Osteoarthritis of the hip joint. Symptoms and treatment, the extent in the elderly. Folk remedies, drugs

Osteoarthritis of the hip is a very common disease not only among the elderly but also among younger patients. Symptoms and treatment of diseases related because drugs are often chosen based on symptoms. For effective treatment of state must determine its extent and related disorders.

What is arthrosis of the hip

Osteoarthritis of the hip joint in medicine is called coxarthrosis. The disease is a condition in which the starting compound in the articular degenerative-dystrophic changes in cartilage and bone that leads to a gradual reduction in locomotor activity, up to its complete losses.

In most cases, such a breach affects patients of middle and old age, but the likelihood of developing the disease in young people is not excluded.

Types of hip osteoarthritis

Osteoarthritis of the hip joint, symptoms and treatment is often interested patients, experts do not tend to share on any species, as the disease always occurs in several stages. But unofficial classification involves the allocation of 2 types of violations depending on their causes.

This allows those skilled allocate primary and secondary coxarthrosis. The first occurs most commonly diagnosed mainly in patients older than 50 years. The most likely cause of this condition is considered violation of the metabolic processes that It leads to degenerative changes and provokes condition and deterioration of bone cartilaginous tissue.

The second type of osteoarthritis is not as common. It develops on the background of other diseases of the musculoskeletal system and other systems. The reason may be rheumatism, arthritis, trauma, or other factors. It is worth noting that it is a secondary type of bowl disease is diagnosed in young and middle-aged patients.

In addition, experts distinguish coxarthrosis unilateral and bilateral. In the first case affects one limb, in the second - just two. The latter option is rare, almost always in elderly patients.

Stage and grade of the hip joint arthrosis

The disease of any kind always takes place in 3 stages. Only difference is the rapidity of development. Secondary osteoarthritis progresses rapidly, often over several years, the patient loses mobility in the affected joint.

The initial stage of coxarthrosis is accompanied by mild symptoms, lack of disturbance of mobility in the articular joint. The patient may talk about the pain during exercise. After resting symptoms disappear. Degenerative dystrophic changes are already present, but they can only diagnose doctor, visual changes are not present.

The second stage is accompanied by progressive or more severe symptoms. Soreness is present not only in the load, but also at rest. In addition, the patient said that during rotation of the hip inward or outward pain increases. Some patients in this stage are already present signs of mobility, when certain movements are difficult or impossible.

In addition, the progressive stage is characterized by a gradual thinning of the cartilage tissue compound, reducing the amount of synovial fluid that provides normal mobility limbs.

Advanced stages is considered severe. The patient constantly talking about severe discomfort while walking and at rest. He is unable to walk without a cane or other support, develops lameness, limb somewhat shortened. Since the gap between the head disappears pelvic and femoral bones.

Often, at this stage the joint becomes completely fixed, since bone fusion occurs heads as a result of the total destruction and disappearance of cartilage synovial fluid. Regular bone rubbing against each other leads to the head protecting body reactions expressed in ankylosis (immobility resulting joint seam).

The symptoms of hip osteoarthritis

Osteoarthritis of the hip joint, symptoms and treatment that becomes part of the problem for the patient, in most cases progresses slowly. The reactive form of the disease is not typical.

The main manifestations of the state will be as follows:

1. in the joint tenderness, Increasing as the disease progresses. At the initial stage of discomfort occurs only under heavy load disappears alone. However, on 2 and 3 stages of pain increases, it appears alone in the daytime, and later the patient says about the origin of sensations at night.
2. Decreased motor activity. The patient tries to walk less, because the pain is felt. This leads to the appearance of weakness.
3. Headache, dizziness there is not in all patients. The symptoms are often associated with a sharp restriction of mobility, forced to being in a horizontal position. In most cases, the symptoms appear in people who suffer from stage 2 or 3.
4. Poor appetite, associated with increased discomfort and reducing the amount of energy consumed.
5. Crunch in the jointsOccurring after prolonged immobility and sharp change in body position. It talks about reducing the amount of synovial fluid, which performs the function of depreciation, prevents bones rubbing heads together.
6. Atrophy of the thigh muscles and tibia develops at an advanced stage. This is associated with a reduction in the load on the affected limb. The patient intentionally releases the foot, so as not to feel pain. This leads to a gradual thinning and weakening of the muscle fibers.
7. The appearance of bone spursProtruding in the affected joint from the outside. Often such occurs when the patient for various reasons can not reduce the load on the connection. Then the pressure build-up appears to the side of the femoral head, called osteophytes.

