Hip joint arthrosis is a complex disease with specific symptoms and complex treatment.The disease occurs against the background of metabolic disorders in the cartilaginous tissue of the joint cavity and femur head.
Hip arthrosis or cOKSARROSIS is more common in the elderly.It is generally accepted that an inflammatory reaction plays the main role in the pathogenesis of the disease.After a large number of studies, it was proved that arthrosis occurs with atherosclerosis and diseases with metabolic disorders.
The essence of the disease
COKSARTROSIS is a disease based on metabolic disorders with atrophic and degenerative changes in hip joint cartilage tissue.
You cannot confuse arthrosis with arthritis.Unlike arthritis with arthrosis, non -infectious (aseptic) inflammation occurs, which develops and progresses for many years.
Developmental pathogenesis:
- Violation of metabolic processes in cartilage.Cartilage tissue receives nutrients using diffusion.The smallest inflammation or edema leads to a lack of traces and minerals.
- At the bottom of nutritional harmed processes, atrophic changes begin, cartilage tissue is refined, the amount of joint fluid and chondroblasts decreases.
- Due to insanity and destruction of the cartilage, intense pain begins, there is a decrease in the amplitude of joint movements.
- Cartilage fabric is very sophisticated, the fabulous slit is narrowing, joint dystrophy occurs.
Until the beginning of dystrophy, for more than a year it occurs.The disease can only be interrupted in the early stages, with the development of the third stage of osteoarthritis, treatment aims to reduce symptoms and claiming the patient's life, an alternative to medicines - endoprotichetics.
Reasons
The disease is polyetiological, there are many conditions and factors that can lead to arthrosis or cause its progression.If the causes of hip joint arthrosis are not detected, this disease is called idiopathic arthrosis.
The disease is not hereditary, but genetic pathologies in which cartilage dysplasia occurs may cause hip joint arthrosis.
In addition, the cause of cOKSARROSIS can be these diseases:
- Perthine Syndrome - A characteristic sign of the disease is a violation of nutrient delivery to the tissue of the articulation and femoral head.It occurs in childhood, especially the boys are sick.
- Congenital dislocations and femoral subluxation.In the lesion process, an inflammatory reaction and aseptic melting of the cartilage tissue and the femoral head may occur.
- Femoral head necrosis.It occurs due to damage to the upper artery, which is attached to the top of the head.
- Rheumatoid and juvenile arthritis.In the context of the action of its own toxins or antibodies, exudative inflammation develops in the joint.
Given the fact that the disease progresses slowly, the disease may be on one side and two.
There are many factors that contribute to the occurrence of arthrosis, they include:
- spine diseases (kyphosis, lordosis, scoliosis);
- metabolic diseases of connective tissue;
- violation of blood supply to the joint;
- Atherosclerosis of large vessels;
- Stress states;
- hip dysplasia;
- Congenital deformations of the lower ends;
- infectious diseases;
- inactive lifestyle;
- Alcohol intake, smoking;
- Elderly age.
Do not forget that the people involved in stretching have a great risk of developing arthrosis in adulthood.
In addition, one of the reasons can be traumatic damage to the components of the joint.After tissue damage, an inflammatory reaction occurs as a result of which cartilage can be replaced by connective.
Symptoms
Due to the fact that the disease is slowly progressing, the patient does not always pay attention to his first signs.It should be noted that, with early diagnosis, the chances of remission of the disease increase.It is very important to start treatment earlier, as this is possible to avoid the occurrence of ankylosis and complete osteoarthritis.
With hip joint arthrosis, symptoms may occur with different intensities, depending on the loads and the degree of the disease.
Clinical image of hip joint osteoarthritis:
- Painful sensations that become intense pain on the front and side of the thigh.Patients complain that the thigh hurts a lot during the curve or the load in the joint.
- The unpleasant sensations that arise in the groin when walking are sometimes combined with thigh pain.
- The rigidity and limitation of limb mobility in the hip joint.First, the function of setting aside suffers and then everyone else.
- Unpleasant sounds when walking, the joint can click or grind.Constant pathological sounds may be the only sign of the disease.
- Morning stiffness, which spends in a few hours or before dinner.
Sometimes, ignoring possible consequences, people begin to take medications for symptomatic therapy and thus mask the progression of the process of destruction in cartilage.
Degree of disease
The clinical picture depends on the degree of arthrosis of the hip joint and the patient's body reactivity.If symptoms occur, as a rule, changes in X -rays occur. In medical practice, it is customary to distinguish three radiological stages, each of which has its own characteristics.
The degree of arthrosis in relation to changes in X -ray:
1st degree arthrosis
He goes on with minimal clinical manifestations and therefore patients rarely seek help from a doctor.With an early diagnosis of the disease, the patient increases the chances of complete recovery.The initial period of the disease is characterized by minor pain in the pelvis and thigh, the pain increases in the bottom of the physical exertion or the prolonged walk.Secondly, in terms of frequency of manifestation, there is a symptom of groin pain.In 1 degree, the pain is pulling and rarely occurs.The volume of movements is fully preserved.In a -x ray, small changes are visualized.
2nd degree
In the case of a second degree, the patient begins to disturb the more acute and frequent pain that may occur at rest.Symptoms, as a rule, manifest themselves in night time, and morning stiffness does not pass until dinner.During prolonged transitions, there is a symptom of lameness, a person cannot completely carry the sick joint.The discomfort occurs during flexion or squats, degenerative processes progress in cartilage.At the bottom of such changes, the leg may decrease, occurs atrophy of the hip and pelvis muscles.In radiographs, a narrowing of the joint gap is visible, a periostal reaction grows.A large number of osteophytes is found in the lumen of the joint.
3rd Final Stage or Diffuse of Arthrosis
The third stage is characterized by the occurrence of motor dysfunction of the lower ends.The patient complains of constant pain, which occurs for no reason.There is a limb shortening over 5%, ankylosis occurs, the joint loses the capacity of mobility.The radiography shows the complete closure of the joint gap and a large number of osteophytes at the bottom of the bone deformation.Third degree treatment is performed only by an operational manner.
Treatment Methods
The choice of methodology for treatment depends on the degree of osteoarthritis.In the early stages, a comprehensive conservative treatment is used.The most difficult is the second stage, since conservative therapy is ineffective and indications for the operation are not sufficient.It is completely possible to cure arthrosis only with the development of the first degree of the disease.
After making a diagnosis of hip joint arthrosis, the doctor chooses the treatment methods.The most commonly used:
- conservative treatment with drugs;
- Surgical treatment;
- Exercise therapy and massage.
Each of the treatment methods has its own specific characteristics, variations and objectives.Conservative therapy is used for such purposes:
- The fight against the etiological factor.For example, metabolic or hormonal disorders can be corrected.
- Symptomatic treatment intended to relieve the patient's life and relieve the symptoms of alliteration.For this purpose, non -esteroid anti -inflammatory drugs are used.Most of the time, sodium diclofenac, nimesulide and ibuprofen are used in NSAIDs.
To get rid of constant pain, NSAIDs are taken almost every day, and this can affect the patient's gastrointestinal tract and cause the development of peptic ulcer.
Surgical intervention is indicated with the third degree of arthrosis and is the only method for restoring the walk function.The essence of the methodology is the complete or partial replacement of joint joints with titanium endoprostheses.
Media Physical Education is an integral part of any rehabilitation measures.Exercise therapy and massage aim to improve blood flow in the joint.In addition, exercise therapy is used to reduce the risk of ankylosis.
You should be careful when exercising as it may damage joint osteophytes.Tactics and exercises should be selected by a doctor based on individual characteristics and the clinical image of the disease.