Treatment of arthrosis of the hip joint

Coxarthrosis is a deformed arthrosis of the hip joint.This is a chronic disease characterized by degenerative tissue changes, cartilage damage. Symptomatically, coxarthrosis is determined by common pain and deformity in the hip joint, impaired movement. Pathological changes based on cartilage damage and subsequent inflammatory responses. With arthrosis, bone tissue is modified. Lesions occur locally, but other articular joints can also be involved. The main contingent of the sick are the elderly. Risk factors can be hereditary predisposition, large weight, and trauma. Endocrine disorders and metabolic imbalances are found in people with these problems. But the main emphasis in treatment is given on the restoration of cartilage structure and function. Treatment of coxarthrosis is a long-term process, including anti-inflammatory therapy, use of chondroitin and glucosamine preparations to replenish joint nutrition, exercise therapy and physiotherapy. Herbal treatments are recommended to take care of the joints at home. Proper diet and moderate exercise are very important.

Symptoms of coxarthrosis

With coxarthrosis, the articular cartilage primarily undergoes deformation changes. There are 3 stages of development of this disease. In the early stages, there are no morphological changes in the joint tissue. Only the viability of its function suffers. A person feels periodic pain in the joint area after physical exercise, running, long walks. After resting, the pain syndrome disappeared. In the second stage, the bones begin to deform. The beauty of the movement is significantly reduced. The pain is intense and often appears at rest. The third stage is characterized by chronic pain syndrome. The pain bothers the patient day and night. Walking without a cane is difficult, the person has to tilt the body forward. Many growths appear on the articular bone.

The main symptoms of arthrosis include:

• morning cramps;
• joint pain;
• difficulty moving at a distance of more than 1 km;
• increased pain with prolonged sitting or standing.

Podiatrists call coxarthrosis one of the most common types of arthrosis. Risk groups include people who are obese, heavy physical work, the elderly. Lack of treatment leads to complete destruction of the hip joint, accompanied by improper movement or imperfect movement, as well as severe dysfunction of the lower leg.

Drug therapy

Treatment of coxarthrosis begins with exercise limitations. This is a long-term process that combines various methods of therapy: taking anti-inflammatory and analgesic drugs, intra-articular injections, physiotherapy and exercise therapy.

Characteristics of treatment of coxarthrosis 1, 2, 3 degrees:

• in the first stage, NSAIDs are prescribed to stop the inflammatory process, drugs that normalize metabolic processes, analgesics are also needed, folk remedies are used in complex therapy;
• in the second stage of coxarthrosis, intra-articular injections based on hyaluronic acid are added to drug therapy, laser treatment, electrical stimulation is carried out;
• the third stage is treated conservatively and surgically, when it is impossible to cope without surgery, joint prosthetics are performed.

Medication plays the biggest role. Without anti-inflammatory agents and support, dystrophic changes are inevitable, and persistent pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the patient's condition during exacerbations.

• Medication plays the biggest role. Without anti-inflammatory agents and support, dystrophic changes are inevitable, and persistent pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the patient's condition during exacerbations.
• Relax the muscles. Reduce skeletal muscle tone. The muscles relax, as the pain syndrome is reduced, the person gets a break from the pain. This drug is contraindicated in patients with cardiac arrhythmias.
• Chondroprotectors. Symptomatic preparations containing collagen. They nourish and restore damaged cartilage. They supply the joints with collagen from the outside and stimulate its production by the body. Chondroprotective drugs are taken for a long time. Under the influence of these funds, metabolism in tissues improves, the destroyed cartilage gradually grows. In complex therapy, these drugs are very beneficial, especially in the early stages of the disease. In chronic arthrosis, they delay disability.

To stop the destruction of cartilage tissue and the preparation of the joints with "lubrication", injections are made with preparations based on hyaluronic acid and synthetic substances, which are similar in composition to synovial fluid. They are very compatible with human body tissues. They effectively stop the process of cartilage destruction, have analgesic and chondroprotective effects. Synthetic materials contain silver ions, which provide an additional bacteriostatic effect.

Prosthetics

Endoprosthetics are a surgical method of treating the hip joint. When, as a result of coxarthrosis and dysplasia, irreversible consequences occur in cartilage tissue, they require joint replacement. As a result of surgery, it is possible not only to reduce the persistent pain syndrome, but also to restore joint function and mobility. Artificial joints are made of metal-polyethylene and ceramic. Fixation to living bone occurs with and without cement. Endoprostheses are well rooted and can function for decades. But in some cases, the prosthesis quickly wears out, so a second operation is needed.

Physiotherapy treatment

Treatment of arthrosis of the hip joint is carried out with complex measures, including with the help of physiotherapy. This direction is associated with physical recovery, bodily support during the period of recovery and remission, prevention of exacerbations. Physiotherapy is practiced by orthopedists, traumatologists, rheumatologists, masseurs, exercise therapy instructors.

The following methods are recognized to be effective for the treatment of coxarthrosis:

• ultrasound therapy;
• laser therapy;
• inductothermy;
• massage;
• manual therapy.

With ultrasound therapy, high -frequency waves penetrate the tissue and act like a vibrational sequence. They improve biochemical processes, prevent stagnation, improve the absorption of medicinal substances better. Ultrasound reduces inflammation.

Laser treatment dilates blood vessels, stimulates lymph flow, prevents inflammation, and heals tissues. This technique improves tissue trophism, helping to maintain organ structure and function.

During inductothermy, high frequency waves affect the body. This method is effective if there is inflammation and pathology of the musculoskeletal system. Stimulates the immune system, relieves pain, and has a regrowth effect.

