Osteoarthritis of the hip joint 2 degree: symptoms and treatment of this disease

Today we will examine such topics as osteoarthritis of the hip joint 2 degrees.

osteoarthritis of the knee

Second degree osteoarthritis of the hip joint can be called "middle, half".

The disease has already manifested specific symptoms, therefore, delivers to a sick person some inconvenience, but the disease has not yet passed to the form when the required operation.

Changes of the hip joint at the second degree of osteoarthritis

Deforming arthrosis of the hip joint develops as a result of the deterioration of the cartilage, as this joint is the largest joint in the human body and therefore the body weight to lie on him.

And when traveling, during sports activities, especially heavy types, joint is experiencing tremendous stress, the cartilage gradually wears away, the bones begin to RUB against each other and gradually begin to break down.
According to anatomical concept arthrosis of the left or right joint is a destruction of the articular cartilage located between the femur and pelvic bone.

If the cartilage is healthy, it is lubricated by the synovial fluid, making the hip joint is easy to change its position and pain-free functioning.

With the development of coxarthrosis are starting to change the properties of intra-articular (synovial) fluid, its quality is deteriorating, therefore the cartilage, as it dries, it becomes difficult to slide, he cracks, exfoliates and thins.

Fragments delayed synovial fluid into the joint bitch. All this leads to inflammation of the tissues of the hip joint, accompanied by pain directly in my hip joint, which give to the groin, lower back, knee.

If you delay and don't pay attention to the symptoms, the disease progresses fairly quickly.

The main factors for the appearance of osteoarthritis include:

  • heredity;
  • excess body weight;
  • a thigh injury;
  • surgery on the pelvis and thighs;
  • dysplasia of the joints;
  • age older than 45 years;
  • problems with metabolic processes in the body;
  • negative environmental factors;
  • excessive stress on the joint.

The risk groups include people heavily involved in sports, those whose profession involves dragging heavy things and other heavy load on the lower limbs of obese women in postmenopausal, which increases the risk of osteoporosis and the elderly of both sexes after age 60.

the symptoms of osteoarthritis

In the second stage the cartilage between the joints has already had considerable deformation, it has changed both functionally and anatomically, the bones have a rough surface.

The body begins to compensate for problems that occur in it, so of cartilage tissue located near and with him plots grow and in some cases, when the load is replaced by bony tissue.

Gradually the lumen of the joint space is reduced by one third.

Symptoms

In the second stage of coxarthrosis of the hip joint there is a sharp thinning of the articular cartilage, which in some places may be absent.
The main symptoms of the second stage of arthrosis of the hip joint include:

  • pain is intense in nature, radiating to the groin, behind my knee. They gradually begin to occur even at rest (increasing inflammation), and not only after the load on the joint. Below the knee is usually painful do not apply;
  • a decrease muscle the gluteal muscles;
  • the appearance of a typical crunch while the load on the joint;
  • little noticeable shortening of one extremity;
  • a slight lameness, which compensates for the shortening of the patient's legs;
  • violation of joint mobility and difficulty of its rotation;
  • barely visible distortion of the pelvis;
  • swelling, swelling in the joint;
  • stiffness for several minutes after a night of rest;
  • it becomes difficult to lean on the side of the patient's joint;
  • the weakening of the thigh muscles (in some cases, there is weakness in the knee).

If in the initial stage of the disease almost does not manifest itself in any pain, as its development in the second stage the pain all the walls begin to remind myself.

This is the reason for going to the doctor, since self-treatment at home will not produce the desired result, the pain will only increase, and the deterioration of the bone will move to the next stage, which is to treat already will be difficult.

Diagnosis

Before you treat arthritis, conducted a diagnostic study. The main method of diagnosing osteoporosis at this stage of its development is x-ray.

The picture shows the x-ray the doctor quite clearly can see the change of the femoral head, which increases distorted its outline.

On the radiograph osteoarthritis of the hip joint seen by the changes of the femoral head, its deformation, bone growths.

The joint space is narrowed, the head moves up. At external survey it is possible to notice a slight atrophy of the gluteal and femoral muscles. That is atrophic processes in the muscle and bone of the hip cause pain in the knee joint. Already at the initial examination and multiple tests the doctor may suspect the presence of the disease.

If during the tests for flexion, extension, abduction and adduction of the limb noticeable deviations in the angles and amplitude, the doctor will send the patient for the differentiation of coxarthrosis of the hip joint with the spine and osteoarthritis of the knee.

For diagnostic x-rays is used in addition to ultrasound, computed tomography, magnetic resonance imaging.

diagnosis of osteoarthritis

Thanks to modern diagnostic methods can accurately determine the hip hip joint.

This files most often diagnosed disease of the right joint, but after 40 years, the disease often affects both joints at once.

Completely cure osteoarthritis 2 degrees is impossible, since cartilage and bone tissue is already severely deformed, but to slow the disease and to do without surgery is possible with timely initiation of therapy.

Important information!

Very often knee pain more severe than pain in the groin. And often it becomes the cause of a medical error. Not very qualified specialist can make a diagnosis of osteoarthritis of the knee, not the hip joint and accordingly the wrong treatment. So if You don't trust the skill of the doctor, then it is better to be checked by other specialist. Otherwise precious time will be lost.

You can apply to narrow profile forum, where people often suggest good people. Remember that osteoarthritis of the knee and hip have very similar symptoms, so you need to be sure of their diagnosis!

