Osteoarthritis of the hip joint: the causes of disease, symptoms, treatment

Osteoarthritis of the hip joint causes a lot of inconveniences to its owner. If you have discomfort in the joint, it is necessary to consult a doctor to confirm the diagnosis and assign effective treatment. Later treatment may cost the patient's ability to walk independently.

osteoarthritis of the hip joint

During the life of the joints of the legs feel heavy load. The hip is a large ball and socket joint, which provides the ability to move independently. The presence of pain, tight movements, limping gait makes you think the person on the emergence of pathology.

Osteoarthritis of the hip joint occurs in every third inhabitant of the planet. Degenerative processes, developing for various reasons, is slowly destroying the joint. Slow the progression of the process leads to serious consequences, making the person disabled.

Osteoarthritis, how joint pathology

Osteoarthritis of the hip joint among medical professionals called coxarthrosis. Pathology affects every cell of the joint, affecting cartilage and bone tissue, synovial membrane, tendons, ligaments and muscles.

Starts to progress osteoarthritis of the hip joint with signs of aging, usually up to fifty years. Sick more often women, in men, the disease is less common, but may appear at a younger age.

This fact is due to several reasons:

  • women for life several times occurs hormonal changes the body, starting from adolescence to the stage of menopause;
  • racing weight make the loading increased;
  • the pregnancy becomes a serious challenge, if not to undertake preventive measures: in addition to a significant increase in weight at the end of the first trimester begins to produce relaxin is the hormone responsible for relaxing ligaments.

The disease destroys the joints, thinner cartilage, contributes to the reduction of the joint space and the growth of osteophytes, which invariably leads to loss of mobility, deformity and intense dolore syndrome.

Causes of disease

Coxarthrosis may develop as a secondary disease to be a complication after traumatic injury, inflammatory processes of infectious origin. Called primary osteoarthritis of the hip joint, the specific reason for which it is impossible to install.

Podiatrists isolated risk factors, the consequence of which may be coxarthrosis:

osteoarthritis of the hip joint causes
  • the possibility of transmission of the disease with the genes of the ancestors in your family history there is arthrosis;
  • congenital or acquired dysplasia;
  • damage at the time of injury;
  • pathological changes in the region of the femur;
  • flat, lesions of the knees;
  • the scoliotic changes of the spine;
  • malnutrition, deficiency of minerals and trace elements;
  • the increase of body weight;
  • disorders of the thyroid gland, adrenal glands;
  • changing the ratio of hormones in the body;
  • the failure of metabolism and water-salt metabolism;
  • sedentary work;
  • age-related changes.

Who often have a disease:

  • older women;
  • members of the professions with the absence of active movements;
  • athletes experiencing heavy loads during training and competitions;
  • patients with diabetes;
  • people with obesity;
  • if you have hypothyroidism with a lack of hormones produced by the thyroid gland.

Symptoms

Osteoarthritis of the hip joint is an insidious disease, which at the initial stage is asymptomatic. Often the pathology is diagnosed when a person develops a second or third stage of coxarthrosis.

In this case, the joint has occurred modification of the fabrics, so when the slightest discomfort should consult with a competent doctor to rule out disease. If, however, the diagnosis is confirmed, the initial stage respond well to treatment and does not lead to such serious consequences, compared to a running state.

Manifestations of the disease:

  • the occurrence of pain, the gain comes from degradation;
  • crepitus during movements of different character;
  • bouts of severe throbbing pain during voltage;
  • reduction of the joint movement;
  • decreased tone and atrophy of muscles leading leg movement;
  • shortening of the limb due to the deformation;
  • limping gait;
  • the development of scoliosis.
osteoarthritis of the hip joint degree

The severity of the disease

The disease has three stages:

  1. The first stage is initial. At this stage the patient starts weak modification in the joint. The cartilage thins out slightly, the composition of synovial fluid changes slightly, causing a slight eating disorder in joints. The process affects the bone, the joint space narrows slightly. The patient feels little discomfort in the hip area after waking up, in heavy traffic, you may receive a slight pain, which itself is at rest. Sometimes you hear a slight crunch, the man continues to walk freely.
  2. The second stage is characterized by deeper lesions: cartilage loses its elasticity, ceasing to perform a cushioning function, the bone thickens and grows in the form of osteophytes, joint space narrowing, synovial fluid becomes thick. Osteoarthritis of the hip joint of the second degree causes severe pain under load, a significant decrease in the amplitude of movement, there is a spasm muscle tissue, the patient begins to limp. This stage is more amenable to conservative therapy, if promptly treated.
  3. At the third stage of coxarthrosis, the situation is much worse. Degenerative changes under the hip: the cartilage becomes thin, the joint space is almost not visible, the bone begins to break down, the whole process is accompanied by inflammation of the synovial membrane. The person experiences persistent pain that will not go away during sleep.

