Hip joint arthrosis (cocsartrosis) is a progressive type of disease, which affects joint cartilage tissue and tissue (to destruction).Most often occurs after 40 years, in healthy people manifesting themselves because of the negative impacts of various factors, many sports and physical plans, obesity.
Disease features
The initial stage of this disease is manifested by insignificant pain, but periodic in the joints, practically does not cause concern.Gradually, pathology develops, without treatment can cause complete loss of mobility (disability).
Under the influence of adverse factors, metabolism and blood circulation are disrupted, which negatively affects cartilage.It becomes less elastic, cracks are formed on its surface.The development of disease forms cartilage deformation, cracks and abrasion.
Often particles fall into the joint cavity, which is the basis of the inflammatory process.Gradually, the inflammatory process extends to the bone, which causes death in the plot, as well as bone growth is formed, which seriously injures soft tissue and causes serious pain.
Reason
- Traumatic influence,and implementation of complex physical exercise, professional sports.All of these reasons are often the basis for the development of arthrosis without proper and timely treatment, and the right lifestyle.
- The occurrence of joint microtrauma,Which is not cured in a timely manner, also the cause of arthrosis formation can be in the form of scoliosis, kyphosis, namely the curvature of the spine.
- Flat legMake an incorrect load distribution on the spine and pelvic area, which forms a connection microtrauma.
- Infectious diseases,and arthritis.Gout where the process of inflammation is seriously formed, which makes the arthrosis stage more intense.
- With arthritis,and all types of cartilage tissue defects.
Idiopathic or primary arthrosis is most often formed in old age due to the natural wear of the joints, characterized by the symmetrical characteristics of lesions, having an unfavorable way (most often possible to suppress manifestations, but complete drugs are almost impossible).
Secondary cocsartrosis develops most often against the background of other diseases - degenerative, injury, damage to blood vessels or soft tissue, diabetes, overweight with metabolic disorders, etc.
Degrees
- 1 degree.It produces almost without symptoms, so the patient is felt reckless.There are still manifestations, and if you start treatment on time, this is a complete guarantee of recovery.Patients feel periodic pain in the pelvic area, cellular function remains the same, but in Figure X -Ry you can immediately see, even a little, but still narrows the gap between the joints.The first level is treated through conservative methods.
- 2 degrees.In the absence of treatment, this disease develops, discomfort increases, slight limitations of motor function formed, manifestations gradually become clearer, and imbalances are provoked during prolonged running, and morning pain occurs.The muscles in the legs and buttocks can change shape and dry.At this stage, drug treatment is prescribed, combines the elimination of the inflammatory process, slows down development, and restoring cartilage type tissue.
- 3 degrees.The most difficult (final).At this stage, violations of the type of motorbike are formed, a person can become a disabled person.Pain becomes constant, physical activity is almost impossible, shortening one limb occurs.Surgical intervention is used as a treatment, after that anti -inflammatory and painkillers are prescribed.Preparation that restores cartilage tissue is also prescribed.
Why is arthrosis dangerous?
The most effective is treatment in the first stage.If there is a lack of treatment in the second stage, then tissue necrosis will be a consequence.Osteofit formation, the inflammatory process (in certain cases of purulent).
In the third stage, joint articulation occurs, which almost fully interferes with the function of the movement.One can only move with a stick or stick.
Symptom
1 degree:
- The effect of periodic pain in the pelvic joints, it is most common with significant exercise or physical activity.
- The effect of pain from the illness, which occurs after a small rest.
- This movement is unlimited.
2 degrees:
- The inconvenience is stronger, the performance of physical exercise becomes almost impossible.
- Difficult for your own shoes, bend your feet in the joints, bring it to the side.
- When walking, serious imbalances form (someone swaying from side to side).
- After waking up, serious pain occurs, in a few minutes the function of the motor is very limited.
- The leg muscles atrophy occurs, during x -ray, necrosis, osteofit growth, joint and bone deformation can be diagnosed.
3 degrees:
- The pain becomes very unbearable, constant, disturbed sleep, serious depression occurs.
- One member of the body, as a rule, is 10% shorter (due to the destruction of the joints), the additional pathology of the joints develops, which forms the absence of complete motor functions.
- When walking - strong inequality.
Diagnostic
- Visual inspection.
- Clinical test.
- X -Ray.
- Computer type tomography.
- USG Research.
Treatment features
- Types of anti -inflammatory of non -steroidal properties are symptomatic agents that reduce the effects of pain and reduce the spread of inflammation (meloxicam, celloxib, sodium diclofenac, phenylbutazone).
- In the second stage, glucocorticoids, more effective drugs that reduce the manifestation of discomfort and inflammation (triamcinolone acetonide) are prescribed.
- Chubontrotector - Recovery of cartilage tissue, normalization of fluid production (synovial), preventing the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, this product is inserted into the joints as a substitute for fluid, to lubricate the surface of the joints.
- Musorelaxan is a drug that reduces muscle spasms, and also normalizes the normal function of the circulatory system (tolperison hydrochloride).
- Physiotherapy - Effects of sound waves, phonoforesis, ozone therapy.
- Surgical intervention (stab, endoprosthetics).
Therapeutic gymnastics and massage are also used (only done by specialists).
Prevention
- Weight control (proper nutrition, physical activity).
- With significant exercise and physical activity, mandatory rest.
- Prevent injury, consumption of vitamin complexes.
- With the first manifestation of an unpleasant sensation - looking for a doctor.
As a prevention of the hip joint cocsartrosis, it is recommended to use a sports bicycle, because that provides optimal and uniform burdens on the hip muscles, which allows them to strengthen, and provide better blood circulation.The exercise bicycles provide the possibility of choosing an optimal load parameter by considering the condition of a person's individual, which does not allow the formation of injury, as well as complications.
Consequences and complications
Complications of hip joint arthrosis are very significant - destruction of cartilage tissue, joint destruction, uric acid, arthrosis (other joints), tissue necrosis, and the occurrence of inflammation.
In the absence of competent treatment, motor function empties into zero, serious atrophy of the muscles of the extremity, the buttocks occur, the kroma is manifested.In the last stage, a person cannot wake up without outside assistance.Against the background of arthrosis, another pathology of all systems and organs of the body appears.