Coxarthrosis of the 2nd degree of the hip joint. Treatment, folk remedies, injections, drugs, surgery

Coxarthrosis - pathology of the hip joint, often diagnosed at 2 degrees of development. In this case, complex treatment is required, which will improve the patient's condition and prevent complications, some of which are irreversible.

What is coxarthrosis of the hip joint

Coxarthrosis is a degenerative-dystrophic disease of the hip joint, characterized by gradual destruction of cartilaginous tissue, a decrease in the amount of synovial fluid and impaired mobility the patient.

The pathology is usually chronic in nature, since after the appearance of the first symptoms, the process progresses, and it is rather difficult to stop it, sometimes almost impossible.

The reasons for the development of the disease

The disease develops as a result of many reasons.

The most common predisposing factors are the following:

• Rheumatoid arthritis. Inflammatory pathology of the joints, in which connective tissue is affected. However, after recovery, the development of degenerative-dystrophic diseases is possible.
• Constant overwork and weakening of the body's defenses.
• Excessive stress on the articular joints.
• Hereditary predisposition to such pathologies.
• Joint injuries, accompanied by damage to the cartilage.
• Excess weight, which creates a high load on the cartilage tissue.
• Age-related changes in the body, accompanied by a decrease in the amount of synovial fluid, as well as a decrease in the elasticity of the cartilage.

Women suffer from this disease several times more often than men. In most cases, this is due to the stress on the hip joints during pregnancy and during childbirth.

Differences of the 2nd degree of coxarthrosis

Coxarthrosis of the 2nd degree of the hip joint, the treatment of which should be complex, is slightly different from the pathology of the 1st degree. If at the initial stage of development only some symptoms are present or they are completely absent, then at stage 2 the symptoms are more pronounced, and it is no longer possible to completely cure the patient.

In addition, the 2nd degree of coxarthrosis is accompanied by regular relapses and a decrease in the patient's motor activity. During periods of exacerbation, the patient speaks of severe pain that is absent at the initial stage of the disease.

However, at stage 2, it is possible to stop the progression of the disease, which cannot be done in advanced cases.

Symptoms

Pathology is accompanied by pronounced manifestations, among which the most common is pain during movement and at rest. The patient feels especially acute discomfort during movements that require flexion and extension of the articular joints.

In addition, lameness develops after prolonged exertion, which disappears after rest. The patient feels especially acute discomfort after a long stay in one position, for example, after a night's sleep.

In addition to pain, there may be an increase in body temperature, as well as a change in gait. During periods of exacerbation, the patient's motor activity decreases, his appetite worsens, and his body weight decreases. Many patients experience severe pain when the weather changes abruptly, and analgesics do not help eliminate the symptom.

An additional manifestation of coxarthrosis is muscle spasm. It develops as a result of displacement of the femoral head during a long course of the pathological process. The patient feels pain not only in the joint area, but also in the muscles of one or both legs. A characteristic sign of progressive coxarthrosis is clicking and crunching in the joint with a sharp change in body position.

Such a manifestation indicates a decrease in the amount of intra-articular fluid and strong friction of the heads of the bones against each other.

What is the danger of the disease

The danger of pathology is rapid progression in the absence of therapy. The disease turns into a neglected form, which is difficult to treat conservatively.

In addition, with constant pain, the patient tries to reduce the load on the affected limb, which leads to slow muscle atrophy. The greatest danger is a neglected form of pathology, which can lead to complete immobility of the articular joint.

Diagnostics

Coxarthrosis of the 2nd degree of the hip joint, the treatment of which begins with an examination, is quite easy to diagnose if you use the correct methods.

Method	Description
General examination of the patient and questioning	During the examination, the specialist identifies the degree of joint damage and assesses the pain during movements. In addition, the survey helps to identify the alleged causes of pathology and exclude them to facilitate therapy.
Clinical and biochemical blood test	Blood for analysis is taken from a vein. Diagnostics is a standard method that helps to identify concomitant abnormalities, signs of inflammation.
X-ray	The most effective diagnostic method that allows a specialist to identify the degree of damage to the articular joint. An examination is carried out immediately after contacting a medical institution, since it is the main reason for prescribing a particular treatment.
MRI	An additional diagnostic method that allows a more detailed study of the joint and cartilage tissue, as well as the head of the bones. Thanks to the layered image, even minor changes in the articular joint can be seen.

Based on the diagnostic data, appropriate treatment is prescribed.

X-ray picture

On an X-ray, a specialist can see deviations characteristic of pathology at stage 2 of development. The head of the femur of one limb is slightly higher than on the side of the healthy leg.

In addition, the space between the heads of the bone is significantly narrowed or completely disappears. The doctor discovers a decrease in the thickness of the cartilaginous layer and an almost complete absence of synovial fluid.

Conservative treatment for coxarthrosis of the 2nd degree

Conservative therapy is used at the initial stage of the disease, but can improve the patient's condition when diagnosing stage 2 of coxarthrosis. The treatment regimen involves the use of pain relievers and anti-inflammatory drugs, as well as chondroprotectors to restore cartilage.

