Treatment of arthrosis of the hip joint

Coxarthrosis is a deforming osteoarthritis of the hip joint.This is a chronic disease characterized by degenerative tissue changes, cartilage damage. Symptomatically, coxarthrosis is determined by regular pain and deformity in the hip joint, reduced mobility. Pathological changes are based on cartilage damage and the subsequent inflammatory reaction. With osteoarthritis, the bone tissue is changed. The injury occurs locally, but other joint joints may also be involved. The main contingent of the sick are the elderly. A risk factor can be a hereditary predisposition, a large body weight and trauma. Endocrine disorders and metabolic imbalances are found in people with this problem. But the main emphasis in treatment is on restoring the structure and function of the cartilage. Treatment of coxarthrosis is a long-term process, which includes anti-inflammatory therapy, the use of chondroitin and glucosamine preparations to replenish the nutrition of the joints, physical therapy and physiotherapy. Herbal treatment is recommended for maintaining joints at home. Proper diet and moderate exercise are essential.

Coxarthrosis Symptoms

With coxarthrosis, the articular cartilage is mainly subject to deforming changes. There are 3 stages of the development of the disease. In the initial stage, there are no morphological changes in the tissues of the joint. Only its functional vitality suffers. A person experiences periodic pain in the joint area after physical exertion, running, walking long distances. After rest, the pain syndrome disappears. In the second stage, the bone begins to deform. The naturalness of the movements is markedly reduced. The pain is intense and often appears at rest. The third stage is characterized by chronic pain syndrome. Pain bothers patients day and night. Walking without a cane is difficult, the person is forced to lean the body forward. Multiple growths appear on the joint bones.

The main symptoms of osteoarthritis include:

• morning stiffness;
• articolar pains;
• difficulty moving more than 1 km away;
• increased pain with prolonged sitting or standing.

Podiatrists call coxarthrosis one of the most common types of osteoarthritis. The risk group includes people with obesity, heavy physical work, the elderly. Lack of treatment leads to complete destruction of the hip joint, accompanied by unnatural mobility or complete immobility, as well as severe dysfunctions of the lower limbs.

Pharmacological therapy

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

Features of the treatment of coxarthrosis 1, 2, 3 degrees:

• at the first stage, NSAIDs are prescribed to stop the inflammatory process, drugs that normalize metabolic processes are also needed, analgesics are also needed, folk remedies are used in complex therapy;
• in the second stage of coxarthrosis, intra-articular injections based on hyaluronic acid, laser treatment, electrical stimulation are added to drug therapy;
• the third stage is treated conservatively and operationally, when it is impossible to cope with an operation, joint prostheses are performed.

Medicines play the most important role. Without anti-inflammatory and supportive agents, dystrophic changes cannot be avoided and constant pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the condition of patients during exacerbations.

• Medicines play the most important role. Without anti-inflammatory and supportive agents, dystrophic changes cannot be avoided and constant pain cannot be eliminated. Doctors prescribe pharmacological agents of various actions to alleviate the condition of patients during exacerbations.
• Muscle relaxants. Reduce skeletal muscle tone. The muscles relax, as a result of which the pain syndrome decreases, the person rests from pain. These drugs are contraindicated in patients with cardiac arrhythmias.
• Chondroprotector. Symptomatic preparations containing collagen. They nourish and restore damaged cartilage. They supply the joint with collagen from the outside and stimulate its production by the body. Chondroprotective drugs are drunk for a long time. Under the influence of these funds, the metabolism in the tissues improves, the destroyed cartilage gradually grows. In complex therapy, these drugs are of undoubted benefit, especially in the initial stage of the disease. In chronic osteoarthritis, they postpone disability.

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

Prosthetics

Endoprosthesis is a surgical method of treating the hip joint. When, following coxarthrosis and dysplasia, irreversible consequences occur in the cartilage tissues, joint replacement is used. As a result of the operation, it is possible not only to reduce the constant pain syndrome, but also to restore the function and mobility of the joint. Artificial joints are made of metal-polyethylene and ceramic. The fixation to the living bone takes place in a cementitious and non-cemented manner. Endoprostheses take root well and can serve for decades. But in some cases, the prosthesis wears out quickly, so a second operation is required.

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 rehabilitation, support of the body during the period of recovery and remission, the prevention of exacerbations. Physiotherapy is practiced by orthopedists, traumatologists, rheumatologists, masseurs, physical therapy instructors.

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

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

With ultrasound therapy, high-frequency waves penetrate the tissues and act as a vibratory massage. They improve biochemical processes, prevent stagnation, promote better absorption of medicinal substances. Ultrasound reduces inflammation.

Laser treatment expands blood vessels, stimulates lymphatic flow, inhibits inflammation and heals tissues. The technique improves tissue tropism, helps preserve the structure and functions of organs.

During inductothermia, high frequency waves hit the body. The method is effective in the presence of any inflammation and pathology of the musculoskeletal system. It stimulates the immune system, relieves pain and has a regenerating effect.

The massage is hardware and mechanical. Contrary to popular belief, not only the surface layer of the skin and muscles is exposed during the massage. During the work of the masseur, reflex and humoral mechanisms of regulation of the internal organs are activated. The combination of a wide variety of massage techniques, the patient receives antispasmodic, tonic, lymphatic drainage and analgesic effects.

