Osteoarthritis of the hip, also known as hip arthritis, is one of the most serious diseases of modern people and usually causes disability. Its initial manifestation-mild groin pain-is usually ignored. Generally, when medical treatment is ineffective and an endoprosthesis is required, patients will seek qualified medical help.
Reason
Due to a combination of various unfavorable conditions, arthritis of the hip joint occurred. Microtraumas and general injuries account for about one-fifth of the total number of cases (10% to 20% on average).
Other causes of hip arthritis include:
- Too much load.
- Heart attack or aseptic necrosis of the hip joint.
- Prolonged stress, prolonged depression.
- Overweight.
- Heredity.
- Congenital abnormalities and underdevelopment.
- Inflammation of the joints.
- Hormonal background failure.
Excessive load
Until recently, people believed that excessive physical exertion, long walking, and hard work (as a loader) were the main causes of arthritis. but it is not the truth.
A healthy joint has never been hurt and can withstand any pressure, especially when you are young, and nothing happens.
However, even if there is minor trauma even in childhood, this joint is likely to develop arthritis. Therefore, the disease occurs in 20-30% of cases.
Heart attack
This violates the blood flow in the joints. In other words, this disease is called aseptic necrosis of the hip and usually occurs after injury.
In addition to injury, the cause of a heart attack may also be:
- Excessive drinking.
- Corticosteroids are often injected.
- Unexpected vibration (severe stress).
- When a person is not prepared for them, one time overload.
Heart attack is often one of the causes of hip arthritis-in 10% to 30% of cases.
Continuous stress
Few people believe in psychotherapy. However, long-term experience, depression, lack of family understanding and various phobias caused in this context are direct ways to solve joint problems, not just hip problems. Therefore, the incidence of arthritis is high-up to 50%.
In this case, the disease trigger mechanism is simple. During prolonged depression, the patient’s body produces stress hormones that are corticosteroids. The longer a person is in this state, the higher their concentration in the blood. Corticosteroids inhibit the production of hyaluronic acid, which is the main component of joint fluid. If the production is insufficient or its composition is changed, the cartilage will have poor wettability, become dry, and be covered with small cracks.
Stress hormones can reduce capillary permeability and damage the blood circulation of joints.
Overweight
is an additional factor for other causes of hip joint (arthritis).
The joints of overweight people, especially the ankles, knees and hips, are under tremendous pressure.
As long as they are young, everything seems to be operating within normal limits. But with age and weight remaining the same, joint problems will increase like a snowball.
Heredity
If one of your relatives has arthritis, there is absolutely no need to get sick. However, the occurrence of "sore" is affected by the particularity of metabolism, cartilage structure, and can be inherited. This also includes the weakness of muscle equipment. Therefore, arthritis can only develop in 10% of cases. This is far from the truth. The most important thing is to check and monitor the joint condition regularly.
Congenital anomalies
Treatment is usually done in early childhood so that the child can grow up and use the limbs normally. However, the presence of abnormalities always carries a risk of arthritis, especially if you do not monitor the condition of your joints. The incidence is very small-only 5. It should not be overlooked that only a combination of several causes can cause arthritis in the hip joint.
Inflamed joints
This process is commonly called arthritis. This disease causes secondary hip arthritis in 2-3% of cases. The inflammatory process changes the quality of intra-articular fluid. It becomes more viscous and no longer performs its direct function. As a result, the cartilage rubs on the cartilage and gradually collapses.
Among other reasons, directly or indirectly affect the occurrence of hip joint disease, such as menopausal hormonal changes, metabolic diseases (diabetes), neurological diseases (loss of lower limb sensitivity), and osteoporosis.
Symptoms
Arthritis of the hip joint manifests itself in different ways. In the first stage of the patient's pathological development, there is almost no trouble, except for the faintly unpleasant, sometimes painful, independently transmitted feelings.