In some cases, the use of hormonal agents is required, which quickly eliminate acute symptoms.

Tablets, injections and external agents

Among medicines, pills for pain relief, ointments for external use, as well as solutions for intra-articular and intramuscular administration are especially popular.

Non-steroidal anti-inflammatory drugs

Funds from this group not only help to eliminate severe pain, but also help to suppress substances that can provoke an inflammatory process. Inflammation is not typical for coxarthrosis, but can greatly complicate the course of the disease.

• Ibuprofen - a popular medication that is prescribed for severe pain during periods of exacerbation of coxarthrosis. The daily dosage for the patient is 2 tablets, they should be taken only after meals. The duration of the course is no more than 7 days. The drug is not used for ulcerative lesions of the digestive tract, intolerance to components, a tendency to bleeding.
• Nimesil - powder for preparation of oral solution. It is prescribed in the acute stage of the disease, helps to eliminate pain. A single dosage is 1 sachet, it should be added with 150 ml of warm water and taken orally. It is allowed to repeat the reception no more than 3 times a day for 7 days. The drug is contraindicated for any lesions of the digestive tract in the acute stage, allergies to blood components and pathologies.
• Ketorol - another analgesic and anti-inflammatory agent, which is prescribed for various diseases of the joints in the acute stage. The patient is prescribed pills for a course of 5-10 days. Should be taken 1 piece 2 times a day after meals. The remedy is contraindicated for gastritis and peptic ulcer disease in the acute stage, blood clotting disorders, during pregnancy.

Any medication is best used after a preliminary examination.

Chondroprotectors

Coxarthrosis of the 2nd degree of the hip joint (treatment is prescribed only by a specialist) is successfully treated with using chondroprotectors that stimulate the restoration of cartilage tissue and synovial liquids.

The most effective remedies:

• Mucosat - chondroprotector for the treatment of coxarthrosis, which is most often prescribed in the form of a solution for intramuscular administration. The patient receives 2 ml of medication daily, the course consists of 15-35 injections, depending on the severity of the symptoms. The medication is contraindicated in thrombophlebitis, lactation and pregnancy, intolerance to the components of the composition.
• Alflutop - a remedy based on natural ingredients, prescribed for initial and moderate lesions of the hip joint. The course of treatment consists of 30-35 injections, which the patient receives daily. A single dosage is 1 ml. The medication is contraindicated in case of allergy to its composition.
• Teraflex - capsules for oral administration, which are recommended for use with coxarthrosis at any stage. Usually, the patient is prescribed 2 capsules per day, and the duration of treatment should not be less than 3 months. To achieve a more pronounced result, at least 6 months of regular intake of capsules is required. The drug is not used for allergies, pregnancy, severe liver failure.

Such products help only with correct and long-term use.

Ointments

External remedies can only be used for unexpressed pain, when the disease progresses slowly and the patient is taking systemic medications in parallel.

• Nise - an effective medication for pain relief and elimination of inflammation during periods of exacerbation of coxarthrosis. It is necessary to apply the product no more than 3 times a day for 10 days. The layer should be thin, after application, you can rub the product lightly into the skin. The drug is contraindicated in case of allergy to components, during pregnancy.
• Chondroitin - a remedy from the group of chondroprotectors, helps at stages 1 and 2 of the disease, stimulates the restoration of cartilage. The drug should be applied 2 times a day, rubbed into the skin in the area of ​​the joint. Repeat the manipulations for 4-6 weeks in a row. The remedy is not prescribed for allergies, thrombophlebitis or bleeding tendencies.
• Chondroxide - ointment for external use, used for coxarthrosis stages 1 and 2. The product should be used 2 times a day, applied and rubbed into the skin, continue treatment for 4 weeks. Do not prescribe an ointment if there are purulent foci at the site of application or allergies to components.

Corticosteroids

Hormonal medications are most often prescribed for severe pain.

The best effect is provided by means in the form of solutions for injection into a muscle or joint:

• Dexamethasone - a drug to relieve pain and relieve inflammation during an exacerbation of the disease, used at any stage. The patient receives from 1 to 4 ml of medication intramuscularly per day, depending on the severity of the condition. Do not use the medication during pregnancy and intolerance to the composition.
• Diprospan - one of the most effective solutions for intra-articular administration, used only in advanced cases. The course consists of 3 injections, which are given once a week. Two such courses can be held per year. The manipulation is performed only by a doctor. The drug is not administered if osteoporosis, tissue necrosis, the development of bursitis or other purulent processes are suspected.

Such means are categorically contraindicated to use independently.

Physiotherapy

Coxarthrosis of the 2nd degree is quite successfully treated with the help of physiotherapy. In case of damage to the hip joint, magnetotherapy and UHF are used. Treatment is carried out on an outpatient basis. The course consists of 15 sessions with a frequency of 2-3 days. The duration of the manipulation is 20-30 minutes.

In magnetotherapy, a low-frequency magnetic field is applied to the joint. The second method involves the use of ultra-high frequency waves. Both methods stimulate tissue repair and slow the progression of the disease.