A chiropractor works on a person's bones and joints. Relieves tension in some areas, tones others, eliminates pain, restores the functional vitality of the joints. First, the doctor applies diagnostic techniques, during which he determines the condition and capabilities of muscles, ligaments, joints. Then we move on to the treatment. Manual techniques are not used during exacerbations and complications.

The role of spa treatments

Treatment in the sanatorium is of great importance for coxarthrosis. Therapeutic and prophylactic institutions to support people with diseases of the musculoskeletal system mainly use natural factors.

• Climatotherapy. These are features of the terrain, a combination of meteorological factors, sea water, sun, air. Climatotherapy helps recovery, prevents the development of exacerbations, improves the course of biological and physiological processes in the body. The ideal conditions for the treatment of osteoarthritis are created in areas with high air temperatures and a lot of solar radiation.
• Healing mud. They differ in origin. They are peat, sulfur-silt, sapropel, hydrothermal. They are characterized by a 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. Contains trace elements, dissolved salts, biologically active substances. For diseases of the musculoskeletal system, taking mineral baths is indicated. Procedures increase mobility, tone, activate blood circulation, improve metabolism.
• Phytotherapy. A method based on the use of medicinal herbs. Infusions, decoctions contain a large amount of active substances that not only effectively support the sick body, but also have a pronounced therapeutic effect.

Treatment with natural factors in sanatoriums is combined with methods of physiotherapy, physical therapy, dietary nutrition, adherence to the daily regimen. Spa programs are developed for all stages of joint diseases.

Physical activity

In the recommendations for people with osteoarthritis, doctors advise to limit the load on the legs. It pays to stop squatting, squatting and doing physical work more carefully around the house and garden. Do not strain the joint if the pain is already felt (reduce the cardinal load). Especially it is worthwhile to exclude running, jumping. However, you can't do without gymnastics.

To make the joint work, special exercises should be performed. A person with arthrosis is categorically not suitable for gymnastics of "young people" - at a fast pace, with increasing loads, with a high intensity of the whole session. With a sore joint, gymnastics should be performed extremely slowly, evenly, measuredly, until discomfort or pain appears. If there is pain, it is worth taking a break.

Therapeutic gymnastics allows you to normalize the condition of the muscles, improve blood circulation in the joint, provide adequate nutrition and remove the products of decay and inflammation. Gymnastics helps drugs to quickly get into a sore joint and begin a therapeutic effect. The most difficult task of physiotherapy exercises is to correctly dose the load. Too short a workout will not achieve the healing effect. And excessive load will lead to further damage to the joint. Competent recommendations can only be given by the attending physician. They will depend on the patient's condition and the characteristics of the course of the disease in each case.

Nutrition for coxarthrosis

There are many reasons for the destruction of cartilage. Nutrition is of great importance in the treatment of osteoarthritis of the hip joint of 1, 2, 3 degrees. Today the market is jam-packed with foods rich in preservatives. Attractive hams, smoked meats, sausages, flaunted on the shelves, contain a large number of specific components. The meat is treated with enzymes, active substances that accelerate the production process and quickly obtain an attractive product. Preservatives increase the shelf life of any product: ready or raw, which can only be widely used among manufacturers.

When eating food stuffed with preservatives, a person receives an excess of salt, which retains moisture. Salt is retained and accumulated in the cartilage tissue and the joint does not function. Such arthrosis is inherently a simple inflammation that lends itself well to therapy. And coxarthrosis, which arose against the background of metabolic disorders, metabolic insufficiency, junk food intake, requires adherence to a diet. There is no need to strictly limit yourself in food intake or give up a whole list of healthy foods. Just follow a few simple rules:

• refuse any ready-made smoked meat from the store;
• exclude the consumption of concentrated broths;
• according to the cooking method, give preference to cooking and stewing;
• completely exclude the consumption of salt, do not buy salted fish, sausages, canned foods;
• consume no more than 10-15 g of animal fats per day, prepare meals with the addition of various vegetable oils;
• monitor the calorie content of food, give up so-called "fast" carbohydrates, sugar, sweets;
• exclude mayonnaise from the diet, dress salads and sauces with low-fat sour cream;
• exclude the consumption of alcoholic beverages;
• limit the consumption of fatty fish, caviar.

Instead of smoked meats, buy natural meat, chickens raised on farms from domestic producers. It is best to cook first courses in vegetable broths, without boiling vitamin-rich foods for several hours. The bouillon cubes that are popular today are almost 100% chemical. This is damage in its purest form.

you should not completely abandon boiled meat. But it is better to take pre-cooked lean pieces and put them in portions on a plate, and only then pour the vegetable soup. A complete rejection of the flesh is an extreme.

An ancient recipe for preserving bone and joint strength is jellied meat. A few decades ago, when little was known about artificial preservatives, this was justified. Now, such a product can only raise cholesterol.

Fresh fish has not been treated with preservatives before. But even modern manufacturers have learned this. Today we can only talk about the benefits of fish if it came to the counter directly from a fishing boat or was bought alive.

Only by changing the principles of nutrition, a person can reduce the suffering of deforming osteoarthritis. The diet should include a large amount of fresh vegetables, berries, herbs, fruits. Low-fat dairy products, lean meats and chicken are helpful. Rice, beets, potatoes, watermelon help remove salt from the body. Once a week, it is recommended to organize fasting days on kefir, cottage cheese, fruit, herbal decoctions.