At an advanced stage, there is complete immobility in the articular joints, shortened limb, the patient is able to walk without support. His movements severely restricted, the overall condition is also deteriorating.

Causes of hip osteoarthritis

Coxarthrosis develops as a result of the set of predisposing factors. Primary often becomes the result of violations of metabolic processes in the human body, the secondary - a consequence of other diseases of the musculoskeletal system.

There are also common causes that can induce degenerative-dystrophic changes:

1. The increased load on the connection at regular performing heavy physical work. Fatigue can also be a reason, because there is no time in the tissue to a full recovery.
2. The lack of vitamins and minerals in the diet, depletion, chronic vitamin deficiency. When this cartilage tissue does not receive a sufficient number of elements required to maintain its status.
3. Poor circulation in the joint, which leads to a change in tissue structure.
4. Damage to the joint capsule as a result of injuries, the spread of a disease-causing microorganisms.
5. Arthritis, bursitis severe.
6. Excess weight, which increases the load on the compound that reduces the distance between the bones. This leads to a constant pressure on the cartilage and reduce its elasticity.
7. Hereditary predisposition to diseases of the joints. It noted that patients who have relatives among those who suffer coxarthrosis, are more prone to develop the disease. However, a gene which would be responsible for transmission of the disease does not exist.

Experts point out that there are women over 45 years at risk. Men are affected more often a disease that is associated with the absence of abrupt hormonal changes.

Diagnosis of hip osteoarthritis

Osteoarthritis of the hip joint, symptoms and treatment of which are interrelated, are diagnosed during a comprehensive survey. Used for this purpose several methods (standard and custom), have the highest efficiency.

Method	Description	Location, cost
patient survey	Specialist clarifies the patient of the disease, which he suffered during a life. Then he asks about symptoms, their severity, and general condition.	Held in any facility usually charge
inspection	On examination, it is important to pay attention to the study of the state of the skin, mucous membranes. After that, the doctor examines the directly affected area, palpate the joint, asks the patient to take the leg to the side, to see how his mobility is limited.	Always held in private or public institutions, is free of charge
Clinical and biochemical blood	A clinical trial is mandatory method that is always used. Biochemical analysis to evaluate the state of internal organs, to detect signs of complications.	Diagnosis reagents are available in each clinic. The private institution examination costs about 300-400 rubles.
X-rays of the affected joint	The most effective diagnostic method to assess the condition of the affected joint, to establish the degree tissue destruction, measure the width of the space between the bone head, to see how it decreased. In addition to x-ray you can see signs of other diseases, such as osteoarthritis.	The equipment is usually available at each clinic, the cost ranges from 200-300 rubles.
ultrasound	Not always used, but sometimes can detect the disease at an early stage, measured the amount of synovial fluid.	Held in almost every institution, the cost of the survey is about 500 rubles.

The most effective method is considered to be X-ray examination of the articular joint. However, only a comprehensive survey will help accurate diagnosis and prescribe treatment. In some cases, X-rays does not help get a clear shot of the joint. Then the patient is sent to the MRI, in which the commonly used contrast agent for better visualization of the affected area.

When to see a doctor

In the event of coxarthrosis symptoms should immediately consult a podiatrist or arthrology. Unfortunately, not every city has such a narrow specialist. In this case, the patient is sent to the therapist that assigns diagnosis and appropriate treatment.

It should be noted that when diagnosing 2 and 3 disease treatment stage should commence immediately. On the 1st stage of the disease and prescribe medication, so it is crucial to apply to the medical institution. It is important not to ignore symptoms, since the transition to the advanced stage of the disease complicates treatment.

