Treatment of osteoarthritis of the hip is necessary in a comprehensive way, helping to eliminate the causative factors and reduce pain, as well as inflammation. Thus, it will be possible to eliminate the unpleasant symptoms associated with pain and dysfunction of the limbs that occur with this disease. Therefore, the diagnosis of this pathology is very important, and it involves conducting an X-ray examination in several screenings.
Cause and degree of flow
The factors that provoke the development of arthritis include the following phenomena:
- genetic predisposition;
- weakness of the muscular corset;
- abnormalities in the structure of the skeleton;
- trauma history;
- inflammation;
- autoimmune process;
- purulent infection;
- hard labor or playing sports;
- advanced age.
There are 3 stages of the pathological process. Thus, grade 1 arthritis of the hip joint is characterized by the appearance of pain only after exertion and no other symptoms of the disease. The next stage is characterized by constant pain, even at rest. X-ray examination showed narrowed joint space. Grades 1 and 2 with proper and timely treatment are reversible conditions, but if left untreated, they quickly develop into a more severe form. With further progression of the joint disease, the pain becomes intense and limits the mobility of the femur at the hip joint. The muscles of the lower extremities atrophy and cannot perform their functions. The discovery of the growth of osteophytes is typical for the third severity of hip arthropathy.
Pathological symptoms
The first symptom of the disease is severe pain in the thigh when moving.
Osteoarthritis of the hip joint is characterized by the appearance of such manifestations:
- pain syndrome caused by physical activity;
- fever, while the body temperature ranges from normal to hypothermic;
- corset-ligament atrophy;
- lameness;
- limb deformity associated with large edema and bone spur formation;
- change in limb length;
- crunching sound when moving TBS.
Joint deformity develops more often in the right region than in the left hip joint.
Signs are expressed depending on the stage of the process. Usually, the patient's entire leg is completely sore, which is related to the encroachment or inflammation of the nerve endings that travel near the joint. At the same time, grade 2 hip osteoarthritis is characterized by pain at rest. There is also stiffness when moving, especially in the morning. This is due to a buildup of secretions in the joints around the neck and head.
Atrophy of the hyaline cartilage, due to which the joint space is significantly narrowed, causes the appearance of a characteristic crunching sound during movement, shortening the length of the limb. In this case, the femur is destroyed and its tissue density is lost. Osteoporosis is progressive in nature and is associated with disorders of tissue nutrition. The development of chronic inflammation is a provoking factor for the destruction of the hip joint. As a result, pathological foci of ossification or bone spurs appear. This is typical for 2 3, and sometimes the first degree of the disease process.
How is the diagnosis made?
The trauma specialist can identify hip osteoarthritis on an external examination and ask questions about the patient's course of the disease. X-ray examination is used to confirm the diagnosis. In the photo, arthritis looks like a seal and deformity of the iliac ends of the thigh. This greatly increases the size of the head. An important symptom of the disease is the formation of bone spurs, which are also well detected by this method.
What is danger?
The hip joint is a component of the human musculoskeletal system. Thus, the violation of its functions causes immobility of the patient and over time causes disability. In addition, the inflammation spreads to the pelvic bones, causing urinary and bowel dysfunction. It is possible to invade the nerve endings passing near the femoral head, causing a violation of the tactile sensitivity of the limb.
The progression of the disease leads to the formation of cartilage defects, its wear and tear. Cartilaginous particles penetrate the joint cavity and cause aseptic or "aseptic" inflammation that occurs without the involvement of pathogens.
Furthermore, the inflammatory process spreads to the bone tissue, causing aseptic necrosis (necrosis) of the areas of the acetabulum and the femoral head. The formed bone growth - bone spurs - damages the surrounding tissues, exacerbating the inflammatory process and causing severe pain.
In the advanced stages of the disease, there are signs of periarticular inflammation, when the soft tissues around the joint (muscles, ligaments, nerves, vessels) are affected. The final stage of the disease is the complete destruction of the joint, which leads to its immobility - ankylosing spondylitis.
Treatment of hip osteoarthritis
Treatment of joint diseases should be aimed at eliminating the cause of the process. It is necessary to treat with drugs, and if necessary, they resort to surgical intervention. The complex effect also includes folk remedies in the form of herbal medicines, which should complement the main therapy. When the exacerbation of the disease has been overcome, physical therapy is used. They will also help if there is a budding new pathological process. Prevention of osteoarthritis lies in proper nutrition. The diet should limit foods rich in salt.
Given the significant severity of the injury, joint replacement, including the prosthesis of the pelvic joint, is recommended.
prepare
Conservative treatment is capable of eliminating the uncomfortable symptoms caused by hip osteoarthritis in the early stages of development. It helps to anesthetize the soft tissues of the thighs and pelvis, as well as eliminate a number of other unpleasant manifestations. For this purpose, non-steroidal anti-inflammatory drugs based on Diclofenac or Ibuprofen are used. They must be injected intramuscularly, orally, or applied to the affected area. Muscle relaxants are also used to relieve muscle spasticity of the affected limb. Drug therapy consists in the prescription of a long course of protective drugs and vitamin complexes.
physical therapy
Osteoarthritis of the hip can be cured in the early stages of the course with the help of physical therapy. It can also be used after prolonged drug exposure and eliminates signs of the inflammatory process. This type of intervention can help relieve muscle spasms and restore joint function.
If the patient has an initial pathological stage, then it is useful to perform the following types of physical therapy:
- therapeutic magnetic field;
- electrophoresis;
- paraffin application;
- Sludge treatment;
- Bath with essential oils.
folk remedies
Treatment of hip osteoarthritis with non-traditional methods involves the use of various means. For this purpose, you can also use crushed mint leaves and aloe vera with the addition of lubricating oil for better viscosity and application. Celandine soaked in olive oil for 2 weeks will be very useful. Horseradish root compresses or healing mud wraps are also used.
In most cases, traditional treatments for rheumatism include the use of various ointments, creams, and gels as a topical treatment. Traditional medicine also uses the drug in the form of an ointment. Natural herbs are often used for preparation.
Treatment of arthritis with folk remedies at home cannot help you get rid of the disease completely, but it can completely reduce clinical symptoms such as pain, swelling, and inflammation.
Exercise therapy and massage
Mild hip osteoarthritis is treated with these types of exposures. Manual therapy is indicated after complete elimination of inflammation and pain. Massage should be performed by a physician after reviewing the patient's medical history. More often, a course of 15 massage sessions is prescribed. Home treatment involves the use of special exercises that will help restore full function of the joint.
Severe arthritis is not treated with massage therapy and exercise.
Prevent
Sufficient physical activity will help prevent hip osteoarthritis, but physical activity causes rapid wear and tear of cartilage tissue, so it is not recommended especially for people who are prone to these diseases. about joints. Untreated hip dislocations or other limb injuries are also very dangerous. Proper nutrition with adequate amounts of vitamins and mineral complexes is also important.