Coxarthrosis - osteoarthritis of the hip, causing its deformation. This disease is quite common among older people, but young people can be found much less frequently. According to statistics, Coxarthrosis
hip more vulnerable to man.
Coxarthrosis divided into primary (idiopathic) when the cause of the disease is unknown, and the secondary coxarthrosis, which develops on the background of any disease, dysplasia of bones, injuries, disturbances in the development of joint and others.
Coxarthrosis hip, as well as any kind of arthrosis, tends to progress over time. Therefore, the clinical symptoms also occur gradually. The most severe symptoms of coxarthrosis is slight pain during walking, increasing towards the end of the day.
Since pain is not strong, patients rarely pay attention to it, and therefore to the doctor at this stage that is rarely accessed. In some cases, the first symptom koksartroza becomes a pain, and the nagging feeling in the groin. With the passage of time and the evolution of the disease pain intensified when walking, patients begin to emphasize that they have to stop frequently to rest. By evening, after an intense physical activity there is a strong ache in the hip.
As a result, increasing the pain in the leg causes the patient goes to a doctor. Some patients try to treat coxarthrosis folk remedies without resorting to the doctor, and on the advice of friends or acquaintances taking various analgesics and other drugs without a doctor's prescription. Typically, such treatment helps only for a short time, and eventually the pain becomes permanent, and its intensity is significantly enhanced. Analgesics in such cases are no longer active.
The pain associated with coxarthrosis, causes patients to "adapt" to it. They know that with less stress on the affected joint, it will be less sick, so start to limp while walking, trying to lower the leg to load. Less stress on the injured leg causes that the patient develops muscle wasting that is visually observed in reducing limb volume compared with a healthy leg.
Often patients to reduce pain reduce movement to a minimum - are afraid once again to disturb the affected joint, which eventually leads to its deformation. Often you can see in coxarthrosis patient limb shortening.
Thus, the progression of the disease is formed, the so-called vicious circle, in which some pathological phenomena contribute to the development of others, and those, in turn, cause the progression of the first pathological symptoms of coxarthrosis. Pain when walking patient causing disruption of gait, limp and limit the load on the affected joint, which eventually leads to deformation of the joint and muscle wasting.
Lameness in coxarthrosis helps violation biomechanics of skeletal structures involved in the process of walking. There is a redistribution of stress on the joints of the lower extremities and spine, which is accompanied by pain in the lower back, pelvis skew, curvature of the spine. All this further disrupts the function of distance and causes the progression of the disease.
Thus, long-term untreated koksartroza is a violation of the hip joint function, so that the patient's quality of life deteriorates, he can not move independently and serve themselves.
Today, there are three clinical stages of coxarthrosis and 4 radiological stage. The steps depend on the signs of destruction of the hip joint, the severity of pain and limited movement.
Stage 1 coxarthrosis of the hip is the easiest signs. Clinical stage is not always coincide with the X-ray, so doctors use a rather symbolic stage of the disease, and the treatment of coxarthrosis they are not the determining factor.
For the doctor and patient treatment koksartroza presents certain difficulties. The main goal of treatment of the disease is to ensure full functionality of the injured joint without pain. Depending on the extent of disease progression and treatments can vary considerably from one another.
Thus, at the initial stage of coxarthrosis hip main purpose PCP - maximum stay pain during joint movement and slow the disease. In most cases, these objects are achieved by changing lifestyle and diet of the patient. The doctor prescribed to patients special therapeutic exercise and intake of analgesic drugs. Effective at this stage are physiotherapy, acupuncture. Patients prescribed drugs group chondroprotectors.
When the disease is already in an advanced stage and conservative treatment of coxarthrosis does not bring positive results, your doctor may recommend the patient to carry out hip replacement.
hip is a very precise operation to return the patient to the mobility of painful joints and allow the patient to lead a full life.
It should be noted that it is not necessary for patients to self-medicate and treat coxarthrosis folk remedies, as they give only a temporary effect, and often lead to the fact that the patient goes to the doctor already with severe joint deformity and severe pain. On these stages conservative treatment does not bring the desired result and, in fact, the patient's own fault that he offered surgery. Hip replacement can cause a number of complications, including:
- considerable blood loss during surgery or thereafter;
- infection in the area of operations;
- dislocation of the prosthesis.
Coxarthrosis has a favorable prognosis for life. In addition, the disease usually progresses slowly. However, possible development of avascular necrosis of the femoral head. This condition is a serious threat to the patient's life.
Any specific prevention koksartroza there. Primary prevention is early detection and timely treatment of trauma and dislocation of the hip, hip dysplasia, as well as regular monitoring of people with hip joint pathology.
Secondary prevention - a timely diagnosis of coxarthrosis in the first stage of its conservative and periodic treatment at least 1-2 times a year. Observe orthopedic joint unloading mode, choose sedentary profession, control body weight and engage in physical therapy.