscles on the leg and buttocks can deform and dry out.Medicinal treatment is prescribed at this stage, with the elimination of inflammatory processes, the slowdown of progress and the restoration of the tissue of the cartilage type.
- 3 degrees.The most difficult (final).A violation of the engine type is formed at this stage, one person can become a disabled person.Pain becomes constant, physical activity is almost impossible, shortening a limb occurs.Surgical intervention is used as treatment, according to which anti -inflammatory and pain relievers are prescribed.Preparations that restore the tissue of the cartilage type are also prescribed.
Why is arthrosis dangerous?
The most effective is treated in the first stage.If the treatment is lacking in the second stage, the necrosis of tissues is the result.The formation of osteophytes, inflammatory processes (in certain cases astruct).
In the third stage, joint articulations occur that almost completely disturb the function of the movement.One person can only move with crutches or a magic wand.
Symptoms
1 degree:
- The periodic pain effect in the joint of the pelvis most often occurs with significant sports or physical exertion.
- The pain effect of a painful nature that takes place after a short break.
- The movement is not limited.
2 degrees:
- The discomfort is stronger, the performance of physical exercises is almost impossible.
- It is difficult to train yourself, bend your leg in your joint, to take it aside.
- Serious lameness is formed when walking (one person fluctuates from one side to the other).
- After waking up, serious pain occurs, within a few minutes the motor function is seriously limited.
- The atrophy of the muscles of the limbs occurs, during an X beam the growth of osteophytes, the deformation of the joint and the bones can be diagnosed.
3 degrees:
- The pain is simply unbearable, is constant, sleep is disturbed, severe depression occurs.
- A member is usually 10% shorter (due to the destruction of the joint), which develop additional pathologies of the connection, which forms a complete absence of motor function.
- When walking - strong lameness.
Diagnosis
- Visual inspection.
- Clinical tests.
- X -Ray.
- Tomography of a computer type.
- Ultrasound research.
Features of treatment
- The anti -inflammatory type of non -steroidal nature is a symptomatic remedy that reduces the pain or reduction of the spread of inflammation (meloxicam, celloxib, sodium diclofenac, phenylbutazone).
- In the second stage, glucocorticoids, more effective medications that reduce the manifestation of symptoms and inflammation (triamcinolonacetonide) are prescribed.
- Chondroprotectors - restoration of cartilage tissue, normalization of fluid production (synovial), prevent the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is inserted into the connection as a replacement of the liquid to lubricate the surface of the joints.
- Musorelaxants are medication that reduces muscle spasms and also normalize the normal function of the circulatory system (tolperison hydrochloride).
- Physiotherapy - effects of sound waves, phonophoresis, ozone therapy.
- Surgical intervention (puncture, endoprosthetics).
Therapeutic gymnastics and massage are also used (only executed by specialists).
prevention
- Weight control (right nutrition, physical activity).
- With considerable sports and physical exertion, mandatory calm.
- Prevent injuries, consume vitamin complexes.
- With the first manifestation of unpleasant sensations - look for a doctor.
As preventing the occurrence of coksart rose of the hip joint, it is recommended to use a training bike, as it provides the optimal and even load on the hip muscles, which enables them to strengthen and enable improved blood circulation.The training bike offers the opportunity to choose the optimal load parameters taking into account the individual state of a person who does not allow the formation of injuries and the occurrence of complications.
Consequences and complications
The complications of the arthrosis of the hip joint are very significant - the destruction of cartilage tissues, the destruction of the joint, the occurrence of gout, osteoarthritis (other joints), tissue necrosis and the occurrence of inflammatory processes.
In the absence of competent treatment, the motor function runs to zero, serious atrophy of the muscles of the limbs, the buttocks occur, chroma, chroma.In the last stage, a person cannot get up without outside help.Against the background of osteoarthritis, other pathologies of all systems and organs of the body arise.