The symptoms of hip joint arthritis are specific, and preliminary conclusions (diagnosis) can be drawn at the examination stage:
- Pain in the groin. This is the main symptom of the disease. If you feel something is wrong with this area during exercise, try to see a doctor as soon as possible. The pain in the groin usually spreads along the front or side of the thigh and may spread to the hips or knees. It is very rare for the pain in hip arthritis to reach the middle of the calf muscle. When sinking into a chair or waking up or after a long walk, the patient will feel discomfort.
- Impaired mobility. This symptom indicates that joint disease of the hip joint (hip joint) is already developing. If you let such a patient sit in a chair, that is, sitting backward, he is unlikely to do this.
- Cru contracted hip joint when walking. It does not appear immediately, but as the joints develop and cartilage is destroyed. It differs from normal healthy joint tightening by weak or moderately dry sound and pain syndrome.
- The affected limb is shortened. Occurs when the disease has progressed sufficiently.
- Li line, due to partial or complete destruction of cartilage and fell on the painful leg.
- Muscle atrophy of the affected limb. It looks dry and unhealthy in appearance.
- Pain in the knee joint due to muscle atrophy.
Diagnosis
For patients, this moment is not long. After visual inspection and questioning of the patient, the doctor issued a referral prescription for blood donation-general analysis, biochemical and rheumatism tests. This is done to eliminate the inflammatory process in the body. When suffering from joint disease, all indicators are close to normal.
The next step is the instrument check:
- X-ray and/or CT.Computed tomography shows that the joints are better.
- MRI. First appointed. Such surveys provide as much information as possible.
- Ultrasonography of joints.In this study, the sign of hip joint disease is markedly thinning of cartilage. However, the accuracy of the results largely depends on the qualifications of the experts who decrypt the data obtained. Therefore, to determine this disease, a prescription must be prescribed in rare cases.
Consequences
If hip joint arthritis is not treated, hope "maybe it will go away on its own" and the disease will develop actively. The consequences of this indifference to oneself are manifested in muscle atrophy and marked shortening and dryness of the diseased limbs. At some point, a person will not be able to move independently. Pain syndrome will become a frequent companion for such patients; even powerful painkillers cannot relieve it. The only way to solve this situation will be joint replacement surgery-endoprosthesis.
If hip joint disease is diagnosed in elderly patients, treatment should be started immediately. Due to severe persistent pain, a sedentary lifestyle will always occur in patients, which greatly shortens life span.
Traditional treatment
can be divided into medical and surgical. If long-term use does not bring significant improvement, use the second method.
Early arthritis is easy to cure:
- Medicines.
- Manual therapy.
- Traction on a special watch.
- has PIR (relaxation after measurement).
- Massage therapy.
- Sham therapy.
- Remedial gymnastics.
Medicines
The tasks of drugs are multifaceted. Not only use tablets, but also ointments and intra-articular injections. Prescribe the use of tablets (capsules, sachets) to relieve pain (non-steroidal anti-inflammatory drugs), improve cartilage nutrition and improve the quality of lubrication in the joints (chondrprotectants), and relieve muscle spasms (muscle relaxants).
Ointments and creams are the weakest and can be used for heating and stimulation. Their effect is close to that of a placebo. At the moment of friction, endorphins (a pleasurable hormone) are produced in the patient's body, which are very effective in reducing pain.
Intra-articular injections of hip joint arthritis are very rare. This is due to the narrow joint space, which is difficult to access even with special auxiliary equipment. The procedure is performed through the groin and is so complicated that 99% of doctors prefer to inject the medicine around the joint capsule by puncturing the side of the thigh.
By injection:
- Relief of high-intensity pain syndrome (corticosteroids).
- They nourish cartilage (cartilage protector).
- Improve the quality of lubricants (hyaluronic acid substitute-through inguinal injection).
Oral non-steroidal anti-inflammatory drugs can relieve mild to moderate pain. They can also effectively eliminate the inflammatory process.
Manual therapy
Treatment by experienced experts can make patients with moderate hip joint disease stand up. The task of the doctor is to restore the mobility of the joints and relieve pain. Manual therapy is divided into operation (single effect on joints) and mobilization (4 courses per year, 3-4 courses per course).
Mobilization allows you to stretch the affected limb with minimal pain. Expand joint space and relax tight muscles. Operations are only allowed in the early stages of the disease.
