Coksartrosis

What is this disease with such an intricate name - coksartrosis? .. This disease is a deforming arthrosis of the hip joint and often it is also called osteoarthrosis of the hip joint.Currently, coksartrosis is a leader among diseases of the musculoskeletal system, which is degenerative-dystrophic in nature.There are a lot of reasons for the occurrence of COXARTHROSISS disease and in this regard, this ailment has become widespread in all age groups.

Coksartrosis belongs to arthrosyses that does not have an inflammatory nature, in which at first there are changes in a degenerative-dystrophic nature in the cartilage of the hip joint, which lines the surfaces of the articular bones, and at later stages there are already directly bone changes.In the course of such a gradually developing course of COXARTHROSIS, there is a violation of the naturally normal functions of the affected hip joint, which, ultimately, leads to a violation of the functions of the musculoskeletal apparatus of a sick person, in general.

For the most part, arthrosis of the hip joint is suffered by people over the age of forty.Of course, coxarthrosis, like other other diseases, seems possible to successfully treat without surgical intervention, but only at its early stages.But in its later stages, it will be unlikely to be possible to do without surgery, and only one thing can help to avoid disability - prosthetics of the joint coxarthrosis of the joint.Unfortunately, people sick people, without attaching to small pains in the hip joint at the initial stage of the disease, avoid seeking a doctor, and osteoarthritis of the hip joint, meanwhile, continues to progress the day after the day, gradually turning into a more neglected form.

How coksartrosis develops

Let's look at the mechanism of development of the disease COXARTHROSIS.And we start with the fact that the hip joint consists of two bones:

1. the end of the most femur, similar to a ball;
2. the swivel, similar to a small billiard lush located in the iliac part of the pelvis;
3. a special joint cartilage on the surface of both bones, resembling a substance such as a sponge and necessary as a shock absorber, which is compressed during movement and straightens out in its absence;
4. as well as the ligaments that form the very cavity of the hip joint and thus form the joint capsule.

Surrounded by the joint, in addition, there is muscle tissue, somehow femoral, gluteal and other muscles, on the functionality of which the state of the hip joint also depends.

During the movement, when compressing the articular cartilage, a specific fluid is “squeezed” into the joint, which is a kind of lubricant for bones that are articulated in the joint.Also, the articular cartilage itself, in addition, performs the function of uniform distribution of loads to the surface of the joint, being an excellent shock absorber during movements.

The very occurrence of COXARTHROSISS, is primarily due to the fact that the power of the cartilage of the hip joint is disturbed.The cartilage becomes thinner, and subsequently disappears in places.If you do not take measures to stop this process, then in those places where the cartoon of cartilage described above occurs, the bone itself will grow directly, thus trying to “fill” the emptiness of the joint cavity with itself.As a result of such bone changes, thus, osteophytes begin to appear, that is, “spikes” on the bones.These deformations, in turn, lead to a violation of the congruence of the bones that are articulated in the hip joint and the subsequent “abrasion” of the still healthy sections of the articular cartilage.

The causes of arthrosis of the hip joint

The causes of coxarthrosis by which it arises can be divided into primary, having unclear etiology, and secondary, as a result of other diseases, for example, such as:

• dislocation of the thigh, which is innate;
• femoral dysplasia;
• Aseptic necrosis of the femoral head itself;
• Previously transferred various injuries, such a fracture of the neck of the thigh;
• Pertes disease;
• inflammatory processes in the hip joint;

Since the COXARTHROSIS disease is found not only for one, but at the same time both hip joints, it is quite possible to say that bilateral coksartrosis is a rarity.Although with the primary COXARTHROSIS, often usually the knee joint or spine is also affected.

Symptoms of COXARTHROSIS

The very first symptoms of coxarthrosis directly depend on the degree of damage to the hip joint, as well as on the stage of development of this disease, and the main ones are:

• pain manifested during movement, in the hip joint, and disappearing at rest;
• arising lameness;
• stiffness that appeared in the hip joint;
• downward progress of the amplitude of the hip movements;
• The weakness of the femoral muscles and a noticeable decrease in their volume.

