What is the thigh joint arthrosis and why it happens
Thigh joint arthrosis (also known as coxarthrosis and deformed osteoarthritis of the thigh joint) is one of the most commonly diagnosed pathologies of the bone muscle system.In Russia, this disease is a leading cause of disability in people with joint diseases.
For the indication
Coksartrosis is a chronic inflammation of the thigh joint, characterized by premature destruction of cartilage, joint gap with narrowing and reducing leg mobility.
Figurally, the problem of a person with arthrosis of the thigh joint can be compared to a door whose loops are not impregnated.Due to the absence of "lubrication" inside the joint, the bones begin to contact, causing pain and limitation (like shredded and tight course).Later, if the disease is neglected, bone surfaces ("rust") occur on the bone surfaces, which limit more and more in the joint and with a negative result, it ceases to perform its function.
It is usually believed that arthrosis of the thigh joint is an age -related problem.Statistics confirm in this regard: After 40 years, such a diagnosis was made one of the ten, one of the 60 years - one of the three patients, and in 70 to 70 to 70 in 70 in 70 in 70 in 70 in 70 in 70 in 70, 70 in 70, but often in 70, 70And the office of young people.
So among the causes of osteoarosis of the thigh joint, the following is the most important:
- Congenital decreased development (dysplasia) of the joint, which may not show in its adulthood;
- Premature wearing of joints that occur in athletes due to intense loading or obesity;
- Injuries and infections that affect the muscular muscle system;
- Other diseases of the musculoskeletal system that cause abnormal distribution of load on the joints;
- Blood supply disorders (eg due to atherosclerosis of the vessels).
Doctors believe that the combination of factors causes arthrosis of the thigh joint, so in people with the predisposition of this disease, the abnormal process occurs earlier, as in patients with obesity, diabetes or ischemic heart damage.
Symptoms of coxarosis
The first sign of arthrosis is pain after physical activity.Unpleasant sensations arise as in the ingoinous region, so in the thigh and knee.
This is important
Often, with coxarthrosis, the pain is initially concentrated in the knee joint, and the person is referring to the doctor with such a complaint.An inexperienced physician can prescribe this area x -ray and, if there are minor changes, make a wrong diagnosis - first -degree gonarthrosis.As a result, time will be missed.Therefore, with pain on the leg, it is worth taking time to see a competent orthopedic doctor and a good orthopedic clinic.
If coksartrosis has not begun to treat in the early stages, the following symptoms are joined by pain: joint firmness and crunchy, walking change (often to prevent unpleasant sensations, patients show the foot outside and move on when the side of the duck is formed).Over time, the abnormal process causes atrophy of the thigh muscles and the visual reduction of the diseased limb.At a later stage, osteoarthritis of the thigh joint develops in ankylosis - a complete thigh spread with the pelvis, leaving the leg fixed in one condition and performs only auxiliary function.
The degree of disease
For the convenience of diagnosis, doctors distinguish three degrees of coxarthrosis:
- 1 degree of osteoarthosisThe thigh joint is indicated by the manifestation of moderate pain and the absence of limitation in movements.Radiography, a joint gap and slight narrowing of single results of the bone, osteophytes are noticeably slight narrowing.Subject to adequate treatment, 1 -degree coxarthrosis can be stopped by eliminating the symptoms of the disease.
- 2 degrees of coxarthrosisIt is accompanied by pain even in pain.Joint movements are difficult: a person cannot climb and step on the side.The pain is especially noticeable when trying to straighten the leg to the right and left.The patient is lame, sometimes crunchy in the joint.X -Ray pictures - deformation of the thigh head, many osteophytes and joint gap narrowing for a third.Therapeutic measures allow the disease to stop for many years.
- UpCoxarthrosis 3 degreesThe pain in the joint does not measure around the clock, developing atrophy of the thigh and buttocks - the whole human body is damaged.X -Ray indicates deep deformity of the joint and gap gap narrowing to the complete connection of the bone surfaces.The therapeutic approach usually does not give a tangible effect - a joint replacement for the prosthesis is required.
To determine the diagnosis of osteoarthritis deformity, it is used as an external examination in which the physician studies leg mobility, evaluates the patient's walking and appearance, as well as radiography.In the correctness of the diagnosis, the specialist additionally determines the direction of the magnetic resonance imaging (MRI) of the hips.
How to treat thigh joint arthrosis
Fighting against Cokesartross requires various methods: from drugs and physiotherapy exercises, joints and surgery, which is usually prescribed for failed attempts to return the disease.