The traction on a special table can also provide some results, but it is clearly not suitable for manual treatment. Contrary to the doctor's hand, the machine (device) will not feel the patient and may cause injury if used improperly.
PIR
Isometric post-relaxation involves active interaction between the patient and the attending physician. The meaning of this method is that the patient relaxes/tightens certain muscle groups in accordance with the instructions of the expert. At this time, the doctor will stretch the ligaments and joints.
This method of treating cervical spondylosis can help relieve muscle spasms. This method is effective for Grade I and Grade II hip joint disease.
Massage
If you decide to use this method, you need to find a highly qualified expert. Otherwise, in addition to alleviating the disease, it may also make the condition worse. This method is effective for carotid artery disease of degree I and II.
Please note that massage has contraindications. Do not self-medicate.
sham therapy
Water lee treatment helps the early stage of hip arthritis. The saliva of the worm can improve blood circulation and enhance the elasticity of cartilage, and it contains many useful substances. It acts like a cartilage protector, but it is softer.
Water Lee is not only placed on the sore thighs, but also on the bones, lower abdomen and lower back. You need to complete 2 courses per year, 10 sessions per term.
Remedial gymnastics
Without certain physical exercises, no disease can be cured or alleviated. Arthritis of the hip is no exception. If you do not strengthen your muscles, it is inevitable that you will shrink and the condition of your cartilage will deteriorate twice as fast.
It is best to study in a special group under the guidance of experts. The doctor selects the complex based on the examination, the degree of hip arthritis and the patient's physical ability.
Internal repair
When conservative treatment is not effective or ineffective at all, surgical intervention should be performed in grade III and IV hip arthritis. The task of the surgeon is to replace the joint head itself and the acetabulum with artificial implants through a small incision in the thigh.
Now, such operations are in progress. Imagine if you ignore the first signs of hip arthritis, it will be waiting for you, imagine the procedure (abbreviated):
- Anesthetize the patient.
- Make an incision in the thigh, remove the soft tissue, and pull the nerve back.
- Remove the joint from its bed. In short, the doctor will artificially dislocate to raise the head.
- Remove the head of the joint with the bone part.
- Clear the acetabulum.
- The endoprosthesis, the artificial joint head, is inserted into the bone or "blocked".
- Insert the artificial acetabulum.
- Joint repositioning. The doctor checks his mobility by moving his limbs in different directions.
- The wound has been disinfected and sutured.
After the operation, it takes a long time to recover and follow a certain treatment plan.
Traditional method
For those who like to recuperate by themselves, it should be pointed out that hip joint disease is a disease that can only be treated by a doctor. All folk methods in the form of scrubs, lotions and other "unusual things" will not bring any benefit.
However, some traditional medicine recipes can be used as a first-level aid for diseases:
- Chinese cabbage leaves.Used to relieve pain without taking analgesics, and relieve joint pain. At night, after rubbing pure honey into the skin, tie a few cabbage leaves on the thighs. Wrap it with plastic wrap and something warm. Take it out in the morning, rinse off the remaining honey with cold water, and repeat the pressing. Repeat until the pain disappears.
- Honey and carrot ointment.The effect is similar to cabbage leaves. You only need to fix it. The ratio of radish to honey is 1/1. Wring out root vegetables in a meat grinder, add honey, and stir. Pour 50ml of vodka or alcohol. Stir again. Rub into the affected area until the pain disappears.
- Therapeutic bath.For cooking, you need pine branches (several large branches), turpentine turpentine (1 teaspoon), bath salt (1 kg) and washed Jerusalem artichoke tubers (3-4 pieces). Pour in hot water and make it brew. When the water can take a bath, please remove the branches and Jerusalem artichoke, and then start the operation. After finishing, apply iodine net or rub honey on the sore thighs and put on warm things to sleep.
Hip arthritis is a serious disease that occurs when multiple causes are combined.
In order not to cause disability, do not wait for the consequences, have an annual checkup. If you feel unwell in the groin area at the beginning, please see a doctor.