Hip joint disease requires comprehensive treatment to help eliminate predisposing factors, relieve pain, and reduce inflammation. Thus, it is possible to eliminate unpleasant symptoms associated with limb pain and dysfunction caused by the disease. Therefore, the diagnosis of this pathology is important and includes X-ray examination in multiple projections.
Reason and extent of mobility
Predisposing factors that lead to the development of arthritis include the following phenomena:
- genetic predisposition;
- Weakness of muscular joint corsets;
- Abnormalities in bone structure;
- Trauma history;
- inflammation;
- autoimmune processes;
- purulent infection;
- Heavy physical labor or sports;
- advanced age.
The pathological process is divided into 3 stages. Thus, 1st degree arthrosis of the hip is characterized by pain only after physical exertion, without other symptoms of the disease. The next stage is characterized by persistent pain, including at rest. X-rays show narrowing of the joint space. Degrees 1 and 2 are reversible with proper and timely treatment, but without treatment they can rapidly progress to more severe forms. As the arthrosis progresses, the pain becomes unbearable and limits the mobility of the femur in the hip joint. Muscle atrophy of the lower extremities, unable to function. Detection of osteophyte growth is typical for grade 3 hip arthrosis severity.
pathological symptoms
The first symptom of the disease is severe pain in the thigh when moving.
Osteoarthritis of the hip is characterized by:
- Pain syndrome caused by physical activity;
- Fever, ranging from normal to low-grade fever;
- atrophy of the muscular ligament corset;
- limp;
- Limb deformity associated with massive edema and osteophyte formation;
- Limb length changes;
- Creaking sound when moving TBS.
Osteoarthritis is more common in the right hip region than the left hip.
Symbols are represented according to the stages of the process. Often the patient has complete pain in the entire leg, which is related to damaged or inflamed nerve endings that pass near the joint. Meanwhile, 2nd degree hip arthrosis is characterized by pain at rest. There is also stiffness with movement, especially in the morning. This is caused by a buildup of exudate in the joints around the neck and head.
Hyaline cartilage atrophy and consequently a marked narrowing of the joint space, which causes the characteristic tightening phenomenon during movement, resulting in shortened limb length. In this condition, the thigh bone is destroyed and its tissue becomes less dense. Bone disease is progressive in nature and is associated with tissue dystrophy. The development of chronic inflammation is a predisposing factor for the destruction of the hip joint. As a result, pathological ossification or osteophyte foci appear. This is typically 2 3, sometimes the first degree of the course.
How is the diagnosis made?
Arthropathy of the hip can be identified by a traumatologist during an external examination and by asking about the patient's course. X-ray examination is used for diagnosis. In pictures, arthritis looks like a seal and deformation of the thigh-pelvic end. This significantly increases the size of the head. An important symptom of the disease is the formation of osteophytes, which are also well detected using this method.
what is dangerous
The hip joint is an integral part of the human musculoskeletal system. Thus, violation of its function results in immobility of the patient and, over time, disability. In addition, the inflammation spreads to the pelvic bones, causing urinary and bowel dysfunction. It is possible to invade the nerve endings that pass near the femoral head, causing violations of the tactile sensitivity of the limbs.
Progression of the disease leads to the formation, wear and cracking of cartilage defects. Cartilage particles enter the joint cavity and cause sterile or "sterile" inflammation that occurs without the involvement of pathogens.
In addition, the inflammatory process spreads to the bone tissue, causing aseptic necrosis (necrosis) in the area of the acetabulum and femoral head. The formation of bone growths - osteophytes - can injure surrounding tissue, exacerbate the inflammatory process and cause severe pain.
In advanced stages of the disease, signs of arthritis develop when the soft tissues (muscles, ligaments, nerves, blood vessels) around the joints are affected. The end result of the disease is the complete destruction of the joint, which results in immobility - ankylosis of the hip.
Treating Hip Disease
Treatment of joint diseases should aim to eliminate the cause of the process. It is necessary to use medication, and if necessary, they resort to surgical intervention. The complex effect also includes folk remedies in the form of herbal medicines, which should complement the main remedies. When overcoming the exacerbations of the disease, physical therapy is used. They also help if an early pathological process is present. Prevention of osteoarthritis lies in proper nutrition. The diet should limit foods that are high in salt.
Due to the severity of the lesion, it is recommended to replace the joint, including the prosthesis in the pelvic part of the joint.
Preparation
Conservative treatment can eliminate the uncomfortable symptoms caused by hip arthrosis early in development. It helps to numb the soft tissues of the thigh and pelvis and eliminate some other unpleasant manifestations. For this, NSAIDs based on diclofenac or ibuprofen are used. They must be injected into the muscle, taken by mouth, or applied to the affected area. Muscle relaxants are also used to reduce muscle spasms in the affected limb. Drug therapy consists of long-term administration of chondroprotectants and vitamin complexes.
physiotherapy
Arthrosis of the hip joint can be cured in the initial stages of the course with the help of physiotherapy. It can also be used after prolonged exposure to the drug and to eliminate signs of the inflammatory process. This type of intervention can help reduce muscle spasms and restore functional mobility to the joints.
If the patient is in the initial stages of the pathology, it will be useful to have the following types of physical therapy:
- magnetic therapy;
- Electrophoresis;
- Paraffin application;
- mud treatment;
- Bathe with essential oils.
folk remedies
Treatment of arthrosis of the hip using unconventional methods involves the use of various means. For this, you can also use crushed mint and aloe vera leaves, and add petroleum jelly for more viscosity and better application. Celandine soaked in olive oil for 2 weeks will help. Horseradish compresses or healing mud wraps are also used.
In most cases, traditional methods of treating rheumatism include the use of various medicinal ointments, creams, and gels as topical treatments. Traditional medicine also uses medicines in the form of ointments. Natural herbs are often used in the preparation.
Home remedies for joint disease cannot completely eliminate the disease, but can reduce clinical symptoms such as pain, swelling, and inflammation.
Exercise Therapy and Massage
These types of exposures can treat mild hip problems. After the inflammation and pain are completely eliminated, manual therapy is required. Massage should be performed by a physician after reviewing the patient's medical history. More commonly, 15 massage sessions are prescribed. Treatment at home involves the use of special gymnastic exercises that will help restore full functional mobility to the joints.
Severe joint disease cannot be treated with massage and exercise therapy.
prevention
Adequate physical activity can help prevent hip arthrosis, but physical activity can cause rapid wear and tear on cartilage tissue and is therefore not particularly recommended for those predisposed to arthrosis. Untreated hip dislocations or other extremity injuries are also dangerous. Proper nutrition with adequate intake of vitamin and mineral complexes is also important.