What is deformed hip joint articulation and why
The articularity of the hip joint (also known as dioxide and hip deformation osteoarthritis) is one of the most common pathology of the bone and muscular system.In Russia, this disease is the main cause of disability in patients with joint diseases.
For reference
Coksartrosis is a chronic inflammation of the hip joint, characterized by premature destruction of cartilage, shrinking of joint space and reduced mobility of legs from the lesions.
Figuratively, problems with people suffering from hip joints can be compared with unlubricated circulating doors.Due to the lack of "lubrication" inside the joint, the bones begin to contact, which can cause pain and constraints (such as squeaking doors, tight routes to the door).Later, if the disease is ignored, a product ("rust") appears on the bone surface, which increasingly restricts the movement of the joint and due to adverse consequences, it stops achieving its function.
Hip articulation is usually considered an age problem.Statistics confirm this view: 40 years later, ten diagnoses have been made, of which 60 years later - one of three patients, 80% of whom are 70.
Therefore, among the causes of hip osteoarthritis, the following most significant differences are:
- Innate joint development is impaired (dysplasia) and does not manifest until adulthood;
- premature wear of joints that occur due to heavy loads from athletes or obesity;
- Injuries and infections that affect the musculoskeletal system;
- Other diseases of the musculoskeletal system that lead to pathological redistribution of joint load;
- Violation of blood supply to the joint (for example, caused by arteriosclerosis).
Doctors believe that multiple factors can cause hip arthritis, so in patients with the disease, the pathological process occurs earlier, just like obese patients, diabetes, diabetes or ischemic damage to the heart.
Competitive symptoms
The first sign of the joint is pain after physical activity.In the groin area, unpleasant sensations appear on both the thighs and knees.
This is very important
Usually, with Coxsa's illness, the pain initially concentrates in the knee joint, and a person speaks to the doctor with such a complaint.Inexperienced doctors can prescribe X-rays in the area and make a false diagnosis if a minor change occurs - a first-level provocative effect.As a result, time will be missed.Therefore, in the case of leg pain, it is worth taking the time to find a qualified orthopedic physician and a good orthopedic clinic.
If treatment for Coksarrosis is not started in the early stages, the following symptoms can add to pain: stiffness and tightness in the joints, changes in gait (usually to avoid feeling unpleasant, the patient spreads his legs outward and walks from side to side - forming a "duck" gait), lying.Over time, pathological processes can lead to atrophy of the hip muscles and visual shortening of the diseased limbs.In later stages, osteoarthritis in the hip develops ankylosing - the femur is completely fenced with the pelvis, which is why the legs are fixed in one position and perform only support functions.
Disease degree
To facilitate diagnosis, doctors distinguished three binary joints:
- 1 degree osteoarthritisThe hip joint was set for moderate pain manifestations and there was no constraint during exercise.With radiographing, the joint space and the narrowness of single bone born, bone plants are significantly narrowed.Five championships in the first grade can be blocked by eliminating the symptoms of the disease when properly treated.
- 2 degreesEven in the rest of the legs, it is accompanied by pain.Movement in joints is difficult: a person cannot lift and extend his legs to the side.The pain is especially noticeable when trying to spread the straightened leg foot to the right and left.The patient is very lame and sometimes tightening is heard in the joints.In X-ray pictures - deformation of the femoral head, numerous bone plants and narrowing of the joint space every third.Treatment measures can pause the course of the disease for many years.
- exist3 degrees of competitivenessThe pain in the joints does not subside throughout the day, and the atrophy of the muscles in the thighs and buttocks develops - a person's entire body seems to be lesion-like.X-rays indicate the narrowness of the gaps between the gaps and the narrowness of the narrowness until the complete connection of the bone surface.Often, treatments do not give a tangible effect - joint replacement is required for the prosthesis.
To diagnose deformation of osteoarthritis, it is used as an external test where doctors study leg mobility, evaluate patient gait and appearance, and radiograph.In the correctness of the diagnosis, experts also stipulate the direction of hip magnetic resonance tomography (MRI).
How to treat hip arthritis
The struggle with Cokesarrosis requires participation in a variety of methods: from drug and physical therapy exercises to joints and surgical joints, which are often prescribed, as this is often intended to fail the attempt to develop the disease.
