Arthrosis of hip joint (cockertrosis) is a disease of a progressive type, affecting the bone and cartilage tissue of the joint (until destruction).Most often occurs after 40 years, competent-body people manifest themselves due to the negative effects of various factors-chips, sports and physical planning, weight of obesity.
Characteristics of the disease
The initial phase of the disease is insignificant, but periodic pain in the joint, practically not a cause for concern.Gradually, pathology develops, there may be complete loss of mobility (disability) without treatment.
Under the influence of adverse factors, metabolism and blood circulation are distracted, which negatively affects the cartilage.It becomes less elastic, cracks are formed on its surface.The progression of the disease creates the deformation of the cartilage, its cracking and friction.
Often particles come into the joint cavity, which becomes the basis of inflammatory processes.Gradually, the process of inflammation extends to the bones, which causes deadlife in the plots, in addition to bone growth, which hurts severely soft tissues and causes severe pain.
Reason
- Painful effect,Also the implementation of complex physical exercises, professional games.All these reasons often become the basis of the development of arthrosis in the absence of proper and timely treatment, as well as the right lifestyle.
- Microtrama incident of the joint,Which were not correct in a timely manner, the cause of the formation of arthrosis can also be scoliosis, ilence, ie, the curvature of the spine.
- Flat legThe spine and the pelvic region creates an inappropriate distribution of load, which forms microtrama of the joint.
- Infectious disease,Also arthritis.Gouts in which severe inflammatory processes are formed, which make the stages of arthrosis more intense.
- With arthritis,Also all types of defects of cartilage -type tissue.
Idiopathic or primary arthrosis is most often caused by the natural wear of joints in old age, characterized by symmetrical characteristics of the wound, a adverse course (most often it is possible to suppress manifestations, but a complete treatment is almost impossible).
Secondary cockertrosis develops most often against the background of other diseases - degenerative, injuries, vascular damage or soft tissues, diabetes, excess weight with metabolic disorders, etc.
degree
- 1 degree.It almost moves forward, so patients are considered insignificant.There are still manifestations, and if you start treatment on time, it is a complete guarantee of recovery.The patient has pain from time to time in the pelvic region, the mobile function remains the same, but in the X -ray photo you can see immediately, even slightly, but still reducing the difference between the joints.The first degree is treated through methods of a conservative nature.
- 2 degrees.In the absence of treatment, the disease increases, inconvenience increases, a slight limit of motor functions, manifestations gradually become more clear, and lameness is provoked during long running, and morning pain occurs.The muscles on the feet and buttocks can be distorted and dry.At this stage, drug treatment is prescribed, elimination of inflammatory processes, slowing down progress -to restore cartilage -type tissue.
- 3 degrees.The most difficult (final).At this stage, motor types are violated, a person can become a disabled person.The pain becomes stable, physical activity is almost impossible, small of one organ.Surgical intervention is used as a treatment, after which anti -inflammatory and pain relieving drugs are prescribed.Preparations that restore the cartilage -type tissue are also determined.
Why is arthrosis dangerous?
The most effective will be treatment in the first phase.If there is a lack of treatment in the second phase, the necrosis of tissues will be the result.Osteophytes, formation of inflammatory processes (purification in some cases).
In the third stage, there are articulation of the joint, which almost completely disrupts the function of movement.A person can only proceed with crutches or sticks.
symptoms
1 degree:
- Periodic pain effects in the pelvic joint, it is most often accompanied by significant sports or physical exertion.
- The pain effect of a painful nature, which occurs after a minor comfort.
- The movement is not limited.
2 degrees:
- The discomfort is strong, the performance of physical exercise becomes almost impossible.
- It is difficult to make yourself a shoe, bend your leg into the joint joint, move it to the edge.
- While walking, severe lameness is formed (a person rotates from side to side).
- After waking up, severe pain occurs, the motor function is severely limited within a few minutes.
- The muscles of the organs are atrophy, during an X -ice, necrosis, the growth of osteophytes, the joint and deformation of bones can be diagnosed.
3 degrees:
- The pain simply becomes unbearable, stable, sleep is disturbed, severe depression.
- A rule, as a rule, is 10% small (due to the destruction of the joint), additional deformity of the joint is developing, which creates a complete absence of motor function.
- While walking - a strong lameness.
Diagnosis
- Visual inspection.
- Clinical test.
- X -ray.
- A computer type tomography.
- Ultrasound research.
Characteristics of treatment
- Anti -inflammatory type non -storoidal nature is a symptomatic agent that reduces the effect of pain and reduces the spread of inflammation (meloxicam, celloxib, sodium diclofenac, phenylbuteson).
- In the second phase, glucocorticoids, more effective drugs that reduce the expression of discomfort and inflammation (triyinolone acetonide) are determined.
- Chondroprotectors - Cartilaginous restoration of tissues, normalization of fluid production (synchron), preventing the destruction of cartilage (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product is introduced in the joint as a replacement of the liquid, to lubricate the surface of the joints.
- Musorelaxants are drugs that reduce muscle spasms, and also normalize the normal functioning of the communication system (tolperisone hydrochloride).
- Physiotherapy - the effects of sound waves, phonophoresis, ozone therapy.
- Surgical intervention (puncture, endoprostatics).
Therapeutic gymnastics and massage are also used (only performed by experts).
Prevention
- Weight control (proper nutrition, physical activity).
- Compulsory comfort, with important sports and physical exertion.
- Prevent injuries, consume vitamin complex.
- With the first expression of unpleasant sensations - looking for a doctor.
As a prevention of the occurrence of cockertrosis of the hip joint, it is recommended to use an exercise bike, as it provides optimal and similar loads on the hip muscles, which allows them to strengthen them, as well as provides better blood circulation.The exercise bike provides the possibility of choosing optimal load parameters keeping in mind a person's personal condition, which does not allow the formation of injuries, as well as the occurrence of complications.
Results and complications
Complications of arthrosis of the hip joint are very important - destruction of cartilage tissue, destruction of the joint, gout incident, arthrosis (other joints), tissue necrosis, and occurrence of inflammatory processes.
In the absence of competent treatment, the motor function boils up to zero, severe atrophy of the organ muscles, buttocks, croma appears.In the final stage, a person cannot get up without external help.Against the background of arthrosis, all the systems of the body and other deformities of the organs are produced.