Hip joint arthrosis (coksartrosis) is a progressive type of disease, which affects bone tissue and cartilage joints (up to destruction).Usually after 40 years, in people who have the ability to show itself due to the negative effects of various factors, many sports and physical plans, obesity.
Characteristics of diseases
The early stages of the disease are characterized by insignificant pain, but periodically in the joints, practically does not cause anxiety.Gradually, the pathology develops, without treatment can lead to complete mobility (defect).
Under the influence of bad factors, metabolism and blood circulation are disrupted, which negatively affects the cartilage.It becomes less elastic, cracks are formed on the surface.The progress of the disease forms its cartilage, cracking and abrasion.
Usually particles fall into the joint cavity, which is the basis of the inflammatory process.Gradually, the inflammation process extends to the bone, which causes deadlife to the plot, an additional bone growth is formed, which seriously injures the soft tissue and causes serious pain.
Cause
- Traumatic influence,as well as the implementation of complex physical training, professional sports.All of these reasons are often 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 joints,Not only timely, also the cause of arthrosis can be scoliosis, kyphosis, which is spinal curvature.
- Flat feetCreating improper distribution of loads on the spine and pelvic area, which forms microtrauma joints.
- Infectious disease,as well as arthritis.Gout where serious inflammation processes are formed, which makes the arthrosis more intense.
- With arthritis,As well as all types of cartilage type tissue defects.
Idiopathic or primer arthrosis is most commonly formed in old age because of natural joint wear, characterized by a feature of symmetry lesions, has unfavorable courses (often it is possible to suppress manifestations, but complete healing is almost impossible).
Secondary coksartrosis develops most frequently against the background of other diseases - degenerative, injury, vascular damage or soft tissue, diabetes, overweight with metabolic disorders, etc.
Degree
- 1 degree.It proceeds almost symptoms, so the patient feels accidentally.There is still a manifestation, and if you start treatment timely, this is a complete recovery.Patients experience periodic pain in the pelvic area, the mobile function remains the same, but in picture X -Ray you can see immediately, though a little, but still narrow the gap between the joints.The first degree is treated through a conservative nature.
- 2 degrees.In the absence of treatment, the disease occurs, the discomfort increases, the smaller function of the motor is formed, the manifestation gradually becomes more prominent, and the deficiency is provoked during prolonged walking, and morning pain occurs.The muscles in the feet and buttocks can change and dry.At this stage, drug treatment is prescribed, combines the removal of inflammation, slowing down the development, and restoring cartilage type tissue.
- 3 degrees.The hardest (end).At this stage, a violation of a motor type is formed, one can be a disabled person.The pain becomes persistent, physical activity is almost impossible, shortening one limb occurs.Surgical intervention is used as a treatment, after which anti -painkillers and painkillers are prescribed.Preparations that restore cartilage type tissue are also prescribed.
Why is arthrosis dangerous?
The most effective will be treatment in the first stage.If there is a shortage of treatment in the second stage, then tissue necrosis will be a consequence.The formation of osteophytes, the process of inflammation (in certain cases of purulent).
In the third stage, joint articulation occurs, which almost completely interferes with the function of movement.One can only move with a stick or a stick.
Symptom
1 degree:
- The effects of periodic pain in the pelvic joints, it occurs most often with significant sports or physical work.
- The effects of pain in pain, which occur after a small break.
- This movement is unlimited.
2 degrees:
- The discomfort is stronger, the performance of physical training is almost impossible.
- Difficult for your shoes, bend your feet in the joints, bring it to the side.
- When walking, serious shortcomings are formed (someone sway from side to side).
- After waking up, serious pain occurs, within minutes of limited motor function.
- Muscle atrophy -The body of the body occurs, during X -Ray, necrosis, growth of osteophytes, joint and bone deformation can be diagnosed.
3 degrees:
- The pain becomes unbearable, permanent, disturbed sleep, serious depression occurs.
- One limb, as a rule, is 10% shorter (due to joint destruction), additional pathology of the joint is developing, which forms the absence of complete motor function.
- While walking - a strong shortage.
Diagnostics
- Visual inspection.
- Clinical trials.
- X -ray.
- Computer type tomography.
- Ultrasound research.
Characteristics of treatment
- Anti -anti -properties -Sifat is a symptom agent that reduces the effects of pain and reduces the spread of inflammation (meloxicam, celloxib, sodium diclofenac, phenylbutazone).
- In the second stage, glucocorticoids, a more effective drug that reduces the manifestation of discomfort and inflammation (triamcinolone acetonide) is prescribed.
- Chondroprotectors - Cartilaginus tissue recovery, normalization of fluid production (synovial), preventing the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, this product is introduced into the joints as a substitute for liquid, to lubricate the surface of the joints.
- Musorelaxants are drugs that reduce muscle cramps, and also normalize the normal functioning of the circulatory system (tolperisone hydrochloride).
- Physiotherapy - sound wave effect, phonophyesis, ozone therapy.
- Surgical intervention (puncture, endoprosthetics).
Gymnastics and therapeutic massages are also used (done only by experts).
Prevention
- Weight control (proper nutrition, physical activity).
- With significant sports and physical work, mandatory breaks.
- Prevents injury, taking vitamin complex.
- With the first manifestation of unpleasant sensations - find a doctor.
As a prevention of coksartrosis of hip joints, it is recommended to use exercise bikes, as they provide an optimal and uniform load on the hip muscles, allowing them to strengthen, as well as provide better blood circulation.The training bike provides the possibility of choosing the optimal load parameters taking into account one's individual condition, which does not allow the formation of injury, as well as complications.
Consequences and complications
Complications of hip joint arthrosis are very important - the destruction of cartilage tissue, joint destruction, gout, arthrosis (other joints), tissue necrosis, and inflammation.
In the absence of competent treatment, motor function goes down to zero, serious atrophy of the muscles -The body of the limbs, the back occurs, the chroma is indicated.In the last stage, one cannot get up without outside help.Against the background of arthrosis, other pathologies of all systems and organs arise.