Conservative treatment
Unwanted treatment requires time and financial costs, but this can improve the patient's quality of life in the long run - to abolish the need for surgical surgery.The first thing an orthopedist prescribes cocsartose is drugs that relieve pain and inflammation (unwanted and steroid anti -anti -anti -anti -muscles).Vasodilatory drugs and chondroprotectors are prescribed to activate blood supply to the restoration of arthrosis and cartilage tissue.In addition, the patient can offer modern methodology to stimulate regenerative processes - plasmolization, ie injection of the patient's blood components in the pathological focus.These measures are most effective for osteoarthritis of the joints of the 1st and 2nd gravity.
Non -surgical methods of treatment
In addition to tablets, ointments and injections, treatment for coxarthrosis requires the use of physiotherapy and kinestherapy, as well as a diet adjustment.An experienced orthopedics assistance strategy allows people to have 1 and 2 arthrosis of the thigh joint arthrosis to prevent endoprosthetics and limit the need for drugs.
Physiotherapy
- Shock Wave Therapy (UVT)It is used in cardiology, neurology, orthopedics and sports medicine.The basis of the effect on the body is sound waves that provide blood flow to the desired area of the body, which stimulates regeneration processes and accelerates metabolism.This relatively new method has already shown significant results in the treatment of muscle muscle system diseases and become one of the most popular.
- MyostimulatingIn the case of coxarthrosis, it aims to restore muscle function, weakening due to forced restrictions on joint movements.
- PhonophoresisIt combines the benefits of ultrasound and drug effects on the body: under the influence of the device, the pharmaceutical drug in the form of ointments or creams, more effectively penetrates the skin through the thigh joint.
- OzonotherapyReduces unpleasant sensations and activates cartilage growth due to the properties of ozo-acid mixture.
Kinesthetic
- Exercise therapyIt is considered a successful treatment of any localization of arthrosis: Regular implementation of a special exercise system enhances the ligament and muscles around the joint, which reduces discomfort with ordinary daily loads.
- Massage(Including lymphatic drainage) and manual therapy aimed at passive work with muscles, ligaments and joints.Approaches to help people with coxarthrosis reduce the need for tablets and injections, which reduces the pharmacological load on the body.
- MechanicallyThis involves working with simulators, which promotes the implementation of the joint without significant physical effort, which is especially demanding in patients with advanced age.
- Joint traffickWith the help of a special traction device or hand therapist's hands, it increases the space inside the joint, which returns to the pathological process a few steps, promotes symptoms, and gives the body time to restore the function of the thigh joint.
Dietotherapy
All patients with coksartroses are needed, but most important for patients with obesity.Weight loss reduces inflammatory joint load and improves metabolism.Along with other conservative methods, a balanced diet allows you to forget about pain and other manifestations of the joint arthrosis.
Surgical treatment
This group includes procedures performed by surgery in the operating hall.All of them, except for the puncture of the thigh joint, require hospitalization and period of multiple recovery.With 3rd degree coxarthrosis, when conservative treatment does not cause relief, only prosthesis promotes the patient's discomfort and pain, returning it to the joy of movement.
- Puncture (minimum invasive intervention)This involves the release of an excess fluid from the joint, which relieves pain and improves leg mobility.It can be performed repeatedly, especially when prescribing steroid medicines.
- Arthroscopic debateThis involves cleansing the inner surface of the joint from altered cartilage fragments and a therapeutic solution of its cavity to mitigate inflammation.This operation is performed through several punctures, without opening the joint cavity.
- Hemive osteotomy- An artificial fracture of the thigh, followed by its fragment from another angle, which allows to reduce the load on the joint.Such interference cannot be called Panacea - 2-5 years later, the pain returns, but in some conditions when endoprosthetics are not possible, the periocyanic osteotomy of the thigh joint is the best solution to the problem of coxarthrosis.
- EndoprostheticsMeans a complete replacement of the joint for a prosthesis that can serve up to 20 years.Despite the complexity of the intervention, she tolerates patients of different ages who are ready for active rehabilitation after surgery.Surgeons note that an important condition for success is pre -treatment of obesity and the use of kinestrapia methods to restore muscle strength around the joint.
Prevention of osteoarthritis of the thigh joint after 40 years is important for humans, with relatives and relatives of people already diagnosed with coccostrose or fractures of the thigh neck.Doctors advise the risk group to observe the figure, be careful with injuries (for example, wear winter shoes with unwanted soles) and regularly engage in fitness.In the first symptoms of thigh joint arthrosis, immediately apply orthopedics.The disease should be treated with a special physician, experienced and attentive to the patient's health changes.