The symptoms and treatment of osteoarthritis of the hip joint

If you have periodically felt aching pain in the thigh, consult a doctor. There is a great risk that the patient with such complaints will be determined by the diagnosis: osteoarthritis of the hip joint – symptoms and treatment of this disease should not scare you. This disease can be easily treatment and prevention. Missed pathology is a guarantee of successful treatment.

osteoarthritis of the hip joint

What is osteoarthritis of the hip joint

In the scientific environment there are several names for this disease: osteoarthritis, arthrosis deformans and osteoarthritis. Osteoarthritis of the hip joint is a chronic inflammatory pathology in which the cartilage is gradually destroyed, reduced mobility of the limbs, narrows the inter-articular gap. Speaking figuratively, the joint is a mechanism with moving parts, in which over lubrication, parts begin to wear out. Because of lack of lubrication between the bones starts friction, causing soreness, stiffness.

If you ignore the problem, on the surfaces of the articular head formed a kind of corn-growths that hang into each other and interfere with the normal movement of the feet and sometimes does lead to loss of motor function. Coxarthrosis is considered to be age problem. About 10% of people get sick after 40 years, sixty percent of patients is fixed at around 30%.

In people over 70 years, osteoarthritis is diagnosed in 80% of cases. In recent years, statistics "younger", and often the disease is found in young people, mainly because of sedentary lifestyle, obesity, excessive corporis onera and injuries. Arthritis is a serious disease and not to self-medicate, which will only complicate the situation, subsequently leading to disability.

Where is the hip joint

It is the largest bone in the human system, connecting the femoral head with the acetabulum of the pelvic cavity. He strengthened the outside of the joint capsule, muscles and ligaments. Inside joint capsule has a synovial sheath, through which is synthesized by synovial fluid – the same biological lubrication, nourishes the joint and providing it a smooth, painless movement.

All surfaces of the bones are covered with hyaline cartilage tissue that performs a shock absorbing function and softens the pressure of the hip joint during movement. They account for the main load during the movement, the joint has a narrow inter-articular gap, which makes the bones vulnerable. If the structure of the articulation correct, there is no deformation, inflammation, the motion is without pain and limitations.

Unfortunately, with age, bone changes occur: the violation of intra-articular metabolism, blood circulation. Cartilage loses water, becomes brittle, less elastic and prone to cracking. The particles of the destroyed cartilage are deposited in joint cavity, causing aseptic inflammation. With the progression of the disease the inflammation extends to the bone, causing the occurrence of avascular necrosis or necrosis parcel femoral head and acetabulum.

the symptoms of osteoarthritis

Symptoms of coxarthrosis

Medicine knows a number of total symptoms coxarthrosis of the hip joint that change the intensity as the progression of the disease. Characteristic symptoms of osteoarthritis of the hip joint are:

  1. Pain in the groin area with innervation in the knee. The patient may experience discomfort at any time of the day.
  2. There is a contracture (stiffness) at the movements.
  3. Claudius.
  4. Shortening of the limb.
  5. The weakening or complete atrophy of the muscles.

Osteoarthritis of 1 degree

In the early stages signs of coxarthrosis of the hip joint fuzzy passing. Why people do not seek help to the hospital, hoping "at random", and this only exacerbates their condition. Full recovery is guaranteed only with timely detection of the disease is the 1st stage when it is still possible to resolve with conservative therapy. For osteoarthritis of the hip joint of 1 degree characteristic symptoms:

  1. Periodic aching, dull pain after exercise which decreased after the holidays.
  2. Discomfort in the groin area (often the only symptom).
  3. Limitations in movement is not observed.
  4. The x-rays revealed slight narrowing interarticular cracks.

Coxarthrosis 2 degrees

In the process of proliferation of the pathological process and in the absence of treatment, the pain increases appear already at small loads, usually in the evening. If the structure is severely damaged, then it can hurt even while resting, especially at night. In addition to pain, coxarthrosis of the hip joint 2 degree characteristic features:

diagnosis of disease
  1. Lameness or gait vraskachku. As a result of inflammation and destruction of cartilage and periarticular tissues, the amount of movements of the limb, limited.
  2. Difficulty in flexing the legs, diverting it to the side, find it difficult to wear shoes.
  3. Contracture after prolonged immobility. The discomfort passes when moving, and again after intensive exercise the pain returns.
  4. Shortening of the legs, reduction in volume of the muscles of the buttocks and thighs with hand of the pathological process.
  5. On the x-ray revealed necrosis of femoral head, iliac bone, the narrowing of the inter-articular slits, the growth of osteophytes (outgrowths).
  6. An MRI or CT scan shows the presence of fragments of cartilage, the inflammatory process in the surrounding soft tissues.

The osteoarthritis grade 3

When the patient's disease is so far advanced that the limb stops moving, constant pain disrupt sleep, cause irritability, then we can talk about osteoarthritis of the hip 3 degrees. In addition to the described symptoms are observed:

  1. Shortening or lengthening the leg – it may depend on the deformation.
  2. Ankylosis of the joint with the inability to make any movement.
  3. A strong limp.
  4. X-ray and CT scan show that the cartilage layer is completely destroyed, notably the destruction of the articulation, formed of large osteophytes.

