The osteoarthritis of the hip joint (coksartrosis) is a disease of a progressive type, which affects bone tissue and joint cartilage (to destruction).Most often, after 40 years, in valid people manifests itself due to the negative impact of various factors-blessures, sports charges and physical plane, obesity.
Characteristics of the disease
The initial stage of the disease is manifested by insignificant but periodic pain in the joint, practically is not concerned.Little by little, pathology develops, without treatment can cause the complete loss of mobility (handicap).
Under the influence of undesirable factors, metabolism and blood circulation are disturbed, which negatively affects cartilage.It becomes less elastic, cracks are formed on its surface.The progression of the disease forms the deformation of the cartilage, its cracking and its abrasion.
Often, particles fall into the joint cavity, which becomes the basis of inflammation processes.Gradually, the inflammation process extends to the bones, which causes impartial life to plots, in addition bone growths are formed, which seriously injure soft tissues and cause serious pain.
Causes
- Traumatic influences,as well as the implementation of complex physical exercises, professional sports.All these reasons often become the basis of the development of osteoarthritis in the absence of appropriate and appropriate treatment, as well as the correct lifestyle.
- The occurrence of microtrauma of the joint,Who have not been healed in a timely manner, also the cause of the formation of osteoarthritis can be scoliosis, cyphosis, that is to say the curvature of the spine.
- Flat feetCreates an inappropriate distribution of the load on the spine and the pelvic area, which forms the microtraumat of the joint.
- Infectious diseases,as well as arthritis.Taste in which processes of serious inflammation form, which makes the stages of osteoarthritis more intense.
- With arthritis,as well as all kinds of cartilage type fabric defects.
Idiopathic or primary osteoarthritis is most often formed in old age due to the natural wear and tear of the joints, characterized by symmetrical characteristics of the lesion, has an unfavorable course (most often, it is possible to remove manifestations, but a complete remedy is almost impossible).
Secondary coksartrosis is most often developed in the context of other diseases - degenerative, injuries, vascular damage or soft tissues, diabetes, excess weight with metabolic disorders, etc.
Degree
- 1 degree.It takes place almost asymptomatic, so that patients are perceived frivolous.There are still demonstrations, and if you start treatment in a timely manner, this is a complete recovery guarantee.The patient feels periodic pain in the pelvic area, the mobile function remains the same, but in the x-ray image that you can immediately see, even a light, but always a narrowing of the gap between the joints.The first degree is treated by conservative methods.
- 2 degrees.In the absence of treatment, the disease progresses, the discomfort increases, a slight limitation of the motor functions forms, the manifestations become gradually more pronounced and the lameness is caused during prolonged walking and morning pains occur.The legs of the leg and buttocks can be distorted and drying.At this stage, drug treatment is prescribed, combining the elimination of inflammation processes, slowing down progression, as well as restoration of cartilage type fabric.
- 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, the shortening of a member occurs.Surgical intervention is used as a treatment, after which anti-inflammatory drugs and pain relievers are prescribed.The preparations that restore the cartilage type fabric are also prescribed.
Why is osteoarthritis dangerous?
The most effective will be treatment at the first stage.If there is a lack of treatment at the second stage, then tissue necrosis will be the consequence.The formation of osteophytes, the inflammation processes (in certain purulent cases).
At the third stage, joints of the joint occur, which almost completely disturbs the function of the movement.A person can only move with crutches or a baguette.
Symptoms
1 degree:
- The effect of periodic pain in the pool joint, it most often occurs with significant physical sports or physical effort.
- The effect of pain of a painful nature, which takes place after a minor rest.
- The movement is not limited.
2 degrees:
- The discomfort is stronger, the performance of physical exercises become almost impossible.
- It is difficult to shit you, to fold your leg into the joint, to take it to the side.
- During walking, a serious lameness forms (one person swings from one side to the other).
- After awakening, serious pain occurs, in a few minutes, the motor function is seriously limited.
- The atrophy of the members of the limbs occurs, during X necrosis, the growth of osteophytes, the deformation of the joint and the bones can be diagnosed.
3 degrees:
- The pain becomes simply unbearable, is constant, sleep is disturbed, a serious depression occurs.
- A member, as a rule, is 10% shorter (due to the destruction of the joint), additional pathologies of the joint develop, which constitutes a complete absence of motor function.
- En Marche - Strong lameness.
Diagnosis
- Visual inspection.
- Clinical tests.
- X -Ray.
- Tomography of a computer type.
- Ultrasound research.
Treatment characteristics
- The anti-inflammatory type of non-steroidal nature is a symptomatic agent that reduces the effect of pain and reducing the spread of inflammation (meloxicam, celluloxib, sodium diclofenac, phenylbutazone).
- At the second stage, glucocorticoids, more effective drugs that reduce the manifestation of discomfort and inflammation (triamcinolone acetonid) are prescribed.
- Chondroprotectors - Restoration of cartilaginous tissues, normalization of the production of liquid (synovial), prevent the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced into the joint to replace the liquid, to lubricate the surface of the joints.
- Musorelaxants are drugs that reduce muscle spasms and also standardize the normal functioning of the circulatory system (Tolperisone hydrochloride).
- Physiotherapy - Effects of sound waves, phonophoresis, ozone therapy.
- Surgical intervention (puncture, endoprosthetic).
Therapeutic gymnastics and massage are also used (carried out only by specialists).
Prevention
- Weight control (appropriate nutrition, physical activity).
- With significant physical sports, compulsory rest.
- Prevent injuries, consume vitamin complexes.
- With the first manifestation of unpleasant sensations - looking for a doctor.
As a prevention of the occurrence of Coksartrose of the hip joint, it is recommended to use an exercise bike, because this is what provides the optimal and uniform load on the hip muscles, which allows them to strengthen, as well as to provide an improvement in blood circulation.The exercise bike offers the possibility of choosing the optimal load parameters taking into account the individual state of a person, which does not allow the formation of injuries, as well as the occurrence of complications.
Consequences and complications
The complications of osteoarthritis of the hip joint are very important - the destruction of cartilage tissues, the destruction of the joint, the occurrence of gout, osteoarthritis (other joints), tissue necrosis and the occurrence of inflammation processes.
In the absence of competent treatment, the motor function comes down to zero, a serious atrophy of the member's muscles, the buttocks occur, the chrome manifests.In the last step, a person cannot get up without external help.In the context of osteoarthritis, other pathologies of all systems and organs of the body occur.