Some people notice such oddities behind them: in the morning it is difficult to get out of bed, the joint becomes like wood, it crunches and it hurts, while walking there is a limp ... Perhaps this is arthritis of the hip joint. Symptoms and treatment of this insidious disease should be given attention, as it occurs often and is difficult to treat.
Arthritis how it is: what threatens and is treatable?
Arthritis of the hip joint (TBS), another name for which is "coxitis" (from the Latin plow - "thigh"), is also found in adult patients and in children. This is a disease in which an inflammatory process develops in the joint cavity. It is caused by bacteria and viruses that invade tissue. Sometimes the disease arises due to the fact that the joint attacks its own immune system - due to disturbances in its work. In contrast to arthrosis, in coxitis, inflammation is localized in the synovial membrane of the joint and moves to cartilage and bone only at a late stage.
The prognosis largely depends on how timely the treatment is started. If the problem is detected at an early stage, then a fully performed therapy will allow preserving the functions of the hip joint in full. If not treated, the person will inevitably remain disabled. In purulent arthritis, deaths are also recorded.
The treatment is long, complex and very serious. In some cases, you have to do the surgery. Completely cure rheumatoid arthritis will not work, but you can slow down its progression.
Why does arthritis begin?
Most often blame for this infection: meningococcal, tuberculosis, tick-borne borreliosis, brucellosis. Lead to the development of inflammation in one of the largest joints is capable of an allergic reaction, bowel disease (Crohn's disease).
Depending on the root cause, coxitis can be aseptic (occurs on the background of rheumatoid lesion), non-specific (accompanied by a purulent process), specific (resulting from tuberculosis, syphilis, gonorrhea), reactive (caused by urogenital or intestinal infections), infectious-allergic (measles provokes , dysentery).
Most characteristic signs
All forms of arthritis are manifested by the following symptoms:
- joint pain. At first, it occurs periodically and does not cause much concern. As the disease progresses, it becomes intense, it can spread not only to the TBS, but also to the knee. With purulent coxitis, the pain is sharp, shooting. With tuberculosis - aching, unexpressed;
- swelling and redness of the skin over the diseased area;
- stiffness in the joint. Loss of ability to sharply unbend an injured joint;
- smoothing of the natural folds of the skin in the hip area (in the groin and gluteal region) in the early stages of the disease;
- muscle atrophy (femoral and inguinal);
- joint stiffness due to fusion of articular surfaces;
- soreness with pressure;
- local temperature increase;
- headache, loss of appetite, body aches, fever, weakness.
There are specific manifestations that are inherent in different types of hip arthritis. Symptoms (and treatment) depend on the location of the inflammatory focus and on the factor that caused its development. So, with a purulent person fever worries, he feels a strong weakness and decreased performance, loses the ability to perform habitual active actions, complains of increased sweating. The condition worsens very rapidly.
Long (about 10 days) painful attacks, morning stiffness of the joint, moderate pain and swelling are signs indicating rheumatoid arthritis of the hip joint. Treatment (although the symptoms suddenly cease by themselves by time) requires very serious. With coxitis associated with psoriasis, the skin near the affected joint becomes bluish-purple. The pathological process extends to the lower part of the spine, which causes pain in this area.
In the tuberculous form, the symptoms of tuberculous intoxication appear first, then the hip joint becomes immobilized, the limb can shorten, the muscles lose their tone.-
it happens Does Arthritis Have Children?
Unfortunately, yes! Arthritis of the hip joint in children occurs even more often than in adults. This is due to insufficiently strong immunity and increased sensitivity of their body to infections. It is severe, all signs of general and local inflammation are very pronounced. Of particular danger to children is purulent coxitis. It can even lead to the death of a child.
Many childhood infections can provoke arthritis: mumps, rubella, meningitis, measles, chicken pox, infectious mononucleosis, and even ARD. There are cases when coxitis occurred after vaccination.
Children are more often diagnosed with tuberculous form. At first, parents do not even realize that their children suffer from a joint, as there are no pronounced signs of illness. Then the child begins to stumble, is afraid of stepping on his foot, often falls, becomes sluggish, capricious, inactive. With such symptoms, you should immediately show it to the doctor.
what need for diagnosis?
First, you should visit one of the doctors - a rheumatologist, a surgeon, an orthopedist. He will issue a referral for an x-ray of the affected joint. To identify the inflammatory process is carried out ultrasound. We'll have to donate blood for analysis. If necessary, the patient will be offered an MRI. It will help detect changes in cartilage and bone tissue.
how to treat arthritis?
Treatment always begins with the relief of pain. Then, the goal of therapy is to restore the mobility of the joint, after which the disease, which provoked coxitis, should be cured.
Such therapeutic measures are practiced:
- drug therapy - intra-articular injections of glucocorticosteroids (they quickly and effectively relieve pain), NSAIDs (Nurofen, Ibuprofen, Ortofen, Ksefokam). Sometimes they carry out a puncture of the articular cavity with the infusion of antibiotics (antiseptics). Chondroprotectors are used, as well as drugs Methotrexate, Celecoxib, Remicade;
- massage, exercise therapy (in remission);
- prosthetics TBS.
From popular methods apply ointment for grinding. For example, this: mix 1 tbsp. l honey, raw egg, a small piece of melted beeswax. Good effect gives a compress with camphor ointment. It is prepared as follows: 5 g of camphor powder is poured with 0.5 l of turpentine, the same amount of alcohol, add 400 ml of olive oil. You can also take broths from 3 tbsp. l linden and elder flower and 250 ml of hot water.
Very good results are obtained in case of arthritis of the hip joint physical therapy. It is performed while lying down and includes static exercises in which the joint works, but without high loads. For example, you can lift your leg up and hold it in this position for some time. Squats are prohibited. It is useful for a patient to swim.
Today, surgeons often have to make a diagnosis of arthritis TBS. It is not only infections that are to blame, but also bad ecology, craze for alcohol, smoking, sitting for many hours in front of a computer, under-treated colds. For any suspicion of coxitis, an urgent consultation with a doctor is necessary. Remember: this ailment can put you in a wheelchair.