The osteoarthritis of the hip joint (Cox arthrosis) is a disease of a progressive type that affects the bone and cartilage tissue in the joint (up to destruction).Most often after 40 years, in unhappy people, manifests themselves due to the negative effect of various factors injuries, the stresses of sports and physical plan, obesity.
Functions of the disease
The initial phase of the disease is manifested by insignificant but periodic pain in the joint, practically does not cause concern.Gradually, pathology develops without treatment with the complete loss of mobility (disability).
Under the influence of adverse factors, metabolism and blood circulation are disturbed, which negatively affects cartilage.It becomes less elastic, cracks form on its surface.The progression of the disease forms the deformation of cartilage, its cracks and wear.
Often, particles in the common cavity fall, which becomes the basis of the processes of inflammation.Gradually, the inflammation process extends to the bones, causing deadlife to the plots, which also form bone growth, which severely damages soft tissue and causes severe pain.
Causes
- Traumatic influences,as well as the implementation of complex physical exercises, professional sports.All of these reasons often become the basis for the development of arthrosis in the absence of proper and timely treatment as well as the correct lifestyle.
- The occurrence of the joint microtrauma,Which was not cured in a timely way, also the cause of the formation of arthrosis can be scoliosis, kyphosis, that is, the curvature of the spine.
- Flat feetCreates an incorrect distribution of the load on the spine and pelvic area that forms microtrauma in the joint.
- Contagious diseases,as well as arthritis.Arthritis where severe inflammatory processes are formed, making the stages of arthrosis more intense.
- With arthritis,as well as all kinds of cartilage tissue defects.
Idiopathic or primary arthrosis is most often formed in old age due to natural wear of the joints, characterized by symmetrical properties of the lesion, has an unfavorable course (most often it is possible to suppress manifestations, but a complete cure is almost impossible).
Secondary Cox arthrosis most often develops on the basis of other diseases - degenerative, damage, vascular damage or soft tissue, diabetes, excess weight with metabolic disorders, etc.
Degree
- 1 degree.It continues almost asymptomatically, so patients are perceived junk.There are still manifestations and if you start treatment in a timely way, this is a complete guarantee of improvement.The patient feels periodic pain in the pelvic area, the mobile function remains the same, but in the X -Ray image you can immediately see, even a weak but still narrowing of the gap between the joints.The first degree is treated through methods of a conservative nature.
- 2 degree.In the absence of treatment, the disease, discomfort that increases, a slight restriction of motor functions is formed, the manifestations are gradually becoming more pronounced, and lameness is provided during prolonged migration and morning pain occurs.The muscles of the bone and the buttocks can be deformed and dry out.At this point, drug treatment is prescribed that combines the elimination of inflammation processes, brakes progression and recovery of cartilage tissue.
- 3 degrees.The hardest (final).At this point, a violation of the motor type, a person can become a disabled person.Pain becomes constant, physical activity is almost impossible, shortening a limb occurs.Surgical intervention is used as treatment, after which anti -inflammatory and painkillers are prescribed.Preparations that recover cartilage -type tissue are also prescribed.
Why is arthrosis dangerous?
The most effective will be treatment on the first step.If there is a lack of treatment on the second step, necrosis of tissue will be the consequence.The formation of osteophytes, inflammatory processes (in some cases purulent).
On the third phase, articulations of joints occur that almost completely disturb the function of the movement.A person can only move with crutches or a rod.
Symptoms
1 degree:
- The periodic pain effect in the pelvic joints most often occurs with significant sports or physical exertion.
- The pain effect of a sore nature that takes place after a minor rest.
- The movement is not limited.
2 degree:
- Discomfort is stronger, the performance of physical exercises becomes almost impossible.
- It is difficult to shoe yourself, bend your leg in the joint, take it to the side.
- When walking, severe lameness is formed (a person swings from side to side).
- After waking up, severe pain occurs within a few minutes the function of the engine is severely limited.
- Atrophy of the muscles of the limbs occurs, during an X -ray, necrosis, the growth of osteophytes, deformation of the joint and the bones can be diagnosed.
3 degree:
- The pain simply becomes unbearable, is constant, sleep is disturbed, severe depression occurs.
- A limb, usually, 10% shorter (due to the destruction of the joint), further pathologies in the joint develop, forming a complete absence of motor function.
- When you go - a strong lameness.
Diagnostics
- Visual inspection.
- Clinical tests.
- X -Ray.
- Tomography of a computer type.
- Ultrasound research.
Features of treatment
- Anti -inflammatory type non -steroid nature is a symptomatic agent that reduces the pain effect and reduces the spread of inflammation (meloxicam, celloxib, sodium diclofenac, phenylbutazone).
- In the second step, glucocorticoids are more effective drugs that reduce the manifestation of discomfort and inflammation (triamcinolone acetonide).
- Chondroprotectors - Restoration of cartilage tissue, normalization of fluid production (synovial), preventing the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced in the joint as a replacement of the fluid to lubricate the surface of the joint.
- Musorelaxants are medications that reduce muscle spasms and also normalize the normal function of the circulatory system (Tolperison Hydrochloride).
- Physiotherapy - effects of sound waves, phonophoresis, ozon therapy.
- Surgical intervention (puncture, endoprotetics).
Therapeutic gymnastics and massage are also used (performed only by specialists).
Prevention
- Weight control (proper nutrition, physical activity).
- With significant sports and physical exertion, mandatory rest.
- Prevent damage, consume vitamin complexes.
- With the first manifestation of unpleasant sensations - looking for a doctor.
As a prevention of the occurrence of cocoin arthritis of the hip joint, it is recommended to use a exercise bike, as it is what gives the optimal and uniform load on the hip muscles, which allows them to strengthen and provide improved blood circulation.The exercise bike allows you to choose the optimal load parameters, taking into account a person's individual condition which does not allow the formation of damage and the occurrence of complications.
Consequences and complications
The complications of arthosis of the hip joint are very significant - destruction of cartilage tissue, destruction of the joint, the occurrence of arthritis, arthrosis (other joints), tissue necrosis and the occurrence of inflammation processes.
In the absence of competent treatment, the engine function boils down to zero, severe atrophy of the muscles of the limb, buttocks occur, chroma is manifested.In the last phase, a person cannot get up without help from the outside.Based on arthosis, other pathologies of all systems and organs in the body occur.