Coksartrose

What is this disease with such a complex name - coksartrosis?.. This disease is a distorting osteoarthritis of the hip joint and it is often also called osteoarthrosis of the hip joint.Currently, Coksartrose is a leader among diseases of the musculoskeletal system, of a degenerative-dystrophic nature.There are many reasons for the occurrence of coxarthrosiss disease and in this regard, this disease has spread in all age groups.

Coksartrose belongs to arthrosyses which have no inflammatory nature, in which there are first changes in a dystrophic degenerative nature in the cartilage of the hip joint, which lines the surfaces of the joint bones, and at subsequent stages, there are already changes of bone directly.During such a course in coxarthrosis gradually developing, there is a violation of naturally normal functions of the affected hip articulation, which, ultimately, led to a violation of the functions of the musculoskeletal apparatus of a sick person, in general.

For the most part, osteoarthritis of the hip joint is suffered by people over forty years old.Of course, coxarthrosis, like other diseases, seems possible to successfully treat without surgical intervention, but only in its early days.But in its subsequent stages, it is unlikely that it is possible to do without surgery, and only one thing can help avoid disability - the joint coxarthrosis prostheses of the joint.Unfortunately, sick people, without attaching to small pain in the hip joint at the initial stage of the disease, avoid looking for a doctor, and osteoarthritis of the hip joint, on the other hand, continues to progress the day after the day, gradually transforming into a more neglected form.

How does coksartrose develop

Let us examine the mechanism of development of the coxarthrosis of the disease.And we start by the fact that the hip joint consists of two bones:

1. The end of the most femur, similar to a bullet;
2. The pivot, similar to a small lush billiards located in the iliac part of the basin;
3. A special joint cartilage on the surface of the two bones, resembling a substance such as a sponge and necessary as shock absorber, which is compressed during movement and straightened up 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, in a way femoral, sticky and other muscles, on the functionality on which the state of the hip joint also depends.

During movement, when compressing the articular cartilage, a specific liquid is "pressed" in the joint, which is a kind of lubricant for the bones which are articulated in the joint.In addition, the articular cartilage itself, moreover, fulfills the function of the uniform distribution of the loads on the surface of the joint, being an excellent shock absorber during the movements.

The very occurrence of Coxarthrosiss is mainly due to the fact that the power of the hip joint cartilage is disturbed.The cartilage becomes thinner and then disappears in places.If you do not take measures to stop this process, then in the places where the cartilage cartilage cartilage cartilage occurs, the bone itself will develop directly, thus trying to "fill" the void of the joint cavity with itself.Following these bone changes, therefore, osteophytes begin to appear, that is to say "points" on the bones.These deformations, in turn, lead to a violation of the bone congruence which is articulated in the hip joint and the subsequent "abrasion" of the still healthy sections of joint cartilage.

The causes of osteoarthritis of the hip joint

The causes of coxarthrosis by which it occurs can be divided into primary, having a clear and secondary etiology, following 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 wounds, such a fracture of the neck of the thigh;
• Pertes disease;
• inflammatory processes in the hip joint;

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

Coxarthrosis symptoms

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

• The pain was manifested during movement, in the hip joint and disappears at rest;
• resulting blade;
• stiffness that appeared in the hip joint;
• Downward progress of the amplitude of hip movements;
• The weakness of the femoral muscles and a significant decrease in their volume.

In addition, we consider the symptoms of coxarthrosis according to the degree of the disease with this disease:

• Symptoms of the 1st degree of coxarthrosis: in the hip joint, there are moderate pain, and only after the joint was subjected to an intensive load for a long time.After withdrawing the load and rest, this syndrome is completely stopped.In the first degree, the symptoms of coksartrose of the approach remains ordinary and the volume of joint movements does not change.
• Symptoms of the 2nd degree of coxarthrosis: pain in the hip joint is more intense than in the first degree, but moreover, they are projected in the inguinal region.Due to the development of muscle atrophy, the knee begins to fall ill and knee, and quite often.Sometimes, with symptoms of second degree cokesartrose, the pain begins to appear at rest, and after the load of the affected joint, a fairly long rest is already necessary to stop it.Close begins to appear during the race 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 pain syndrome constantly pronounced in the hip joint, even passing after a rest or an extremely long constant at rest, even at night.The pain has already been completely affected by the whole leg.In the context of pain, the sick man develops insomnia and various sleep disorders.There is a strong atrophy of the muscles of the thigh, the buttocks and the lower legs, while the engine volume of the joint is almost minimal.When walking, a sick person to move is forced to use auxiliary means, such as a cane for example.

