Hip joint arthrosis (cOKSARROSIS) is a disease of a progressive type that affects bone tissue and joint cartilage (even destruction).Most of the time, it occurs after 40 years, in healthy people manifests due to the negative impact of various leesting factors, the sports load and physical plane, obesity.
Disease characteristics
The early stage of the disease is manifested by insignificant but periodic pain in the articulation, practically does not cause concern.Gradually, pathology develops, without treatment, can cause complete loss of mobility (deficiency).
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 their surface.The progression of the disease forms the deformation of the cartilage, its crack and abrasion.
Often particles fall into the joint cavity, which becomes the basis of inflammation processes.Gradually, the inflammation process extends to bones, which causes the life of the installments, bone growths are also formed, which seriously impairs soft tissues and causes serious pain.
Causes
- Traumatic influences,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 right lifestyle.
- The occurrence of microtrauma of the joint,That were not healed in a timely manner, also the cause of arthrosis formation can be scoliosis, kyphosis, ie the curvature of the spine.
- Smooth feetIt creates an inadequate distribution of the load in the spine and the pelvic area, which forms microtrauma of the joint.
- Infectious diseases,as well as arthritis.Drop in which serious inflammation processes are formed, which makes arthrosis stages more intense.
- With arthritis,as well as all types of cartilage fabric defects.
Idiopathic or primary arthrosis is most often formed in old age due to natural joint wear, characterized by symmetrical characteristics of the lesion, has an unfavorable course (most of the time it is possible to suppress manifestations, but a complete cure is almost impossible).
Secondary COKSARROSIS develops more often in the context of other diseases - degenerative, lesions, vascular damage or soft tissues, diabetes, overweight with metabolic disorders, etc.
Degree
- 1 degree.Search almost asymptomatic, so patients are frivolously perceived.There are still manifestations and if you start treatment in a timely manner, this is a complete guarantee of recovery.The patient experiences periodic pain in the pelvic area, the mobile function remains the same, but in image x -ray you can see immediately, even a little, but still narrowing the gap between the joints.The first degree is treated through conservative methods.
- 2 degree.In the absence of treatment, the disease progresses, discomfort increases, a slight limitation of motor functions is formed, manifestations become gradually more pronounced and lameness is caused during prolonged walk and morning pain occurs.The muscles of the leg and buttock can deform and dry.At this stage, drug treatment is prescribed, combining the elimination of inflammation processes, reducing progression and restoring cartilage tissue.
- 3 degrees.The most difficult (final).At this stage, an engine type violation is formed, a person can become a disabled person.Pain becomes constant, physical activity is almost impossible, shortening a limb occurs.Surgical intervention is used as treatment, after anti -inflammatory and analgesics are prescribed.Preparations that restore cartilage fabric are also prescribed.
Why is arthrosis dangerous?
The most effective will be treatment in the first stage.If there is a lack of treatment in the second stage, tissue necrosis will be the consequence.Osteophyte formation, inflammation processes (in certain purulent cases).
In the third stage, joint joints occur, which almost completely interrupts the function of the movement.One person can only move with crutches or a wand.
Symptoms
1 degree:
- The periodic effect of pelvis joint pain occurs more often with significant sports or physical exertion.
- The effect of pain of a painful nature, which occurs after a minor rest.
- Movement is not limited.
2 degree:
- The discomfort is stronger, the performance of exercise becomes almost impossible.
- It is difficult to put on yourself, bend your leg in the joint, take it to the side.
- When walking, severe lameness is formed (a person swings from side to side).
- After waking up, a serious pain occurs, within minutes the engine function is seriously limited.
- Member muscle atrophy occurs during an X root, necrosis, osteophyte growth, joint and bone deformation can be diagnosed.
3 degree:
- The pain becomes simply unbearable, is constant, sleep is disturbed, severe depression occurs.
- One member, as a rule, is 10% shorter (due to joint destruction), additional joint pathologies are developing, which forms a complete absence of motor function.
- When walking - a strong lameness.
Diagnosis
- Visual inspection.
- Clinical tests.
- X -Ray.
- Tomography of a computer type.
- Ultrasound research.
Treatment Characteristics
- The anti -inflammatory type of non -esteroid is a symptomatic agent that reduces the effect of pain and reduces the spread of inflammation (meloxicam, celloxoxyb, sodium diclofenac, phenylbutazone).
- In the second stage, glucocorticoids, more effective drugs that reduce the manifestation of discomfort and inflammation (acetonide of Triacinolone) are prescribed.
- CondoProtectors - Restoration of cartilaginous tissues, normalization of fluid production (synovial) prevent the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced into the joint as a liquid replacement to lubricate the joint surface.
- Rusorelaxants are medications that reduce muscle spasm and also normalize the normal functioning of the circulatory system (Tolperisone hydrochloride).
- Physiotherapy - Sound wave effects, phonophoresis, ozone therapy.
- Surgical intervention (puncture, endoprothetic).
Gymnastics and therapeutic massage are also used (performed only by experts).
Prevention
- Weight control (proper nutrition, physical activity).
- With significant sports and physical effort, mandatory rest.
- Avoid injuries, consume complex vitamins.
- With the first manifestation of unpleasant sensations - seeking a doctor.
As a prevention of the occurrence of hip joint cOKSARROSIS, it is recommended to use an exercise bike, as it provides the ideal and uniform load in the hip muscles, which allows them to strengthen and provide printed blood circulation.The exercise bike provides the possibility of choosing the great load parameters, taking into account a person's individual state, which does not allow the formation of injury, as well as the occurrence of complications.
Consequences and complications
The complications of hip joint arthrosis are very significant - the destruction of cartilage tissues, the destruction of the joint, the occurrence of gout, arthrosis (other joints), tissue necrosis and the occurrence of inflammation processes.
In the absence of competent treatment, motor function comes down to zero, severe atrophy of the limb muscles, buttocks occurs, the chroma manifests itself.In the last step, a person cannot get up without foreign help.Against the background of arthrosis, other pathologies of all body systems and organs emerge.