Prevention of hip osteoarthritis

Coxarthrosis much easier to prevent than to cure. None of the methods of prevention does not guarantee that the disease does not manifest itself, but it will help significantly reduce the risk. It is important to balance the diet, to include in the menu of dairy products rich in calcium. Meals should be regular, but not plentiful. Mandatory requirement to prevent the disease - control of body weight.

Every extra kilogram increases the stress on the joints by 10 times, so it is important not to allow uncontrolled weight gain. Women of all diseases should be treated in a timely manner, accompanied by hormonal imbalance.

It is important to minimize the risk of injury to the extremities, as well as to prevent the regular fatigue. Cartilage wear, which leads to the development of degenerative changes. Any inflammatory joint disease should be treated in a timely manner, as well as can lead to osteoarthritis.

Patients with hereditary predisposition is not necessary to constantly fear the development of osteoarthritis. You just need to lead a healthy lifestyle and do not overwork, that will maintain the health of articular joints.

Methods of treatment of hip osteoarthritis

Osteoarthritis of the hip is not so easy to heal. Symptoms of its diverse, worsen the patient's condition and treatment should be complex to be effective. Experts typically use medication and other methods, many patients used their own folk remedies.

Medications

In order to achieve therapeutic results the doctor prescribes several tools from different groups. This helps you quickly restore joint function and eliminate the possibility of complications.

The most effective drugs are the following:

1. Dikloberl - a non-steroidal anti-inflammatory agent used as a solution for intramuscular administration. The day the patient is administered from 1 to 2 to 3 ml vials. The maximum duration of the course shall not exceed 10 days. Means of blocking substances that trigger inflammation and relieves pain, reduces heat in the joint, if this symptom occurs. The tool is not used in acute diseases of the digestive tract. The cost of 1 mg is approximately 40 rubles.
2. pentoxifylline - a means of vasodilators group, allowing increased blood flow to the affected joint. Administered as a solution for intravenous drip by reference. 5 ml ampoule is dissolved in 200 ml of sodium chloride and administered to the patient daily. Duration of the course - from 5 to 14 days. The drug is highly effective and inexpensive. 1 vial will have to pay 30-40 rubles.
3. glucosamine - tablets from the group chondroprotectors that contribute actively to restore cartilage. Through use means slows down cartilage destruction process improves the general condition, the pain decreases. The course of treatment lasts for such a medication for at least 3 weeks, the maximum duration of 6 months. The day the patient is necessary to use one tablet. The cost of the drug starts from 500 rubles. 30 tablets per pack.
4. chondroitin sulfate - one chondroprotective agent, which possesses the ability to stimulate cartilage restoration in the joint. In addition, the medication stimulates the production of synovial fluid, which also facilitates the patient's condition. The capsules should be taken by 1 pc. morning and evening for 3 weeks. The course can be extended up to 3-6 months in advanced coxarthrosis. Price medication starts from 250 rubles. 50 capsules per pack.
5. hyaluronic acid - tablets, used to restore the volume of synovial fluid, regeneration of cartilage tissue. To help stop the destruction of tissue, relieve pain, improve the general condition. The day the patient should take 1 capsule means course duration - from 2 to 6 weeks. The cost of the drug is about 1200 rubles. 30 capsules per pack.
6. Mydocalm - muscle relaxant, helps to relax the muscles in the affected limb. Appointed to an advanced stage, when the process of muscle atrophy begins, and the patient is not able to manage stress and relaxation cycle. Tablets should be taken one time a day, preferably before bedtime, course duration - 10 days. The cost of medication starts from 320 rubles. per pack 30 pcs.
7. dexamethasone - hormonal preparation, wherein high efficiency. Prescribed to patients in the advanced stage, it helps to stop the degenerative-dystrophic changes in the joint, reduces pain and facilitates movement. Usually patients administered from 1 to 2 ampoules per day means. It introduces it can be intramuscularly or with a dropper, but previously dissolved in 100-200 ml of saline. Duration of the course - from 5 to 14 days. Price of 1 mg drug is about 20-40 rubles.

