The hip joints are regularly subjected to loads, so they are likely to develop a variety of diseases. Trochanter is often confused with osteoarthritis, because of the similarity of symptoms. In most sluchaelechenie passes successfully. But there are more complex forms of pathology, which need to know in a timely manner. In such cases, several types of therapy.
The content of the article:
1 Description of the disease
2 types of diseases
3 Effects
4 Causes
5 Symptoms of subacute form
6 Symptoms of an acute form
7 methods of diagnosis
8 Gymnastics
9 ethnoscience
10 drug therapy
11 physiotherapy
12 Power at disease
13 Video of the trochanter (trochanteric bursitis)
Description of the disease
The pathological process affecting trochanter region with the adjacent ligaments and tendons, It is usually one-sided and does not extend to other areas, although there are bilateral. Trochanteric bursitis is not dangerous to life, only in rare exceptions leads to disability.
hip trochanter, the symptoms vary depending on the form of disease, always carries with it the pain. If other than pain occur outside of the thigh swelling, fever, redness, then we can assume the infectious form of the disease, or tuberculosis.
From excessive loads, the most damaged area of the fibers that connect the tendon to the bone. They accumulate liquid form of inflammation, they lose flexibility and gradually destroyed. Trochanteric bursitis affects fastened to the bone end of the tendons, synovial hip bag and trochanter bone.
This disease is common in women after 35 years, especially during menopause with the weakening of the muscle and tendon structures. Treatment of the disease involved in orthopedic and trauma surgeon.
types of diseases
Trochanter is of 3 types, causes and symptoms of each of them differ:
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Description
Aseptic
The most common type of disease, inflammation debut for reasons such as:
a strong weight gain (also during pregnancy);
constant load associated with obesity;
joint injury;
long stay in the same position (sedentary lifestyle). This kind of problem is only one symptom - constant pain
Infectious
It may occur in people who already have infectious diseases caused by bacteria and viruses.
In patients with a history of chronic inflammatory processes.
Exhibit such symptoms as fever, are possible febrile condition.
Sometimes trochanter is completely destroyed.
tubercular
Develops in people who underwent tuberculosis in childhood or adulthood.
It is difficult to treat, because it applies not only to the thigh, but the next area of the body.
When retracting the legs to the side, a strong pain.
Appear edema, suppuration process can begin in severe stages of the disease.
Effects
If you have any symptoms, you should immediately go to the doctor. In keeping with the recommendations of a qualified doctor, you can always beat the disease and return to a normal lifestyle. Trochanter initial stage is treated in just a week. The acute form of the disease, although it brings more pain, heals much faster. However, the acute form may become chronic.
Trochanter of the hip joint, while continuing to develop, begins to show the symptoms more obvious - concern not only when driving but also not allowed to sleep at night, have a return in the groin area. The disease will take on more complex forms, which have a negative impact on motor function.
The inflammatory process extends to the next area of the body, tendons and muscles are subjected to negative changes. The longer the inflammation will spread, the greater the pain will have to move.
Tolerance toward this problem may eventually lead to the fact that you will need to have surgery for joint replacement.
Causes
A number of possible causes trohanterita, as well as the factors that make some people more prone to developing this disease:
Injury or a hip injury.
Systematic pressure on the thigh. Trochanteric bursitis usually appears due to frequent micro-traumas that could lead to the same problems as the single, more severe injury. People who often wear severity, run or stand for long periods of time.
Women suffering from this disease more often than men. The disease can begin at any age, but most of them are faced with people aged 40 to 50 years.
Rheumatoid arthritis and gout.
Scoliosis and other spinal problems, such as a pinched nerve in his back.
People leg length varies by more than 2 cm, have abnormalities in gait that gradually causes irritation spit bags.
Previous hip surgery. Operation at or even near the hip joint can increase the likelihood of developing trohanterita.
Bacterial infection of the bursa. For example, people with cancer, HIV / AIDS, lupus, alcoholism, chronic lung disease and diabetes.
Symptoms of subacute form
A prerequisite subacute forms trohanterita is often a combination of viral infection (e.g. influenza) and hypothermia:
The gradual manifestation of pathological symptoms.
After a week or more appear pain in the joints.
Weak expression of pain and aggravation day night becomes difficult to sleep on the affected side. Perhaps the intense sweating and fever.
Increased pain when you press on a spit.
Almost no effect on the movement, but there is discomfort associated with pain.
The treatment takes a long time.