Massage is hardware and mechanical. Contrary to popular belief, during massage, not only the surface layers of the skin and muscles are exposed. During the work of the masseur, the reflex and humoral mechanisms of arrangement of internal organs are activated. A combination of various massage techniques, patients get antispasmodic, tonic, lymphatic drainage and analgesic effects.

Chiropractors work on a person's bones and joints. It relieves tension from some areas, tones others, relieves pain, restores joint function. First, the doctor uses diagnostic techniques, in which he determines the condition and ability of muscles, ligaments, joints. Then he resumed treatment. Manual techniques are not used during exacerbations and complications.

The role of spa treatments

Sanatorium treatment is very important for coxarthrosis. Institutions of treatment and prophylaxis to support patients with diseases of the musculoskeletal system using natural factors.

• Climatotherapy. These are the features of the earth's surface, a combination of weather factors, sea water, sun, air. Climatotherapy helps recovery, prevents the development of exacerbations, improves the course of biological and physiological processes in the body. Suitable conditions for the treatment of arthrosis are created in areas with high air temperatures and plenty of sunlight.
• Mud healing. Different from the original. They are peat, sulfide-silt, sapropel, hydrothermal. They are characterized by high heat capacity. They contain mineral, organic, biologically active components that penetrate the skin and have a beneficial effect on the joints. They improve metabolic processes, reduce inflammation, and normalize blood circulation.
• Mineral water. It contains trace elements, dissolved salts, biologically active substances. For diseases of the musculoskeletal system, the intake of mineral baths is indicated. The procedure increases mobility, raises the tone, activates blood circulation, increases metabolism.
• Phytotherapy. Methods based on the use of medicinal ingredients. Infusions, decoctions contain a large number of active ingredients that not only effectively support the sick body, but also have a significant therapeutic effect.

Treatment with natural factors in the sanatorium is combined with methods of physiotherapy, exercise therapy, dietary nutrition, adherence to daily regimens. Spa programs are developed for all stages of joint disease.

Physical activity

In the recommendations for sufferers of arthrosis, doctors advise to limit the load on the legs. Need to stop squatting, squatting, and doing physical work more carefully at home and in the garden. Do not strain the joint if pain is already felt (reduce the cardinal load). Especially it does not include running, jumping. However, you cannot do without gymnastics.

In order for the joints to function, special exercises must be performed. A person with arthrosis is categorically unsuitable for "young" gymnastics - at a rapid pace, with increased load, with high intensity throughout the session. With joint pain, gymnastics should be done very slowly, smoothly, measured, until discomfort or pain appears. If there is pain - it is good to rest for a while.

Therapeutic gymnastics allows you to normalize the condition of the muscles, improve blood circulation to the joints, give them adequate nutrition, and eliminate the products of putrefaction and inflammation. Gymnastics helps medications to quickly joint pain and initiate therapeutic effects. The most difficult task of physiotherapy exercises is to reduce the load. Exercises that are too short will not achieve a healing effect. And excessive load will pose additional danger to the joints. Competent recommendations can only be given by the attending physician. They will depend on the patient’s condition and the characteristics of the disease course in each case.

Nutrition for coxarthrosis

There are many reasons for cartilage destruction. Nutrition is very important in the treatment of arthrosis of the hip joint 1, 2, 3 degrees. Today the market is full of foods rich in preservatives. Interesting pork, smoked meats, sausages, on display on shelves, contain a large number of specific components. The meat is treated with enzymes, active ingredients that speed up the production process and obtain an attractive product quickly. Preservatives increase the shelf life of any product: finished or raw, which cannot be widely used among manufacturers.

While eating foods filled with preservatives, a person gets an excess of salt, which retains moisture. Salt is stored and accumulates in cartilage tissue, and joints do not function. Such arthrosis is indeed a mild inflammation that can be used for therapy. And coxarthrosis, which arises against the background of metabolic disorders, metabolic failure, snack intake, requires adherence to diet. You don’t have to limit food intake or list an entire list of healthy foods. Just follow a few simple rules:

• reject any ready -made smoked meat from the store;
• does not include the use of concentrated broth;
• according to the method of cooking, give priority to cooking and stewing;
• exclude salt intake completely, do not buy salted fish, sausages, canned food;
• take no more than 10-15 g of animal fat per day, prepare meals with the addition of various vegetable oils;
• monitor the calorie content of food, leave out the so-called "fast" carbohydrates, sugar, sweets;
• exclude mayonnaise from the diet, seasonal salads, and sauces with low -fat sour cream;
• does not include the consumption of alcoholic beverages;
• limit intake of fatty fish, caviar.

Instead of smoked meat, buy natural meat, chicken raised on farms by domestic producers. It is better to cook the first course in vegetable broth, without boiling vitamin -rich foods for several hours. The popular bouillon cubes are now almost 100% chemical. This is danger in its most sacred form.

you cannot leave the meat fully boiled. But it is better to take the previously cooked lean pieces and put them on a plate, and then pour the vegetable broth. The rejection of meat as a whole is very extreme.

The old recipe for maintaining bone and joint strength was jelly meat. A few decades ago, when little was known about artificial preservatives, this was justified. Now, such products can only raise cholesterol.

Fresh fish has never been treated with preservatives before. But modern manufacturers have known this as well. Today, we can only talk about the benefits of fish if it comes over the counter directly from the fishing net or is purchased live.

Only by changing the principles of nutrition, one can reduce the suffering due to arthrosis defects. The diet should include a large number of fresh vegetables, berries, herbs, fruits. Low -fat dairy products, lean meats, and poultry are useful. Rice, beets, potatoes, watermelon help remove salt from the body. Once a week, it is recommended to arrange a fasting day of kefir, cottage cheese, fruits, herbal ingredients.