When motion is extreme pain due to the friction heads of the bones into each other. The condition is exacerbated by the pinching of the nerve trunks, at which there is neurological pain radiating to the lower limb of the affected side. The limb is shortened, which further increases the load on the spine and the neighboring joints, there is severe lameness, and in severe cases, immobilization.

Diagnostic measures

To identify the disease in the first stage is not easy. The disease does not manifest itself and does not affect the quality of life of the sick, diagnosing a pathological condition possibly by chance. When the pain and other unpleasant sensations people seek medical advice, and in this case, the doctor prescribes the following methods of examination:

  • laboratory blood and urine tests to detect inflammation, which is present in osteoarthritis of the hip joint;
  • x-ray picture that will show changes;
  • MRI for detailed examination;
  • puncture of the joint capsule for the study of the synovial fluid.

In addition to research on reception the doctor conducts a visual examination of the patient, the state of its musculoskeletal apparatus, collects medical history, studying family history and symptoms. According to the results of a comprehensive survey of the diagnosis and determines the stage of the disease.

osteoarthritis of the hip joint drug therapy

Drug therapy

After confirming the diagnosis of osteoarthritis of the hip joint, the doctor is a complex treatment, consisting of treatment of pharmaceuticals and treatments of physiotherapy. Treatment aims to eliminate symptoms of pain and inflammation termination processes. In severe cases, a surgical treatment with a prosthesis.

NSAIDs effectively relieve pain and are struggling with signs of inflammation. The doctor individually selects a medication and dosage depending on the severity of the condition.

Osteoarthritis of the hip joint need to stop using chondroprotectors'. This pharmacological group, with regular use prevents the tissues to break down.

Vasodilator and improves food preparations are among the mandatory with coxarthrosis. They will help to improve blood circulation.

Muscle relaxants to cope with muscle spasms, that often occurs in this pathology. At the local level, you can use ointments or gels with anti-inflammatory and analgesic effect.

Physical therapy in coxarthrosis

Physiotherapy is an essential part of therapy that directly affects the effectiveness of treatment. Procedure normalize blood circulation, improve metabolism, eliminate inflammation. Each method must be strictly coordinated with the physician in mind of contraindications.

Massage

Osteoarthritis of the hip joint successfully treated with massage in the area affected area. Using this method improves blood circulation, improves muscle tissue, relieves spasms and normalizes food. Popular massage with the use of cans used for different kinds of massaging.

Heat therapy

For thermal effects use mud or clay, which is heated and applied to the affected area in the form of applications. As a result, the joint warms up, increased blood flow and metabolic processes. This method is contraindicated in the presence of the body inflammation.

Turpentine baths yellow and white, taken alternately, bring undeniable benefits in the absence of contraindications, otherwise the disease may worsen.

physiotherapy for osteoarthritis

Magnetic therapy

The use of the apparatus exposed to pulsed magnetic field effective with regular use. The effect of such procedures is cumulative, the maximum is achieved by the end of the course, which often has a duration of 20 days, and stored until the next course, from 2 to 6 months.

The impact of electric current

Electro stimulation cures the disease, positively influencing muscle tissue, strengthening it. Moreover, with the regular procedures pain disappears, and are signs of inflammation.

Therapy with laser and ultrasound

The effect of laser starts the process of regeneration, the effect occurs at deeper layers, reaching the site of pathology. Patients weaken the pain, is swelling, and improves mobility.

Ultrasonic treatment stops the degenerative process, reduces inflammation, eliminates spasm of the nerve endings, thereby relieving neurological manifestations.

Physiotherapy

Gymnastic exercises should pay special attention in case of arthrosis of the hip joint. There are various developed methods of physical therapy, helping to deal with coxarthrosis. Despite this, to draft the complex of exercises needs a doctor who adapts moves and dispenses the load for a particular case.

Diet

Proper nutrition – the basis of treatment and prevention of pathologies. A sufficient amount of vitamins and minerals counteract age-related processes, delaying the aging process.

To force the body to regenerate itself with coxarthrosis, you must follow a simple diet:

arthritis diet
  • to provide a varied diet with lots of vegetables and fruits;
  • limit fatty and spicy foods;
  • to stay hydrated, at least 2 liters a day;
  • to refuse alcoholic beverages;
  • not to overload the body, to have supper not later than 8 PM.

Save easy and painless gait will help proper nutrition, active lifestyles and timely access to a doctor when the first symptoms. To deal with the diagnosis and self-treatment is unacceptable, the disease can progress, causing severe complications, in this case, without surgery can not do.

15.01.2019