Conservative treatment
Non-surgical treatment requires time and financial costs, but in the long run it can improve the quality of patients' lives - to eliminate the need for surgical procedures.The first thing an orthopedic doctor prescribes Coksartrosis is medications that reduce pain and inflammation (non-alternative and steroid anti-inflammatory drugs, muscle relaxants).In order to activate blood supply in the field of arthritis and restore cartilage tissue, vascular subtropical drugs and cartilage protective agents were prescribed.Furthermore, patients can provide a modern method to stimulate the regeneration process - varicose veins, in which the patient's blood components are injected into a pathological focus.These measures are most effective for osteoarthritis of the first and second severity of hip joints.
Non-surgical treatment methods
In addition to tablets, ointments and injections, the treatment of carbon dioxide requires the use of physical therapy and exercise therapy as well as dietary corrections.Experienced orthopedics develops a helping strategy that allows people with hip arthritis 1 and 2 degrees to avoid internal main mindset and limit the need for medication.
physiotherapy
- Shockwave Therapy (UVT)It is used in cardiology, neurology, orthopedics and sports medicine.The basis of the impact on the human body is sound waves that provide blood flow to the areas needed by the human body, thereby stimulating the regeneration process and accelerating metabolism.This relatively new approach has shown significant results in treating diseases of the musculoskeletal system and has become one of the most popular diseases.
- Muscle stimulationIn competitive situations, it aims to restore muscle function, which is weakened by forced limitations in joint movement.
- voiceIt combines the advantages of ultrasound and the effects of medication on the human body: under the influence of the device, a drug in the form of an ointment or cream penetrates the hip more effectively on the skin.
- Ozone therapyReduce unpleasant sensations and activate the growth of cartilage due to the properties of the vermicelic acid mixture.
Exercise therapy
- Exercise therapyIt is considered the basis for successful treatment of any joint positioning: the regular implementation of a special motor system enhances ligaments and muscles around the aching joint, thereby reducing discomfort with the usual daily load.
- massage(including lymphatic drainage) and manual therapy targets passive work of muscles, ligaments and joints.The methods used to help patients with carbon pentoxide reduce the need for tablets and injections, thereby reducing the pharmacological load in the body.
- Mechanical TherapyIt means working with simulators that help exercise joints without a lot of physical effort, which is especially demanded among older patients.
- United TransportationWith the help of a manual therapist’s special traction device or hand of the hand, it increases space inside the joint, thus “sending” the pathological process within a few steps, promoting symptoms and giving the body time to restore the function of the hip joint.
Dietary Therapy
All patients with Coksartrosis are required, but are most important for obese patients.Losing weight reduces the load on the inflamed joints and improves metabolism.Combined with other conservative approaches, a balanced diet can make you forget the pain and other manifestations of hip arthritis.
Surgical treatment
This group includes procedures performed by operating room surgeons.All of this requires hospitalization and multiple months of recovery, except for the puncture of the hip joint.Thanks to the third-level champion, when conservative treatment does not bring relief, only the prosthetic helps to save the patient from discomfort and pain, thus regaining the pleasure of exercise.
- Puncture (minimally invasive intervention)It means pumping water from the joints of excess fluid, thereby reducing pain and improving leg mobility.It can be repeated, especially when prescribing steroids.
- Arthroscopic debateIt implies that the inner surface of the joint is purified from fragments of altered cartilage tissue and its cavity is washed with a therapeutic solution to relieve inflammation.This operation is performed through several punctures without opening the joint cavity.
- Half osteotomy- Artificial fracture of the femur, followed by fractures surrounding the folded from different angles, thus reducing the load on the joint.This intervention cannot be called a panacea - 2-5 years later, the pain recovered, but in some cases when the internal main heart is impossible, periosteotomy of the hip joint is the best solution to the problem of Cooksa joint disease.
- OptheticsIt means completely replacing the joint with a prosthesis, which can serve up to 20 years.Despite the complexity of the intervention, it is well tolerated by patients of different ages who are preparing for active recovery after surgery.Surgeons point out that a critical condition for success is the initial treatment of obesity and the use of exercise therapy methods to restore muscle strength around the joints.
Preventing osteoarthritis of the hip joint is important for athletes and relatives who have been diagnosed with nostrils after 40 years.Doctors recommend that the risk group monitor this number, beware of injuries (e.g., wearing non-sliding soles with winter shoes) and perform regular fitness.In the first symptoms of hip joints, turn to orthopedics immediately.Treatment of the disease must be conducted with a professional physician and experienced and pay attention to any changes in the patient's health.