Coxarthrosis of the hip joint


Bones, muscle, joint and cartilage tissue are considered the basis of our locomotor system. That cartilage plays the role of shock absorbers. In normal condition, all joints work smoothly, like gears. If the cartilage is damaged, doctors diagnose coxarthrosis of the hip joint. Symptoms and treatment of this disease have their own specifics.

Causes of degenerative changes in the joints

Causes of degenerative changes in the joints

Before we talk in detail about such a disease as arthrosis of the hip joint, as well as its main symptoms and treatment, I would like to draw the attention of readers to the mechanism of functioning of the bones and joint tissue of the pelvis. In the absence of pathologies, the pelvis consists of two bones that are interconnected by cartilage tissue. That cartilage is a kind of shock absorber. During the period of complete rest, the cartilage is straightened, and during movement or power loads it is compressed. During its compression, fluid is injected into the interosseous cavity, which acts as a lubricant.

In case of violation of the texture and functioning of the cartilage tissue in the hip joint, degenerative processes of non-inflammatory nature take place. If timely measures are not taken to treat coxarthrosis, the pain will increase exponentially and the bones will begin to deform. In the absence of proper treatment, coxarthrosis leads to disability. To prevent this, it is necessary to diagnose the disease in a timely manner and take all necessary measures to treat it.

We will come back to this a bit later, but now I would like to talk about the reasons that determine the development of coxarthrosis. In medical practice, they are divided into primary and secondary. In the first case, specialized doctors cannot diagnose the exact cause of the development of such a terrible disease. Secondary causes are most often associated with the development of one of the following pathologies:

  • violations of circulation and outflow of blood in the articular tissue;
  • Perthes' pathology;
  • articular hip tissue dysplasia;
  • scoliosis;
  • obesity;
  • congenital defect;
  • injuries;
  • arthritis;
  • neoplasm on bone tissue.

It is extremely rare, but in medical practice there were cases when coxarthrosis developed on the background of previous operations.

How to recognize coxarthrosis in a timely manner?

Symptoms of coxarthrosis of the hip joint

Symptoms of coxarthrosis of the hip joint are directly dependent on the degree of development of the pathology. In total, there are three stages of the disease. Let's talk about the characteristic symptoms of each stage of the development of the disease. As you understand, the first stage is considered the initial stage and the damage to the articular tissue is insignificant. At this stage, the following symptoms appear:

  • pain in the area of ​​the affected joint, which increases during exercise or movement;
  • lameness;
  • lack of elasticity of the joint;
  • hip reduction and muscle atrophy;
  • pain in the knee area.

The first stage of development allows to cure the disease without surgical intervention, which is not the case with other forms of pathology. After the onset of the disease, symptoms appear only as a result of the load on the legs, and at rest all the discomfort and pain sensations spontaneously disappear.

Coxarthrosis of the second degree is characterized by the following symptoms:

  • increased pain syndrome, giving to the groin and knee area;
  • for relief of pain requires a very long rest;
  • pain in the knee joint bother more often than in the hip;
  • after prolonged power loads involuntary lameness appears.

The third stage of the development of coxarthrosis is characterized by constant pain. It seems to man that he has a pain in the whole lower limb. Against the background of pronounced pain syndromes in a person, sleep is disturbed, the psychoemotional state changes. The muscle tissue of the limb completely atrophies, and the patient tries to perform movements as rarely as possible. If coxarthrosis progresses only on one side, then with time with the naked eye, a reduction in the length of the corresponding lower limb will become noticeable.

How to defeat the disease early?

pain in the hip joint

As soon as a person notices any changes in movement or his physical activity limit pain in the hip joint, it is necessary to immediately contact a specialist physician. Only a comprehensive diagnosis will allow you to establish a diagnosis in time and start treatment.

We have already examined the symptoms of coxarthrosis of the hip joint, now let's study the main aspects of its treatment. Gymnastics, of course, is an integral part of the treatment course, but in addition, the patient needs to perform a number of integrated activities. At the initial stage, coxarthrosis can be treated on an outpatient basis, that is, at home, but only under the total control of a specialized doctor.

The treatment regimen in most cases is developed individually, taking into account the following aspects:

  • age category;
  • the degree of development of coxarthrosis;
  • physiological features.

As a rule, the doctor recommends limiting any physical and motor activity. The patient is forbidden to lift heavy loads, as well as run. At the initial stage, it is necessary not only to stop the attacks of pain, but also to normalize the functioning of the articular and cartilage tissue. For this purpose, pharmacological agents of various groups are used. The patient must be prescribed anti-inflammatory drugs, in particular:

  • "Movalis";
  • "Indomethacin";
  • "Diclofenac";
  • Celebrex, etc.

To restore the structure of the cartilage tissue, oral preparations or intramuscular injections are prescribed, for example:

  • Milgamma;
  • "Neurubin", etc.

Also, the patient must be prescribed pharmacological agents that improve the blood supply to the joint. These include the following medications:

  • "Cinnarizine";
  • "Pentoxifylline".

After stopping the pain syndrome and eliminating inflammation, the patient is prescribed a course of massage procedures and gymnastics. As a rule, all gymnastic exercises are developed individually and are performed only under the control of an instructor. Electrophoresis, ultrasound therapy and laser therapy are used to treat coxarthrosis.

Favorable prognosis in the treatment of coxarthrosis

Treatment of coxarthrosis of the hip joint 2 degrees

Treatment of coxarthrosis of the hip joint 2 degrees has its own characteristics. At this stage, the symptoms become pronounced, and the pain syndrome increases. The destruction of bone tissue, as a rule, does not occur yet, therefore a person can do without surgical intervention.

In contrast to the initial stage, coxarthrosis of the second degree is treated already in stationary conditions. Oral administration of pharmacological agents is inferior in all respects to intramuscular or intravenous injections. Two or three times hormonal agents can be injected directly into the articular tissue, for example, Solu-Medrol or Kenalog.

This kind of therapy by specialized doctors is resorted to only in the presence of severe pain. The patient is prescribed a course of physical therapy exercises. An extract can be used to restore the structure of the articular tissue. During this procedure, the patient is placed on a special table, and the joint is pulled out with the help of a load, the weight of which varies from 5 to 7 kg.

For the treatment of coxarthrosis of the second degree, the following manipulations are carried out:

  • muscle tissue massage;
  • jet massage thigh;
  • electrostimulation.

Effective in the treatment of coxarthrosis swimming and skiing are recognized. The latter type of load is allowed only after the complete elimination of pain.

Treatment of coxarthrosis of the hip joint, grade 3, is possible without surgery. Surgical intervention is indicated only in cases where it is impossible to restore the structure of cartilage and articular tissue using pharmacological agents. During surgery, articular tissue replacement is performed. A metal implant is implanted in the place of the damaged part of the joint.

To alleviate the patient's condition, pharmaceuticals are used, belonging to the group of painkillers. During the treatment of coxarthrosis of the third degree, the patient performs all motional movements only with maximum support on a crutch or a cane.

Movement and joint health is our life. As you can see, even such a destructive and very terrible disease, as coxarthrosis, can be successfully treated. The main thing is to listen to the signals of your body in time and not to ignore the pain. Be healthy!