If such an osteoarthritis of the hip joint only develops in the hip joint of a leg, then its weak femoral muscles give momentum to the development of the lateral movement of the pelvis, because of which the length of the leg with the joints affected by coxarthrosis decreases.

Coksartrose diagnosis

When carrying out the diagnosis of coxarthrosis, the symptoms of coxarthrosis, described above, in combination with the data obtained from an X-ray examination of the patient, are taken into account.Such a technique offers the possibility of determining not only the very degree of coxarthrosis, but of identifying the causes which served as a catalyst for the development of coxarthrosis.The radiography offers an excellent opportunity to determine the changes specifically led to injuries in the field of hip joint, which is directly linked to the development mechanisms of coxarthrosis.

In addition to the diagnostic methods already listed, CT methods and magnetic imagery can also be used, offering the possibility of a detailed in -depth study of developing pathology, such as, for example, bone tissue, the deformation of which is a satellite of this disease.As for magnetic resonance imaging, this method always allows the evaluation of pathological disorders to which soft tissues surrounding the joints affected by coxarthrosis have been subjected.

Treatment of hip joint osteoarthritis

The choice of treatment of coksartrosis depends directly on the symptoms of this disease and its stage.As a general rule, in the first and second degree of osteoarthritis in the hip joint, traditional-conservative drug therapy is carried out, consisting of a chondroprotercutor intake, vasodilating drugs and, according to the indications, also muscle relaxants.In the period when coxarthrosis is particularly acute, non-steroidal anti-inflammatory drugs are also used.It should be kept in mind that such a treatment must be carried out by a specialist, because self -medication self -medication, unlike traditional medicine, can have an extremely negative effect on the patient's internal organs and completely remove the capacity to restore hyaline cartilage.

In addition, with osteoarthritis of the hip joint, various physiotherapeutic procedures and exercise therapy are prescribed.

Particularly effective, combined with the traditional drug treatment of osteoarthritis in hip joint, is the use of the magnetotherapy method.The magnetotherapy method in the early stages is particularly effective - it avoids dystrophic changes and goes up the disease.In the last stages, the method increases performance and quality of life, reduces the risk of complications in the affected joint.

The impact on the body of the patient with coxarshrosis has no directly therapeutic effect with a diet, but recommended that obese people reduce body weight, as it makes it possible to reduce the load on the affected joint, thus facilitating the acute symptoms of coxarthrosis.

As for the third degree of coxarthrosis, the symptoms of which are the most painful, treatment, as such, is only carried out by surgery, for example, an endoprosthetic of the hip joint is carried out.

Endoprosthesis includes components which are functional analogues of the hip joint.This orthopedic product is installed inside the member, which is determined by its name (Endo - of "internal" Greek).An artificial substitute for the hip joint fills a musculoskeletal function, but unlike the natural joint, the lubricating liquid does not occur.Yes, it is not necessary, because this prosthesis is made of materials which, without any lubrication, slide easily and do not destroy.

Statistical data indicate that after surgery, absolute restoration of members' functions with distorting osteoarthritis of the hip joint is obtained in 95% of cases, which makes it possible to lead a fairly active lifestyle later.

The lifespan of such a prosthesis is around 15 ... 20 years, but at the end of its service, a second operation is necessary to replace a worn endoproshese.

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

Coxarthrosis prevention

Coxarthrosis disease can also be avoided if the necessary prevention of coksartrose is carried out:

• Compulsory and appropriate treatment of inflammatory joint disease;
• timely treatment of joint dysplasia;
• Correct physical activity compulsory and reasonable, in particular exercises with weights that must be done correctly;
• Compulsory control of the weight of your body, with its maintenance normally;
• Prevention of joint injuries.