The hip joint (coksartrosis) arthrosis is a progressive type that affects the joint bone and cartilage tissue (until destruction).Most often it occurs after 40 years, with talented people due to the negative effects of various factors, sports and physical plans, and obesity.
The characteristics of the disease
The initial stage of the disease is insignificant, but the joint pain is practically no concern.Gradually, pathology develops, and without treatment, it can cause the total loss of mobility (disability).
Damage to harmful factors, metabolism and blood circulation are disturbed, which negatively affects the cartilage.It will be less flexible, cracks develop on its surface.The progression of the disease is the deformation, crack and wear of cartilage.
Particles often fall into the arthritic cavity, which serves as a basis for inflammation.Gradually, the process of inflammation extends to the bones, which causes the deaths of the parcels, and the increase in bone, which is severely damaged by soft tissues and causing severe pain.
Reasons
- Traumatic influences,and the implementation of complex physical exercises, professional sports.All these causes often serve as a basis for the development of arthrosis in the absence of joint treatment and a good lifestyle.
- The occurrence of the joint microtrauma,Which were not at the right time, the cause of arthrosis may be the cause of skoliosis, kyphosis, ie the curvature of the spine.
- Flat legsIn the area of the spine and the pelvis, it creates an improper distribution of load, which forms the microtrauma of the joint.
- Infectious diseases,and arthritis.Gout, which develops severe inflammatory processes that make the stages of arthrosis more intense.
- With arthritis,and all kinds of faults of cartilage -type tissues.
Idiopathic or primary arthrosis is most often formed in old age due to the natural wear of the joints, which are characterized by symmetrical characteristics of the lesion, with an unfavorable way (most often it is possible to suppress manifestations, but the total cure is almost impossible).
Secondary coksartrosis is most commonly caused
Degree
- 1 degree.It is almost asymptomatic, so patients are easily detected.There are still manifestations, and if you start treatment on time, this is a complete guarantee of healing.The patient feels periodic pain in the pelvic area, the mobile function remains unchanged, but it can be seen immediately in the X -try image, even by relieving the gap between the joints.The first stage is treated with conservative methods.
- 2 degrees.In the absence of treatment, the disease progresses, an increase in discomfort, a slight restriction of motor functions, the manifestations are gradually emerged, and the lameness is provoked during a longer walk and the morning pain occurs.The muscles of the feet and bottoms may deform and dry.At this stage, drug treatment is prescribed, combining the removal of inflammatory processes, deceleration and the restoration of cartilage -type tissues.
- 3 degrees.The hardest (final).At this stage, the engine type violation develops and one person may become disabled.Pain becomes constant, physical activity is almost impossible, abbreviation for one limb.Surgery is used as a treatment and then prescribed anti -inflammatory and analgesics.The cartilage -type tissues are also restored to preparations.
Why is arthrosis dangerous?
The most effective treatment in the first stage.If the second stage is missing treatment, the tissue necrosis will be a result of tissue.Osteophytes, the development of inflammation (in some cases confused).
In the third stage, articulations of joints occur, which almost completely disrupts the function of the movement.You can only move with crutches or sticks.
Symptoms
1 degree:
- The periodic pain of the pelvis joint is most often found with significant sports or physical efforts.
- The pain of pain that takes place after a less rest.
- Motion is not limited.
2 degrees:
- The discomfort is stronger, and the performance of physical exercises becomes almost impossible.
- It is difficult to turn your shoes, bow your feet to the joint and take it to the side.
- During a walk, there is a serious lame (man fluctuates from the side to the other).
- After awakening, severe pain occurs, and the engine function is severely limited within minutes.
- The atrophy of the limbs is an X -Sray, during necrosis, the increase in osteophytes, the deformation of the joint and the bones can be diagnosed.
3 degrees:
- The pain simply becomes unbearable, constant, sleep disturbed, severe depression.
- One limb, usually 10% shorter (due to the destruction of the joint), develops additional pathologies of the joint, which is a complete lack of motor function.
- Walking - strong lame.
Diagnosis
- Visual control.
- Clinical trials.
- X -Ray.
- Computer tomography.
- Ultrasound research.
Characteristics of treatment
- The anti -inflammatory type of non -steroid nature is a symptomatic agent that reduces the pain effect and reduces the spread of inflammation (meloxicam, mobeoxib, sodium dichlofenac, phenylbutazone).
- In the second phase, glucocorticoids, more effective drugs that reduce discomfort and inflammation (triamcinolone -acetonide).
- Chondroprotectors - the restoration of cartilage tissue, normalization of fluid production (synovial), prevent cartilage destruction (sodium -chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced into the joint as a replacement of fluid to lubricate the surface of the joints.
- Musorelaxant are drugs that reduce muscle cramps and normalize the normal functioning of the circulatory system (tolperison hydrochloride).
- Physiotherapy - Effect of sound waves, phonophoresis, ozone therapy.
- Surgical intervention (puncture, endoprostics).
Therapeutic gymnastics and massage are also used (only by professionals).
Prevention
- Weight control (proper nutrition, physical activity).
- Significant sports and physical efforts, mandatory rest.
- Prevention of injuries, consumption of vitamin complexes.
- With the first manifestation of discomfort - seeking a doctor.
It is recommended to use a training bike as a prevention of cokectrosis of the hip joint, as it provides optimum and uniform burden on the muscles of the hip, which allows them to confirm and provide better blood circulation.Practical bike provides an opportunity to select optimum load parameters, taking into account the individual condition of a person that does not allow injuries and 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 incidence of gout, the arthrosis (other joints), the tissue necrosis and the incidence of inflammatory processes.
In the absence of competent treatment, motor function is zero, severe atrophy of the limb muscles, buttocks, and chromium manifests.In the final stage, one cannot get up without outside help.In the background of arthrosis, other pathologies of every system and organs of the body are encountered.