Separately, we consider the symptoms of coxarthrosis depending on the degree of the disease with this ailment:

• Symptoms of the 1st degree of coxarthrosis: in the hip joint there are pains that are moderate, and only after the joint was subjected to intensive load for a long time.After removing the load and rest, this syndrome is completely stopped.At the first degree, the symptoms of coksartrosis of the gait remains ordinary and the volume of joint movements does not change.
• Symptoms of the 2nd degree of coxarthrosis: pain in the hip joint is felt more intense than at the first degree, but in addition, they are projected into the inguinal region.Due to the developing muscle atrophy, the knee begins to get sick and the knee, and quite often strongly.Sometimes, with symptoms of cokesartrosis of the second degree, pain begins to appear at rest, and after the load on the affected joint, a rather long rest is already required to stop it.Close begins to appear when running or walking for a long time.At the same time, the strength of the hip muscles is quite reduced, and the volume of joint movements is also underestimated.
• Symptoms of the 3rd degree of coxarthrosis: a constantly pronounced pain syndrome in the hip joint, not passing even after an extremely long rest or constant at rest, even at night.The pain has already been completely affected by the entire leg.Against the background of pain, the sick man develops insomnia and various sleep disorders.There is a strong atrophy of the thigh muscles, buttocks and lower legs, while the motor volume of the joint is almost minimal.When walking, a sick person in order to move around is forced to resort to auxiliary means, such as a cane for example.

If such arthrosis of the hip joint develops only in the hip joint of one leg, then its weakened femoral muscles give an impetus to the development of the lateral displacement of the pelvis, due to which the leg length with the joints affected by the coxarthrosis decreases.

Diagnosis of coksartrosis

When conducting the diagnosis of coxarthrosis, the symptoms of coxarthrosis, described above, in combination with the obtained data of an X -ray examination of the patient, are taken into account.Such a technique provides the possibility of determining not only the very degree of coxarthrosis, but to identify the causes that served as a catalyst for the development of coxarthrosis.The radiograph provides an excellent opportunity for determining changes specifically led to injury in the area of the hip joint, which is directly related to the mechanisms of the development of coxarthrosis.

In addition to the already listed methods of diagnosis, computed tomography methods and magnetoresonance imaging can also be used, providing the possibility of a thorough detailed study of the developing pathology, such as, for example, bone tissue, the deformation of which is a satellite of this ailment.As for magnetic resonance imaging, this method still allows the assessment of pathological disorders to which the soft tissues surrounding the joints affected by the coxarthrosis were subjected to.

Treatment of arthrosis of the hip joint

The choice of treatment for coksartrosis directly depends on the symptoms of this disease and its stage.Typically, at the first and second degree of arthrosis of the hip joint, a traditional-conservative drug therapy is carried out, consisting of a Chondroprotectors intake, vasodilating drugs and, according to indications, also muscle relaxants.In the period of time when coxarthrosis is especially acute, non -steroidal anti -inflammatory drugs are also used.It should be borne in mind that such a treatment must be carried out by a specialist, since drug self-medication, unlike traditional medicine, can have an extremely negative effect on the patient’s internal organs and suppress completely the ability to restore hyaline cartilage.

Also, with arthrosis of the hip joint, various physiotherapeutic procedures and exercise therapy are prescribed.

Especially effective, combined with the traditional drug treatment of arthrosis of the hip joint, is the use of the magnetotherapy method.The method of magnetotherapy in the early stages is especially effective - it avoids dystrophic changes and turn the disease back.In the later stages, the method increases the performance and quality of life, reduces the risk of complications in the affected joint.

The impact on the patient’s body with COXARSHROSIS does not have a directly therapeutic effect with a diet, but recommended to obese people to reduce body weight, as it makes it possible to reduce the load on the affected joint, thereby facilitating acute symptoms of coxarthrosis.

As for the third degree of COXARTHROSIS, the symptoms of which are most painful, the treatment, as such, is performed only through surgical intervention, for example, an endoprosthetics of the hip joint is performed.

The endoprosthesis includes components that are functional analogues of the hip joint.This orthopedic product is installed inside the limb, which is determined by its name (endo - from the Greek “internal”).An artificial substitute for the hip joint performs a musculoskeletal function, but unlike natural joint in it, the lubricating fluid does not occur.Yes, it is not required, since this prosthesis is made of materials that, without any lubrication, glide easily and do not destroy.

Statistical data indicate that after surgery, the absolute restoration of limb functions with deforming arthrosis of the hip joint is achieved in 95% of cases, which makes it possible to subsequently lead a rather active lifestyle.

The life of such a prosthesis is about 15 ... 20 years, but at the end of its service, a second operation is required to replace a worn endoprosthesis.

Please noteIt is important!Do not diagnose yourself!In the case of the symptoms of coxarthrosis, you should consult a orthopedic doctor, since only a qualified specialist can make a correct diagnosis and prescribe the most optimal treatment.

Prevention of COXARTHROSIS

COXARTHROSIS Disease can also be avoided if the necessary prevention of coksartrosis is carried out:

• mandatory and timely treatment of diseases of the joints that are inflammatory;
• timely treatment of joint dysplasia;
• Mandatory correct and reasonable physical activity, especially exercises with weights that should be carried out correctly;
• Mandatory control of the weight of your body, with its maintenance normally;
• The prevention of joint injuries.