At this stage conservative treatment is impossible. Drug therapy is prescribed only to maintain and anesthesia. Recommended surgery to replace the joint, after which a period of rehabilitation is assigned to physiotherapy for muscle-toning and recovery activity. Treatment may well have a good outcome if diagnosis is done correctly, and the therapy started immediately.

Causes osteoarthritis hip joint

A significant reason of osteoarthritis of the hip joint is often excess weight. If the cause of the disease is not established, talk about idiopathic or primary coxarthrosis, which is predominantly diagnosed in people over 60 years of age, and is symmetrical. Secondary osteoarthritis has a specific cause, often found in people of young age and is one-sided. The disease at this age may develop for several reasons:

  • congenital dislocation of the femoral head (the wrong location in the acetabulum);
  • metabolic disorders – gout, diabetes;
  • dysplasia is a disturbance in the anatomical development of the proximal joint;
  • infection – bacterial coxitis;
  • chondromatosis – emergence of formations that damage the cartilage;
  • epiphysiolysis of the femoral head occurs in children;
  • necrosis of the femoral head;
  • Perthes disease;
  • rheumatoid arthritis;
  • osteoarthritis – necrosis resulting from radiation treatment of cancer;
  • trauma – a fracture of the acetabulum, femoral neck fracture, dislocation, etc.
treatment osteoarthritis hip joint

Treatment osteoarthritis hip joint

The primary objective in the treatment of osteoarthritis of the hip joint is pain relief, preservation and improvement of mobility of the limbs, slowing the development of destructive process. At the 1st stage of treatment is to minimize risk factors: obesity, metabolic disorders, unilateral violations of the axis of the leg. It is necessary that the patient understand how important it is for health to change your lifestyle and diet, to make your life mobile. Other treatments are only supportive.

The complex of measures than to treat osteoarthritis of the hip joint, in addition to medical therapies, include physical therapy treatments:

  • massage,
  • damp heat,
  • heat therapy (alternating cold and heat)
  • medical-gymnastic complex (LFK),
  • balneotherapy (mud therapy),
  • hydrotherapy,
  • electrotherapy,
  • laser curatio,
  • magnetica-laser therapy,
  • the use of orthopedic appliances, orthotics.

If as a result of treatment have not been obtained, shall effect the final stage of the disease, recommended surgery. Given the clinical picture and radiological investigations, the etiology of the pathological process, other factors, assign one of the types of operations on the joints:

  1. Corrective osteotomy.
  2. Arthrodesis.
  3. The endoprosthesis.

Drug therapy

In the early stages of the development of arthrosis can solve the problem using medical therapy. Which drugs are used and what kind of therapeutic effect:

medication
  1. Non-steroidal (not hormonal) anti-inflammatory agents. Able to quickly neutralize the inflammation and pain. Action temporary, symptomatic. Have side effects.
  2. Glucocorticoid hormones. Relieve pain and inflammation.
  3. Chondroprotectors. Eliminate the cause of osteoarthritis by restoring the cartilage tissue, normalizes the synthesis of synovial fluid, preventing degradation.
  4. The hyaluronic acid. Drugs, replacing a synovial fluid. Contribute to smooth motion without pain. Enter the medicinal substance by injection.
  5. The muscle relaxants. Their use helps to ensure normal blood flow, reduce muscle spasms, reduce pain.
  6. Drugs of the local destination. Heat ointments do not have a strong therapeutic action, but reduce pain, relieve muscle spasm.

Exercise therapy in osteoarthritis

After using medical therapy, was achieved a stable result, and the pain no longer plagued by recommended physical therapy for osteoarthritis of the hip joint. This set of exercises to help regain mobility. They contribute to the maintenance of muscle tone and enhancing circulation. To perform the exercises you can at home, it requires no special tools. Some exercises according to the method Evdokimov, which have been described above, can and should be done daily.

Treatment of osteoarthritis of the hip joint folk remedies

Medicine it allows for the treatment of osteoarthritis of the hip joint folk remedies, but it must be in a complex with conservative treatment. It is not proved that a folk remedy for diseases benefit. If you know how to treat folk remedies, and decided that taking decoctions of herbs, rubbing oils, tinctures, compresses the attachment will help you, then speak to your doctor first and do not cancel unauthorized prescribed medication. The most famous folk remedies:

traditional methods for osteoarthritis
  • oil celandine;
  • baths with topinambur and succession;
  • a decoction of Hogweed for grinding;
  • cream white transgressus;
  • confricantes with comfrey;
  • compress with oatmeal;
  • tincture of elecampane root for grinding;
  • confricantes of dandelion;
  • tincture of Bay leaves;
  • tea with cranberries, succession, oregano, mint;
  • confricantes with mint, cinnamon, eucalyptus, pepper, pine kidneys;
  • ointment with propolis.

Prevention of osteoarthritis

The best medicine is prevention of osteoarthritis of the hip joint. The main condition for maintaining the health – nutrition should be balanced, fractional. It is necessary to reduce the consumption of salt, sweets, pastries, fatty foods. To drink more water. The diet should mainly consist of cereals, eggs, vegetables, fruits, dairy products. Such a diet promotes weight loss. Do not be lazy to move about, hike, swim or at least to do morning exercises. It must be done consistently. Remember: movement is life.

20.12.2018