Symptoms of an acute form
The acute form usually progresses on the background of excessive physical exertion, as well as long distance:
Pain intensity is greatest during the first days.
Brighter symptoms, pathology progresses rapidly, within 2-3 days have seen all the signs of the disease.
Palpation arise sharply negative sensations skin in the hip area becomes hot, burning pain extends down the leg.
Adversely affects the motor function is constant pain, in this case stronger.
Deteriorating overall health, there may be fever and lethargy.
methods of diagnosis
Trochanter of the hip joint, the symptoms of which have some similarities with the symptoms of coxarthrosis, it is easy to determine with the aid of two procedures. The doctor asks the patient to relax the leg and make it a circular motion.
Arthrosis do it does not work, because of the unbearable pain, while trochanter they do not cause pain. For approval of the diagnosis by applying pressure to certain points of the hip, you need to make sure the pain sensation to be at the trochanter.
Confirmation of the diagnosis can also be obtained by passing the following procedures:
blood and urine tests;
Revmoproby;
Ultrasound of the joints and soft tissues;
ultrasound scanning;
X-rays of the hip joint;
in special cases using MRI or CT.
Gymnastics
Engage in physical exercise is useful only after the removal of painful symptoms. By doing special exercises can strengthen the muscles of the hips and stimulate blood circulation in this area, which will benefit the treatment. It is important not to make a lot of effort and finish the exercise with the appearance of pain. training regimen should be easy.
It is best to combine physical education with a massage of the affected joint and applying ointments against inflammations.
Holding on to the work surface, to march on the spot, alternately lifting his knees to his chest. Do not lift the hip more than 90 degrees.
Lifting the legs to the side. Hold the leg for 5 seconds. and slowly return back. It is necessary to hold on to a chair or work surface for support.
Bending the knee and lifting the heel up from the back. In this case, the knee does not go back, staying parallel to the floor.
Lying on your back, pull your toes and ankles to her, holding the leg straight and tightly clutching his knee to the floor - just move your feet. You need to feel the tension in the front of the legs. Wait 5 seconds. and relax. This movement You can do sitting and if it's more convenient.
Lying on your back, knees bent, feet on the floor. Pelvis and lower back raised off the floor. Position held by 7 seconds. And then you need to slowly descend.
Lying on your back, pull your knees to your chest at a time, keeping the leg straight lowered. Perform necessary movement to the point where the stretch is felt. Hold this position for about 10 sec., For a total of 5-10 repetitions.
In the sitting position or lying on your back, bend your knees and connect the lower parts of the feet together. Press the knees to the floor, helping hand when needed. Make the movement to the point where the stretch is felt, hold the position for about 10 seconds. and relax. For 5-10 repetitions.
ethnoscience
Symptoms of aseptic form of the disease (pain and inflammation) can be mitigated by traditional methods. From the disease itself does not eliminate these recipes.
Extracts, herbs and compresses can be used as a supplement to the basic treatment program:
1. Infusion of calendula:
The need to fill glass bottles of 20 g of dried plant pounded.
Add half a cup of alcohol.
Cover tightly and place in a darkened place for 2 weeks.
Treating the affected area, you can do a light massage for 5 minutes.
2. Tincture of honey and lemon:
3 need lemon, each of which must be cut by half.
Placing in a bowl, cover them with 3 liters of boiling water, and then leave it for 1 h.
Then we should add 2 tbsp. l. honey and stir.
Used 3 times a day for 1 st. l.
3. Healing infusion:
4 tbsp. l. sage mixed with 2 tablespoons. l. chamomile.
Absorb to 1 liter of boiling water finely divided ingredients.
Cooked sage and chamomile have to close tightly and leave in a warm place for 9 hours.
After that, the resulting infusion soak linen napkin and put it on the problem area of the thigh.
Napkin should be covered with cellophane and wrap. Compress done 2 times a day.
4. Beer compress:
300 ml radish juice, 100 ml of beer 100 g of honey and 50 ml of ethyl alcohol.
The whole mass is necessary to boil, remove from heat and wait to cool down.
The resulting mixture should soak a flannel cloth and apply it to the painful area.
Cloth cover with cellophane and a bandage. Hold so for at least 2 hours.
drug therapy
Treatment of the disease consists of the following methods:
In aseptic form taken NSAIDs. They have good efficiency drugs such as Diclofenac and Nimesulide.