Treatment

Treatment of the disease is usually carried out by using conservative methods. Treatment of coxarthrosis is a podiatrist.

With timely and correct diagnosis can be for a relatively short period of time to improve the condition of the patient and not have to carry out the operation.

First of all, therapy involves the disposal, if necessary, from excess weight that is the catalyst of the disease.

In the presence of obesity of the disease from the second stage progresses pretty quickly in 3 and 4. For getting rid of extra pounds should consult with experts in nutrition and exercise therapy.

Drugs therapy includes:

  1. Corticosteroids. It is a medication that can get rid of annoying pain. Injected corticosteroids directly into the affected joint by injection. Although such remedies permanently eliminate the pain, but they do not contribute to recovery and regeneration of the joint.
  2. NSAIDs. Drug therapy is based on the use of painkillers. Used NSAIDs in pill form or in the form of ointments. Commonly used NSAIDs selective exposure. They are very well cropped hip pain by suppressing the inflammatory process.
  3. Articular drugs. Are inevitable drugs used for the treatment of cartilage of the joints.
  4. The hyaluronic acid. These drugs are injected directly into the joint. Hyaluronic acid coats the surface of the joint, reducing the friction of bones against each other, preventing their further destruction. Acid in its properties identical in many ways, the substances that form synovial fluid and articular cartilage.
  5. Other means. To eliminate spasms of the thigh muscles and buttocks to tone treatment muscle relaxants.
  6. Use antispasmodics and drugs to improve blood supply.

Plasmolifting

Innovative technology plasmolifting is in which the joint is injected by an injection of own blood plasma of the patient.

The procedure does not cause allergies and mutations as a biomaterial prepared from their own blood of the patient. Carry out a course of 4-6 injections with an interval of 7 days.

With the help of PRP, improves nutrition of cartilage, triggers the regeneration of its cells.

Unconventional methods of treatment

As folk remedies to try apitherapy, that is, treatment with honey and poison the bees. Own home use different compresses on the basis of turpentine, alcohol with the addition of aloe Vera, honey, lemon, juice of burdock, of iodine.

treatment

Physical therapy

Its goal is the restoration of normal trophism cartilage, synovial membrane, increased vascularity in the cartilage.

In the second stage of development of the disease well help physiotherapy that relieves pain, inflammation, improve blood circulation.
As physiotherapeutic treatment for osteoarthritis of the second degree are used:

  • extracorporeal shock wave therapy;
  • laser therapy;
  • magnetotherapy treatment;
  • acupuncture;
  • the treatment with the clay;
  • electrophoresis;
  • mud, herbal, turpentine, radon, sulfide baths;
  • manual therapy;
  • treatment of hot and cold compresses;
  • therapeutic massage.

Physical therapy

Therapeutic exercises are important in treatment of coxarthrosis, without it, regression of the disease impossible.

Therapeutic exercises are quite simple and are aimed at improving blood supply to joints, improving of metabolic processes in the body, reducing pain, strengthening the muscles surrounding the joint, stop the growth of bone spurs, stretching of the joint and distribution of loads on it.
At the initial stage the main part exercises performed in the supine position (on back or stomach).

After strengthening the hip joint, when pain during exercise does not appear, you can move on to the exercises performed in the standing position. In the complex of therapeutic exercises include exercises for abduction and adduction, flexion and extension of the patient's limbs, a useful exercise "Bicycle" to improve rotation of the hip joint.

Sometimes the complex is supplemented with a special ball and water aerobics. Excluded running, jumping, squats (especially deep and loaded), exercises with a large range of motion.

Food

In this disease as coxarthrosis in the second degree, a special diet. Meals need to be arranged so that, if necessary to reduce weight and thus to compensate for the body's building blocks – protein.

It is necessary to include in the diet seafood, lean meat (chicken breast, beef, Turkey, rabbit), to give preference to cereal, cooked with water, be sure to include in the diet dairy products.

They are rich in calcium, which helps strengthen bones.
Products with a high content of animal fats eliminate from the diet because fats clog the blood vessels and blood flow to the joint and already broken by disease, becomes worse.

Exclude strong tea, coffee, alcohol, pastries, foods with a high glycemic index.

Disability in osteoarthritis of the hip joint

Arthrosis of the second degree develops due to insufficient nutrition and blood supply to the cartilaginous tissue of the joint, which gradually becomes thinner.

After that, the disease goes to the bones, which begin to form growths (osteophytes) and cavities with liquid (cysts).

Due to the degenerative process in the joint is anatomically changed, which is manifested in the restriction of his mobility and pain.

If the disease progresses, the leg shortens more than 7 cm, the person cannot walk without the aid of a cane, the expert panel may decide on the assignment of 3 groups of disability.

If you do not pay attention to the symptoms, the inflammation spreads to the surrounding tissue (ligaments, muscles, vessels).

nutrition with osteoarthritis

In this case, it is diagnosed with periarthritis. If in this case not to go to the doctor for treatment, you will develop ankylosis.

This is a serious stage of arthritis in which the joint is completely destroyed and the person becomes the invalid of the second or even the first group.

In conclusion, I want to reiterate that the treatment of arthrosis of the 2nd degree starts immediately after diagnosis and this process can go on for years, however the therapeutic effect occurs quite quickly.

Further objectives of treatment are to stabilize the favourable result achieved in the result of treatment. To restore the original healthy state of the joint is impossible, but health can be greatly improved and delay the operation. Don't lose precious time, promptly contact your doctor and Your joints will be healthy.

28.06.2019