Autoplasma therapy

A new method in the treatment of coxarthrosis, which involves the introduction of the patient's own plasma into the joint. To do this, blood is taken from the patient, after which only plasma is separated with the help of equipment, and by injection it is injected in small doses of 5 ml into the joint capsule.

Enough 4-5 injections with a frequency of 3-5 days to achieve a pronounced result. The therapy is carried out in a hospital setting.

Manual therapy and joint traction

The method is used for unexpressed pain. The procedure is carried out by a professional chiropractor who, using special techniques stretches the joint, develops it, which stimulates tissue repair and reduces the load on the cartilaginous the cloth.

To obtain a visible effect, you will need 10 sessions, which last 40 minutes. and are held once every 2 days.

Massage

The patient's massage course usually takes place simultaneously with manual therapy. The specialist develops the joint, stimulates blood circulation. As a result, tissue nutrition is improved, and the processes of cartilage restoration are accelerated.

The procedure is performed on an outpatient basis once every 2-3 days. Its duration is 20-40 minutes. To achieve a pronounced result, you will need at least 10 sessions.

Treatment with leeches

Hirudotherapy is a non-standard, but effective way to treat coxarthrosis. It is used in the absence of contraindications in the form of a bleeding disorder.

Medicinal leeches, artificially bred, are applied to the joint area at certain points. They remain on the skin for about 10 minutes. The procedure is carried out in a hospital, repeated once every 4 days. The course consists of 5-7 sessions. Due to the influence of leeches, metabolic processes in the tissues of the joint are stimulated, which leads to intensive restoration of the cells of the cartilage tissue.

Exercise therapy

Physical therapy is considered an effective method that helps to normalize blood circulation and start tissue repair processes. However, exercise is allowed only after the acute symptoms have been eliminated.

Most popular exercises:

• Raising the leg while standing on all fours. For each limb, repeat 10 times.
• Raising the trunk in a supine position with legs bent at the knees. In this case, the shoulders, head and feet should not rise. Repeat 10 times.
• Raising the leg bent at the knee in a standing position while simultaneously retracing it to the side. For each leg, repeat 7-10 times.

The exercises should be repeated daily for a month after the main course of treatment.

Diet therapy

Coxarthrosis of the 2nd degree of the hip joint, the treatment of which must be timely, requires adherence to a certain diet, which will reduce the negative effect on the tissues.

The patient should give up salty and spicy foods, and also exclude fried and smoked foods from the diet. Sour fruits and juices should not be overused. It is important not to consume alcoholic beverages. The rest of the foods can be consumed in moderation.

If the patient is overweight, portions should be reduced, baked goods, fatty meat, sweets should be abandoned. In addition, it is better to consult a nutritionist who will draw up a menu taking into account the characteristics of the patient's body.

Folk remedies

Alternative medicine recipes can help relieve symptoms of the disease. A solution with mummy powder helps to eliminate pain and initiates tissue repair processes. For 2 liters of purified water, you will need 2 g of powder. After dissolution, the product should be taken in 100 ml 3 times a day. The duration of the course is 10 days.

Cabbage leaf compress can help relieve pain. To do this, you need a large leaf, which should be slightly beaten off until the juice appears. After that, apply to the joint, fix with a bandage and leave overnight. Repeat for 5 to 10 days in a row.

Rubbing with propolis tincture is also considered effective. To obtain the medicine, 20 g of natural propolis should be separated. Add 100 ml of alcohol and leave for 2 weeks to infuse. Rub the affected joint before going to bed for 7-10 days in a row.

When is an osteotomy necessary?

Osteotomy is an operation in which areas of bone tissue are removed near the destructive cartilage in order to reduce the load on it and slow down the progression of pathology.

The operation is necessary in the absence of the effect of conservative therapy and joint deformity, as well as in severe limitation of mobility and the threat of complete immobilization. The procedure is performed under general anesthesia, a specialist excises areas of bone tissue, after which a plaster cast is applied for several weeks. The recovery period lasts 4 to 8 weeks.

Endoprosthetics

Endoprosthetics is used only when it is impossible to restore joint mobility by other methods. The essence of the operation is to replace the affected joint with an implant made of metal, ceramic or plastic.

The operation is very complicated, performed under general anesthesia and takes up to 3 hours. During this, the specialist removes the affected joint and inserts the implant. After the manipulation, the patient undergoes rehabilitation for 3-6 weeks. The stitches are removed after 7-10 days, and the patient is allowed to move within 2 days after the intervention.

During the recovery period, antibiotics, anti-inflammatory and analgesic medications are prescribed to alleviate the patient's condition.

Prognosis and complications

With the timely initiation of therapy, the prognosis for the patient is favorable. The progression of the disease can be stopped and complications prevented. With late treatment, a complete cure cannot be achieved.

The most common complication is the transition of pathology to an advanced stage. In addition, it is possible to attach an inflammatory process, a significant limitation of mobility, up to the development of ankylosis, that is, complete immobilization.

Coxarthrosis of the 2nd degree is a dangerous disease characterized by damage to the hip joint and impaired motor activity of the patient. Treatment of pathology is long and difficult, so it is better to consult a doctor in a timely manner, which will prevent complications.

Article design: Vladimir the Great

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