Despite the effectiveness of each drug, to patients with advanced coxarthrosis such therapy does not bring the expected result. But the reception of funds to help prevent complications and facilitate overall.

Traditional methods

Osteoarthritis of the hip joint (the symptoms and treatment of patients is always concerned with the appearance of first symptoms), many are successfully treated using alternative medicine prescriptions.

Alcoholate cinquefoil has unique therapeutic properties, it helps to ease the pain. Stop the destruction of cartilage in the joint. Prepare drug can be from 100 g of dry grass and 500 ml of vodka.

Grass should be crushed, placed in a container made of glass, pour vodka. After infusion for 14 days, is ready for use. The patient may need to take it 3 times a day 30 drops. Continue treatment for at least 14 days.

Tincture on the basis of the golden whiskers also considered effective. It helps to eliminate pain and anti-inflammatory effect.

Prepare it simple: you must take 15 sustavchikov known plants placed in a jar, pour 500 ml of alcohol or vodka. infusion time - 10-14 days.

The finished tool is used for grinding the affected joint in the morning and evening. Duration of the course - 10 to 20 days.

Poultice of the leaves of burdock and honey has an analgesic and decongestant properties.

It is necessary to lubricate the area of ​​honey daily joint, put on top of the leaves, wrap and fix bandage. Leave wrap for 1-2 hours. The procedure is carried out daily, the minimum duration of treatment - 7 days.

Lingonberry tea has tonic properties, it helps to improve the general condition and eliminates soreness. In 300 ml of boiling water required 1 h. l. dried leaves. After infusion over 20 minutes means can be used. The day should not take more than 1 serving. Continue treatment 10 days.

Any of the popular recipes considered to be effective, but patients should be remembered that use them is allowed only after consulting your doctor. Many funds have contraindications and can provoke complications.

Other methods

In addition to classical medical treatment and traditional medicine recipes use other ways of dealing with coxarthrosis at different stages.

Massage is considered the most effective method of alternative healing. The main task of the expert is to eliminate pain, edema, spasm.

In addition, during the massage increases blood circulation in the affected area, which also stimulates the process of tissue repair. Perform the procedure should only be a specialist in a hospital. The minimum number of procedures - 15, the length of each - 20 min.

Physiotherapy is assigned to stage 1 and 2, when the joint mobility is limited, but is retained. The exercises are designed specifically for patients, helping to develop a joint, relieve pain, stimulate blood circulation, prevent complications.

Independently patient will not be able to develop a complex, so it's best to visit the physiotherapy room in the hospital. Duration of sessions and number of sessions is determined individually after inspection.

Importance is a diet that is designed for saturation of the body substances necessary to accelerate the tissue repair process. If the patient is overweight, it is recommended to consult a nutritionist, who will develop an individual diet. After losing a few extra kilogram load on the joints significantly reduced, the patient feels relief.

The rest of the patients with coxarthrosis should be excluded from the diet of sweets, flour products, strong coffee, carbonated drinks and alcohol. In addition, the necessary quantity of used maim lean meat and fish, which will saturate the body with valuable substances.

One of the most beneficial foods for patients with any form of osteoarthritis is considered jelly and jelly. Gelatin exclusively positive effect on the articular joints.

It recommended most often prepare meals with its content, use regularly but in moderation. Large doses of gelatin can provoke constipation, so do not abuse it.

possible complications

If left untreated, complications will certainly develop. The patient gradually loses the ability to move normally or to bend the leg at the hip joint. Muscle atrophy in the affected limb, foot decreases in volume and is shortened by narrowing the gap between the head of the femur and pelvis.

The most difficult and dangerous complication is considered to ankylosis or complete fusion of bone heads, and loss of motor function. With the development of this condition only treatment is surgery, suggesting the implantation of the implant, mimicking the cartilage.

Osteoarthritis of the hip joint - a dangerous and serious disease that affects mostly middle-aged and elderly people. Symptoms cause patients to look for ways to combat the problem and treatment is aimed at preserving the mobility of the joint compound.

Registration of the article: Mila Friedan

Video of coxarthrosis

Causes and treatment of coxarthrosis: