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How to treat arthrosis of the hip joint

If you have discovered degenerative changes in cartilage, joint mobility will gradually decrease, and discomfort will increase.To eliminate the pathological process, the patient is prescribed complex treatment of the hip joint.

The causes of the development of the disease

The pathology, characterized by the gradual destruction of the cartilage in the hip joint, is called coksartrosis.In this ailment, the gap between the joints is narrowing and the bones begin to come into contact.You are tormented by strong pain in the thigh.

Pain in the hip joint with arthrosis

The slowdown of metabolic processes in bones and cartilage is a common problem among elderly men and women.With the question of how to treat arthrosis of the hip joint, people over 60 years old most often turn to the doctor, but the decline in joint function is often detected in young people.

The reason for the ailment may be the following circumstances:

  • lack of physical activity;
  • congenital disorders in the structure of the joint;
  • Excessive loads, weight lifting: people whose life is associated with heavy sports, risk facing premature "wear" of the articular cartilage;
  • injuries and fractures;
  • metabolic violation;
  • long -term intake of hormonal drugs;
  • infectious diseases;
  • Excess weight.

Few people know that scoliosis can be the cause of negative changes in the joint cartilage.Such a “harmless” pathology as flat feet creates the prerequisites for the occurrence of overvoltage in the joint.

Symptoms of arthrosis of the hip joint

Symptoms of arthrosis of the hip joint

What ailments can indicate the existing coxarthrosis (deforming arthrosis):

  • thigh pain;
  • pain in the groin and in the knees;
  • Crushes and clicks: unpleasant sounds annoy you while driving;
  • stiffness in a sore joint, which appears every time after prolonged immobility (for example, after sleep)-usually the joint takes 20-40 minutes to resume movement;
  • lameness.

In the late stages of the development of the disease, a person has an obvious symptom of the untenability of the joint: the length of the sick leg decreases.

Elimination of degenerative changes in the joint

Solving how to treat coxarthrosis, the orthopedist relys on the following information:

  • your age;
  • the intensity of pain;
  • the nature of the changes in the structure of the joint;
  • The presence of other ailments (diabetes, asthma).

The more significant the damage to the joint, the more time and effort will be required to restore its "performance".There are 3 stages of pathology in total.

If the articular cartilage has undergone minor degenerative changes, painkillers and charging can help you.In order to eliminate neglected arthrosis (coksartrosis), treatment should include at least 3 restoration strategies: older people are prescribed intraarticular injections, massage and magnetotherapy.

First degree: how it all starts

The first degree of the disease is manifested as follows:

  • The thigh hurts in the morning: a feeling of stiffness in the joint every time passes after the warm -up;
  • Minor pain occurs after running and lifting weights;
  • Mete -sensitivity appears in the problem joint;
  • In an X -ray, the thinning of the cartilage, which covered the femoral head, can be found.

Second degree: strengthening discomfort

Signs of the second stage of articular pathology:

  • severe pain in the thigh;
  • unpleasant sensations in the knee;
  • pain can appear not only during charging, but also at rest;
  • Mobility in the joint is significantly reduced;
  • a crunch is often heard;
  • It is difficult for the patient to take the leg to the side.

Computed tomography will show such manifestations of the disease:

  • The joint gap is reduced by 30% compared to normal width;
  • The cartilage is very thinned;
  • On the joint surfaces there are bone growths;
  • The femoral head is shifted up;
  • In nearby soft tissues, an inflammatory process develops.

3 degree of deforming arthrosis

If a person does not turn to doctors for a long time, the disease continues to progress.What is happening to you:

  • A painful pain is pursuing day and night;
  • The joint is almost devoid of mobility;
  • The patient is very lame because he has a pelvis is skewed: from the side of the problem joint, the leg becomes shorter than healthy;
  • On the affected side, the gluteal and femoral muscles atrophy.

Some patients are not able to move without a cane.The examinations will show you the following changes:

  • thickening of the neck of the thigh;
  • growths on the surfaces of the joint;
  • deformed femoral head;
  • The joint gap is almost absent.

Against the background of severe pain and a decrease in physical activity, people have insomnia, a feeling of depression.It is difficult to unequivocally answer the question of whether arthrosis of the hip joint in the later stages is treated.One can say one thing: with the help of conservative methods of therapy, it will not work to completely remove the manifestations of the pathology.The surgical method of correcting the defect is the only way to complete cure.

Diagnostics

The joints of the joints are dealt with by orthopedists and surgeons.Having examined you and after listening to your complaints, the specialist will understand what ailment prevents you from living.To decide how to treat hip arthrosis, the doctor will send you for examinations.Diagnostic measures that the patient may need:

Arthrosis of the hip joint on the X -ray
  • X -ray: In the picture, the doctor will see the affected joint in the details, he will be able to understand how much the narrowing of the joint gap, whether there are growths on the articular surfaces;
  • Ultrasound diagnosis: using ultrasound, you can identify dystrophic changes in the joints of the joint;
  • computed tomography;
  • Magnetic resonance tomography: the examination method allows you to consider the structure of the joint to the smallest detail.

Options for the treatment of arthrosis of the hip joint

After the diagnosis, the doctor will understand whether it is possible to eliminate the ailment with the use of anti -inflammatory ointments and massage or you need a more radical effect on the sore joint.There are 8 options for treating the hip joint.

  1. Medical physical education.The task is to strengthen your muscles and ligaments.
  2. Manual therapy.Massage helps to increase blood flow in problem areas, it removes muscle spasm.
  3. Drug treatment of arthrosis of the hip joint.To prevent the destruction of cartilage, the patients are prescribed chondroprotectors in tablets.To remove edema and soreness in the problem area, you will be written out ointment or cream.
  4. Physiotherapeutic methods.They are unlikely to help to completely get rid of coxarthrosis.Ozone and laser treatment is used as an addition to tablets and injections.
  5. Traditional medicine.
  6. Sanatorium treatment of coxarthrosis.In the sanatoriums you will attend hydromassage sessions, use healing mud.
  7. Joint stretching on a special apparatus.
  8. Surgical intervention.If your femoral head is very deformed, surgical intervention will help to cope with the problem.Some patients need endoprosthetics (replacing the joint for prosthesis).To reduce the load on the joint, osteotomy is used.During the procedure, the femoral bone is broken, and then spent from a different angle.

Refuse the idea to prescribe medications or procedures yourself to relieve pain.Let the doctor do this.

More about medicines

7 varieties of drugs for arthrosis of the hip joint are used.

Tablets for the treatment of arthrosis of the hip joint
  1. Anti -inflammatory drugsnot containing steroid components.They have a temporary effect.The main task of the drugs of this group is to relieve pain and reduce the inflammatory process in the joint.
  2. Ointments and gels.In the treatment of coxarthrosis of the 1st degree, a positive function is performed with anesthetic and decongestant effects.Therapy with ointments is 2 weeks.Next, you need to consult with an orthopedist about further treatment.
  3. Steroids.Usually they are prescribed in the form of injections.Therapy scheme: the patient is done one injection per week.The course of treatment: 5-6 procedures.With the help of intraarticular injection, you can get rid of pain and inflammation.
  4. Chondroprotectors in capsules.In order for the treatment of coxarthrosis without surgery, it is necessary to restore the function of the joint, stop the process of destruction of cartilage.Preparations that feed the cartilage will cope with this task.Medicines that restore cartilage tissue are produced in 3 forms: in capsules, injections and in Sasha.Take drugs 3 times a day during meals.The course of treatment lasts 60 days.Then a break is taken (2 months).After this pause, the treatment course must be repeated.
  5. Chondroprotectors in injections.The first dose of the drug is 0.25 ml.Then the drug is administered 1 ml.No more than 3 injections are made per week.Six injections will be enough for you to feel an improvement in well -being.The course of treatment is 6 weeks.Some drugs are administered directly into the joint.The daily dose of the drug is 1-2 ml.You will make 1 injection in 3 days.The course of treatment is 5 injections.
  6. Musorelaxants.Treatment of coxarthrosis (arthrosis of the hip joint) will not be successful without eliminating muscle spasm.Musodelics remove muscle spasm and activate blood circulation in ligaments and cartilage.The duration of the course depends on the intensity of spasm in muscle tissues.
  7. Hyaluronic acid injectionsThey are assigned in addition to tablets from arthrosis of the hip joint.This substance is the main component of intraarticular fluid.Injections with hyaluronic acid make liquid inside the joint thicker and more viscous.As a result, the inflammatory process passes, and the cartilage is restored.In order for this conservative method of therapy to bring you relief, you will need 4-5 injections.The interval between injections is 5 days.

Massage for coksartrosis

massage with hip arthrosis

If the examinations have detected a disease of coksartrosis, treatment must be supplemented with massage procedures.

The healing effect of manual therapy consists in passive work with problem ligaments, spasmodic muscles and joint.Rubbing, stroking and pressing, which the manual therapist performs, help to increase blood flow to the cartilage.

If after massage the pain in the thigh intensified, you should temporarily abandon the procedures.

Physiotherapy

There are 3 options for physiotherapeutic treatment of deforming arthrosis of the hip joint.

  1. Ozone therapy.The effect of ozos-acid mixture contributes to the growth of cartilage.
  2. Electrophoresis.This method of treatment of coxarthrosis of the 2nd degree combined the drug effect on the affected zone and the action of direct current of low power.Under the influence of a special device, the anti -inflammatory drug (gel) penetrates the joint through the skin.To reduce the manifestations of the disease, you will need 20-30 procedures.
  3. Shock wave therapy.The principle of treatment: under the influence of sound waves, blood circulation in ligaments and muscles is enhanced.

Gymnastics and special exercises

If a person is exhausted by arthrosis of the hip joint, treatment should include a competent load.With the help of gymnastics, motor activity in the joint is established, metabolic processes in cartilage and muscle tissue are improved.

Medical exercises for hip arthrosis

Examples of exercises:

  • Lie on a flat surface and bend your knees, resting your feet on the floor, try to raise the pelvis as high as possible;
  • Take the lying position, raise your right leg to a right corner and bend it, then make similar movements with your left foot - all manipulations should be repeated at least 10 times;
  • Lie on the stomach: take your right leg back and hold it like that 10-30 seconds (as much as you can), lower the limb and repeat the same movements with your left foot.

Effective treatment of coxarthrosis largely depends on your perseverance and willingness to abandon old habits that harm health.When engaged in restoration procedures, take care of yourself from drafts, wear comfortable shoes.If in the process of performing manipulations your thigh sharply fell ill, take a break and return to charging in 10-30 minutes.

Folk methods of treating arthrosis of the hip joint

Do not think that modern treatment of coxarthrosis eliminates the use of folk "tricks".In the early stages of the disease, you can use "grandmother" recipes.

Folk remedies for the treatment of arthrosis of the hip joint
  1. Compress from cabbage leaves.You need to take a sheet of cabbage and grease it with a small amount of honey (1 tsp. Will be enough).Attach this compress to the thigh.Tie the sheet with a plastic bag on top.In this form, you need to sit or lie down at least 2 hours.
  2. Home cream made of Perepreta.Buy on the market or in a pharmacy 200 g of root of Bely.Grind the rhizomes with a meat grinder.Mix vegetable raw materials with 400 g of pork fat.Cook this "porridge" for 7 minutes over low heat.The cream rubs into the skin of the thigh before bedtime.The duration of the course should be 15-20 days.
  3. Tincture of lilacs.In order to retreat arthrosis of the hip joint, popular treatment offers another way: tincture of lilac flowers.In the spring you will need to collect 50 g of plant materials.Pour fragrant flowers 400 ml of vodka.Take the bank with the contents in a cool place.After 10 days, the tincture will be ready for use.Strain the tincture through gauze.You need to drink it 20 minutes before meals.For 1 reception, it is not recommended to use more than 50 drops of drug.