If the diagnosis of infectious trohanterita, need a long time to take antibiotics such as ampicillin and lincomycin; in combination with drugs group NSAIDs - diclofenac and nimesulide.
Tubercular type of disease requires the use of special anti-TB drugs, most often Izaniazid and Rifampicin.
In the initial stage of the disease it is desirable to take the medication through injections and later go to the tablet.
drug Name
Methods of application and the dosage
nimesulide
Tablet form:
Take 2 times a day on 1 tablet with a full glass of water.
The daily dosage should not exceed 400 mg per day.
Powder:
In one sachet in 100 ml of water twice daily.
Gel and cream. Apply a thin layer on the problem area of skin several times a day.
Place any material over the ointment is not necessary.
diclofenac
Pills:
Dosages are assigned individually, preferably so that they are at a sufficient minimum efficiency within 75-150 mg per day, for 3-4 Hour.
Tablets are taken without chewing, washing down with water.
Course duration is usually no more than 2 weeks, except for difficult cases.
ampicillin
In tablets:
Adults take 250-500 mg of the drug in one step, a total of 4 of reception a day.
For more accurate dosage needed a doctor's recommendation.
Children weighing less than 20 kg take 12.5-25 mg / kg at a time, at intervals of 6 hours.
Duration Hour individually in each case.
For intramuscular and intravenous administration:
250-500 mg in one step in adults and 25-50 mg / kg in children.
Periodicity Hour 4 to 6 hours.
lincomycin
Pills:
Adults take several times a day with 500 mg per reception.
Children under 14 years of 30-60 mg / kg per day.
V / m:
Adult 1-2 times per day to 600 mg.
Babies / drip 10-20 mg / kg at intervals of 8-11 hours.
isoniazid
In tablets:
600-900 mg 1-3 reception after the meal, not more than 600 mg in one step.
Most of the course duration.
rifampicin
Pills:
Taken on an empty stomach at the rate of 10 mg / kg, 1 time per day or 2-3 days a week at 15 mg / kg.
In / in:
Babies 1 times a day or 2-3 times a day, 10-20 mg / kg.
The adult dosage is 600 mg 1 time per day, or 15 mg / kg 2-3 times a week.
Suitable for injections into the painful skin area, intracisternally and by inhalation of 125-250 mg.
During treatment, it is important to take in sufficient quantities Immunopreparat and vitamins of group B.
physiotherapy
Trochanter of the hip joint, the symptoms of which are mitigated by drugs, also responds well to physical therapy - after 5-7 visits to see the results. Such procedures help to normalize blood circulation, improve metabolism in the affected areas of the body, relieve pain and reduce inflammation swiftness.
Therapies:
shock wave;
ultrasound;
electrophoresis in combination with drugs;
magnetic;
laser;
paraffin thermal applications.
Physical therapy is most effective when a noninfectious form of the disease.
Power at disease
Hip trochanter (symptoms described above) depends on the diet. A diet with a reduced content of omega-6 fatty acids and rich in omega-3 is able to reduce inflammation.
It is important to know that omega-6 actually stimulates inflammation of the joints.
Foods with omega 6
Foods to avoid:
Processed foods such as crackers and chips, baked goods, and often semi-finished food products.
Semi-finished products, especially those that are listed on the labels of saturated fats, trans fats or hydrogenated oils. It is important to know that saturated fats are also found in vysokozhirnyh dairy products and red meat.
From spices best used only ginger and turmeric.
Wholesome food with omega-3:
Unboiled water.
Oily fish. Salmon, herring, anchovies, mackerel, sardines and tuna.
Some plant and nut oils. Olive, canola and flaxseed oil.
Leafy green vegetables, such as broccoli and lettuce.
Walnuts and pecans.
Flaxseeds.
If you can not get enough omega-3 through products from fish oil supplements - a good alternative.
Fluctuating blood sugar levels may increase inflammation. The transition from refined grains to whole grains changes the consumption of food load. Choosing foods with a low glycemic index, such as whole-grain breads and cereals, helps stabilize blood sugar levels, which can do much to reduce inflammation.
Fruits and vegetables do not have a direct impact on inflammation. However, they can help the body get rid of substances that promote inflammation. It is important to consume daily 400-700 g of various vegetables and fruits as an essential attribute of a healthy diet.
Before you take steps to control the disease of the hip joints, it is necessary to consult a doctor. Upon completion of the treatment trochanter can resume. That the symptoms do not come back, you need to see a doctor, and not provoke the return of the disease in the wrong way of life.
