Arthrosis of the hip joint (coxartrosis) is a progressive type disease that affects the bone and the cartilage of the joint joint (to destruction).It usually occurs after 40 years, are able to manifest themselves due to the negative impact of different factors - injuries, the burden of sports and physical plan, obesity.
Disease features
The initial phase of the disease is manifested by insignificant, but periodic pain in common, practically does not cause concern.It is gradually developing pathology, without treatment can cause complete loss of mobility (disability).
Under the influence of harmful factors, metabolism and blood circulation is disturbed, which negatively affects cartilage.It becomes less elastic, cracks are formed on their surface.The progression of the disease forms the deformation of cartilage, cracks and abrasion.
Often particles belong to the common cavity, which becomes the basis of the inflammation process.Gradually, the inflammation process stretches on the bone, which causes a dead man to the plot, the extra bone growth is formed, which seriously injures soft tissues and cause serious pain.
Causes
- Traumatic influences,as well as the implementation of complex physical exercises, professional sport.All these reasons often become the basis for the development of arthrosis in the absence of proper and timely treatment, as well as the right way of life.
- The appearance of a microtraw of the joint,Which was not cured in a timely manner, the cause of forming arthrosis can be scoliosis, kyphosis, ie curvature of the spine.
- Flat feetIt creates irregular distribution of cargo on the spine and a bowl, which forms a microtraw of the wrist.
- Contagious diseases,Like arthritis.Gout in which serious inflammatory processes form, which make the arthrosis phases more intense.
- With arthritis,Like all kinds of cartilage tissue damage.
Idiopathic or primary arthrosis is most often formed in the age of the natural wear, characterized by symmetrical characteristics of the lesion, has an unfavorable course (usually possible to combat the manifestations, but complete cure is almost impossible).
Secondary coxartrosis develops most often against the background of other diseases - degenerative, injuries, vascular damage, or soft tissues, diabetes, excess weight with metabolic disorders, etc.
Degree
- 1 degree.Continues almost asymptomatic, so patients are perceived frivolously.There are still manifestations, and if you start treating in a timely manner, this is a complete recovery guarantee.The patient feels periodic powers in the field of pelvis, the mobile function remains the same, but in the X -Ray image you can immediately see, even lightly, but still narrowing the gap between the joints.The first degree is treated with the methods of conservative nature.
- 2 degrees.In the absence of treatment, the disease progresses, the discomfort is increasing, the manifestation is being gradually become more pronounced, and the strongness is being carried out, and there is a long walk, and there is a long walk.Muscles on the leg and buttocks can deform and dry.At this stage, drug treatment is prescribed, combining the elimination of inflammatory processes, slowing the advancement, as well as the recovery of the cartilage-type tissue.
- 3 degrees.The hardest (final).At this stage, a violation of the engine type is formed, a person can become a disabled person.The pain is becoming constant, physical activity is almost impossible, there is a shortening of one limb.Surgical intervention is used as a treatment, after which they are prescribed anti -infalmator and against painkillers.Prescribed and preparations that renew the cartilage tissue-type.
Why is the arthrosis dangerous?
The most effective will be the treatment in the first phase.If in the second phase, the treatment lacks, then the tissue necrosis will be consequential.Formation of osteophytes, inflation processes (in certain cases of pus).
In the third phase, articulations of the common common, which is almost completely disrupted by the function of movement.A person can only move with crutches or wand.
Symptoms
1 degree:
- The periodic effect of pain in the pelvic joints, it most often occurs with significant sports or physical efforts.
- The effect of a painful painful nature, which takes place after a minor rest.
- The movement is not limited.
2 degrees:
- Uneasiness is stronger, the performance of physical exercises is becoming almost impossible.
- It's hard to wear yourself, bend your leg into a joint wrist, take him aside.
- When it walks, a serious chromosity is formed (a person who arguing on the side).
- After waking up, serious pain appear, within a few minutes, the engine function is seriously limited.
- The atrophy of the muscle of the limbs comes in X -Ray, necrosis, osteophyte growth, joint and bone deformation can be diagnosed.
3 degrees:
- The pain becomes simple unbearable, is constant, sleep is disturbed, a serious depression occurs.
- One limb, in the rule, is 10% shorter (due to the destruction of the common), additional pathologies of common compounds are developed, which forms the complete absence of engine function.
- When walking - strong chromost.
Diagnostics
- Visual examination.
- Clinical tests.
- X -Ray.
- Computer tomography.
- Ultrasonic research.
Features of treatment
- Anti -infalmatory type of non-steroid nature is a symptomatic agent that reduces the effect of pain and reduces the spread of inflammation (meloxicam, celuxib, sodium diclofenak, phenylbutason).
- In the second phase, glucocorticoids are prescribed, more efficient drugs that reduce the manifestation of discomfort and inflammation (triamcinolone acetonid).
- Chondroprotektori - Restoration of cartilage tissues, normalization of liquid production (synonymous), prevent the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced into a joint as a substitute for fluid, for lubrication of the joint surface.
- Musorelaxans are medicines that reduce muscle cramps, and also normalizes the normal functioning of the circulation system (Tolepesonic hydrochloride).
- Physiotherapy - Effects of sound waves, phonopholes, ozone therapies.
- Surgical intervention (puncture, endoprosthetics).
Therapeutic gymnastics and massage (performed only by experts) is used.
Prevention
- Weight control (proper nutrition, physical activity).
- With significant sports and physical effort, a mandatory vacation.
- Prevent injuries, consume vitamin complexes.
- With the first manifestation of unpleasant sensations - looking for a doctor.
As a prevention of hip coxartrosis, the use of exercise bicycles is recommended, as it provides an optimal and monotive load on the hip muscles, which allows them to strengthen, as well as provide improved blood circulation.The exercise bike provides the ability to choose optimal load parameters taking into account the individual state of a person who does not allow the creation of injuries, as well as the appearance of complications.
Consequences and complications
Complications Arthrosis Hooks are very significant - destruction of tissue tissue, destruction of common, gout, arthrosis, tissue necrosis and inflation processes.
In the absence of competent treatment, the engine function reduces to zero, serious atrophy of the limb muscles, buttocks appear, the chromium is manifested.In the last phase of a person cannot get up without external assistance.Based on the background of the arthrosis, other pathology of all systems and body organs are formed.