Biological and mechanical methods of therapy

If you are praised by hip arthrosis, treatment with leeches (hirudotherapy) will save you from swelling and sharp pain in the thigh zone.This biological option for eliminating articular diseases is suitable for people of any age.Hirudotherapy principle:

  • Subging to the body, the leech injects special enzymes into the blood of a person;
  • Under the influence of active substances, tissue elasticity increases;
  • The inflammatory process in the joint is eliminated;
  • The pain is leaving.

During one session, the doctor uses 3-5 leeches.After the third procedure, your well -being may deteriorate for a short time.Relief will occur after 5-6 hirudotherapy sessions.In total, you will need 5-8 procedures.The gap between the sessions can vary from 2 to 5 days.To achieve a significant increase in the motor activity of the joint without surgery, apply mechanical methods of exposure.The main way is the joint of the joint.

The traction (stretching of the affected joint) is performed using a special apparatus.A manual therapist can also be engaged in the extension procedure.

Elimination of coxarthrosis by copyright method

If you wondered how to cure coksartrosis of the hip joint, the exercises of the famous doctor will be a pleasant discovery for you.The main principles of gymnastics:

  • phased increase in load;
  • lack of sudden movements;
  • Constant dosed effect on the joint: do daily to feel relief.

With coxarthrosis of 2, 3 degrees, treatment should be carried out under the control of a coach or doctor.Examples of exercises consider in more detail:

  1. Sit on the floor.The legs must be reduced together.Perform tilting forward.Grabbing the foot with your hands, linger for 30-40 seconds.Make tilts for at least 5 minutes.
  2. Lie your back on the gymnastic bench.Ask the assistant to attach a kilogram weight to your leg.Bend the weighted leg at the knee as much as possible.Grasp her with your hands and try so that your knee touches your chest.Lying so half a minute.Repeat all the manipulations, attaching the load to the other leg.

Features of the patient's nutrition

No technique will bring the desired getting rid of articular diseases if a person does not follow a diet.Everyone who has joints hurts, it is necessary to stay away from fat sour cream, fat and canned food.You need to abandon salt and spices.Baking and sweets must be consumed in small quantities.It is advisable to forget about alcoholic beverages.

recommended food products for hip arthrosis

Products that will benefit you:

  • chicken, beef, turkey;
  • beans and peas;
  • offal;
  • low -fat cottage cheese;
  • kuraga, raisins;
  • nuts;
  • mushrooms;
  • Sea fish and shrimp.

The old folk way of strengthening the joints is the regular use of the junction.An example of a day menu:

  • For breakfast, eat a plate of buckwheat porridge and 150-250 g of mackerel baked in the oven - a meal can be supplemented with vegetables;
  • For lunch, prepare vegetable stews with red beans and jelly of chicken legs;
  • You can use 30 g of dried apricots or 100 g of low -fat cottage cheese as daytime “snacks”;
  • For dinner, eat a vegetable salad and 70-80 g of boiled chicken.

Coksartrosis prevention

So that you do not have to be tormented by the thought of how to treat the hip joint, observe simple preventive measures:

  • moderate and regular physical exertion;
  • refusal to transfer weights;
  • Balanced diet.

An important condition for the well -being of human joints is the lack of obesity.

There are many options for treating joint cokes.Tablets and ointments help to suspend inflammation.To improve the blood supply to the cartilage, shock wave therapy and physiotherapy exercises are used.Conservative methods of therapy can not always stop the development of the disease (coksartrosis of the hip joint).Surgical treatment is prescribed in the most difficult cases.