Thigh joint arthrosis (coksartrosis) is a progressive type of disease that affects the joint bone and cartilage tissue (before destruction).Most commonly, after 40 years, hard -working people are manifested by the negative effects of various factors, sports loads and physical plan, obesity.
The properties of the disease
The initial stage of the disease is a slight, but periodic pain in the joint, virtually no concern.Gradually, the pathology develops, without treatment it can lead to complete loss of mobility (disability).
Under the influence of negative factors, metabolism and blood circulation disrupt, which adversely affects cartilage.It becomes less elastic, with cracks on its surface.The progression of the disease creates a cartilage deformity, its shaking and abrasion.
Often particles fall into the joint cavity, which becomes the basis of inflammation processes.Gradually, the inflammation process extends to the bones, which causes plots of land, with the addition of bones growth, which seriously causes soft tissues and causes serious pain.
Causes
- Traumatic influence ofAlso perform difficult physical exercises, professional sports.All of these causes are often the basis for the development of arthrosis in the absence of proper and timely treatment, as well as the right lifestyle.
- The case of microtrauma of the joint,Which have not been healed in a timely manner, as well as the cause of arthrosis may be scoliosis, kyphosis, or spine curve.
- Flat feetCreates an inappropriate distribution of the load on the spine and pelvic area that creates the microtrauma of the joint.
- Infectious diseases,Also arthritis.Gout, which produces serious inflammatory processes, which makes the stages of arthrosis more intensively.
- With arthritis,Also all types of cartilage -type tissue defects.
Idiopathic or primary arthrosis is most commonly created by natural wear in old age, characterized by symmetrical characteristics of the injury, has an unwanted course (most often possible manifestations can be suppressed, but complete cure is almost impossible).
Secondary coksartrosis develops most often in the wake of other diseases - degenerative, injuries, vascular injury or soft tissues, diabetes, overweight with metabolic disorders, etc.
Degree
- 1 degree.It is almost asymptomatic, so patients are considered mediocre.There are still manifestations and if you start treatment on time, this is a complete guarantee of recovery.The patient feels periodic pains in the pelvic area, the mobile function remains the same, but in the X -Ray picture you can see immediately, even slightly but still narrow gap between the joints.First degree treatment is done by conservative methods.
- 2 degrees.In the absence of treatment, the disease progresses, increases discomfort, creates a slight limit to motor functions, manifestations are gradually more pronounced, and lightness provokes during prolongation, and in the morning pain.Muscles on the leg and buttocks can deform and dry.At this point, drug addiction is prescribed, combining the elimination of inflammation, slowing progression, as well as the restoration of cartilage -type tissue.
- 3 degrees.The most difficult (final).At this stage, a motor type is created, and a person can become a person with disabilities.Pain becomes permanent, physical activity is almost impossible, one limb is reduced.Surgery is used as a treatment, after which anti -inflammatory and painkillers are prescribed.Preparations that restore cartilage tissue are also prescribed.
Why is arthrosis dangerous?
The most effective will be treatment at the first stage.If there is a lack of treatment in the second stage, then the result will be necrosis of the tissues.Formation of osteophytes, inflammatory processes (in some cases purulent).
In the third stage, the joints are articulated, which almost completely disrupts the functioning of the movement.People can only move with bumps or wands.
Symptoms
1 degree:
- The effect of periodic pain in the pelvic joint, it is most commonly found in significant sports or physical effort.
- The effect of pain in the nature of the pain that occurs after a small rest.
- The movement is not limited.
2 degrees:
- Discomfort is stronger, and physical exercise becomes almost impossible.
- It is difficult to shoes on your own, leg to joint, take the side.
- While walking, serious lightness is created (people support the side).
- After awakening, serious pain occurs, within a few minutes the motor function is seriously limited.
- Limb muscle atrophy occurs, can be diagnosed with x -ray, necrosis, osteophytes, joint and bone deformity.
3 degrees:
- The pain is simply unbearable, constant, sleep is anxious, serious depression.
- Typically, one limb is 10% short (due to the destruction of the joint), developing additional pathologies of the joint, creating a complete absence of motor function.
- During walking - strong lightness.
Diagnostics
- Visual check.
- Clinical tests.
- X -Ray.
- Computer type tomography.
- Ultrasound research.
The properties of treatment
- Non -Anamantic Type Non -Nature is a symptomatic agent that reduces pain effect and reduces inflammation (meloxicam, celloxib, sodium diclofenac, phenylbutazone).
- In the second stage, glucocorticoids are prescribed, more effective medications that reduce the appearance of discomfort and inflammation (triamcinolone acetone).
- Chondroprotectors - Restoration of cartilage tissues, normalization of fluid production (synovial), prevents cartilage destruction (sodium chondroitin).
- Hyaluronic acid is a liquid prosthesis, the product enters the joint as a liquid replacement, lubricating the surface of the joints.
- Musorelaxants are medications that reduce muscle spasms and also normalize the normal functioning of the circulatory system (Tolperisone Hydrochloride).
- Physiotherapy - sound waves, phonophoresis, ozone therapy.
- Surgical intervention (puncture, endoprosthetics).
Therapeutic gymnastics and massage are also used (performed only by specialists).
Prevention
- Weight control (proper nutrition, physical activity).
- With important sports and physical effort, mandatory rest.
- Avoid injuries, consume vitamins complexes.
- With the first manifestation of unpleasant sensations - a doctor's search.
As the prevention of the formation of cocsartrosis in the thigh joint, it is advisable to use exercise bikes, as this is what provides the optimal and uniform load on the thigh muscles, which allows them to enhance them as well as to improve blood circulation.Exercise bike provides the opportunity to choose the optimal load parameters depending on the individual condition of the person, which does not allow for injuries as well as complications.
Results and complications
Complications of the thigh joint arthrosis are very important - destruction of cartilage tissues, destruction of the joint, formation of gut, arthrosis (other joints), tissue necrosis and inflammation processes.
In the absence of competent treatment, the motor functions to zero, the limb muscles atrophy, the buttocks, the chromium.At the last stage, a person cannot get up without external help.Against the backdrop of arthrosis, other pathologies of all systems and organs of the body arise.