Coxarthrosis of the hip joint: disability

What kind of disability group with coxarthrosis of the hip joint: examination

Currently, diseases of the musculoskeletal system are very common in medical practice.

Suffer from this pathology to a greater extent, the elderly, but more often the disease of bones and joints are observed in young people.

Pathology of the osseous system occupies one of the leading places in the general structure of the causes of disability of people. Many are interested in the question of which group of disabilities with coxarthrosis of the hip joint is being prescribed by a doctor.

In the event that the disease occurs in chronic form, there is a high degree of severity, that is, a high probability that the sick person will become disabled.

Deforming osteoarthritis is the basis for the so-called medico-social commission. Based on the conclusions of doctors, it is possible to set a disability group for this patient.

Let us examine in more detail how the medical and social examination is carried out, what is the etiology, the coxarthrosis clinic of the hip joint.

What is coxarthrosis?

Hip arthrosis is a disease characterized by the development of degenerative-dystrophic processes in the cartilaginous tissue with the involvement of surrounding tissues (ligaments, bones, joints).Coxarthrosis is a type of simple arthrosis.

This is one of the most common pathologies of the musculoskeletal system, which can make a sick person an invalid. It is interesting that the social significance of this disease is measured in the distance.

This makes it clear how many years of active life and disability have been lost as a result of the illness.

Osteoarthritis can occur not only in the hip joint. Very often, knee joints are affected. As for the sex differences in the level of morbidity, at a young age, the hip joint lesion is more common in men, and in elderly - in women.

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It is important that the disease of the hip joint is most difficult. This is due to anatomical features and a heavy load. It is important that disability can be avoided with timely treatment of pathology at an early stage.

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If there is a third stage, then the person will become disabled.

Etiology of the disease

Cokearthrosis can occur for several reasons. Allocate external factors and internal. External includes traumatic injuries. This is the most common cause of disability.

Injuries arise for various reasons: as a result of playing sports, negligence in the workplace and at home. In some cases, the cocksoarthrosis develops against the background of a poorly performed operation on the joint.

The second external etiologic factor is an increased load. As a result of systematic stress, the function of the joint is broken, it can be deformed.

Among the external causes, an important place is occupied by irrational nutrition.

This directly depends on the body weight, the excess of which also increases the load of the hip joint. As for endogenous causes, there are many more. First, it is a genetic predisposition.

It is established that some defects in the development of bone and cartilaginous tissue can be inherited. The congenital pathology of hip joint formation is called dysplasia.

Secondly, inflammatory diseases such as rheumatoid arthritis are of great importance. In some cases, inflammation of the joints accompanies syphilis, gonorrhea, tick-borne encephalitis.

The defeat of the hip joint is observed with hemophilia.

These include endocrine imbalance, local joint cooling, decreased immunity, the nature of the profession and the way of life of a person, exposure to toxic substances, lack of trace elements (phosphorus and calcium), metabolic disorders in the body and some others.

Stages in coxarthrosis of the hip joint

To determine the disability of a sick person, it will be necessary to identify the stage of the disease. There are 3 main stages of this pathology. The first is the easiest. With it, there are no morphological changes in the joint and surrounding tissues.

With coxarthrosis of the hip joint of stage 1, the composition of the joint fluid changes, which somewhat worsens the metabolic processes in the joint cavity.

The patient may not experience pain during normal daily exercise, but when it becomes large, pain syndrome may occur.

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The second stage is characterized by the fact that the cartilage of the hip joint and the meniscus begins to degenerate. In this period osteophytes begin to form. They are bony outgrowths along the edges of the joint.

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The third stage is most difficult for any person. It differs in that contractures are formed, pathological mobility of the hip joint is observed. The muscles are stretched or shortened.

All this contributes to the violation of trophism and restriction of motor activity. The patients are given pain medication, but they do not always help.

In coxarthrosis of the 3rd stage, ankylosis (immobility of the joint and limbs) may occur.

Disability in coxarthrosis of 3 degree

Disability in the vast majority of cases occurs with grade 3 arthrosis. In this situation, a person does his work with difficulty or completely ceases to perform it.

In severe disease there is a permanent loss of ability to work. Often a sick person can not stay in one position for a long time, in this situation surgery is required.

The most effective method is hip joint prosthetics.

What kind of disability group is put in the presence of 3 degrees of arthrosis? The question is ambiguous. Everything depends on the severity of the disease and the condition of the patient. The most common is the 2 group of disability.

As for the ability to work, with the 2nd group of disability patients can carry out certain types of work, but only with the help of devices.

What is medical and social expertise

The medical commission determines which disability group will be delivered to the person. To this end, ITU is conducted.

On a similar study with coxarthrosis sent according to the following indications:

• if arthrosis is rapidly progressing;
• if the patient was operated for arthrosis;
• if the patient has a pronounced restriction of the motor function, interfering with work and fully live.

In the first case, there should be an X-ray confirmation of the diagnosis. In this case, expressed clinical signs should be observed for at least three years.

Obligatory condition - the presence of periods of exacerbation of arthrosis with a frequency more than 3 times a year. Medico-social examination is also conducted in the presence of concomitant complications, the development of reactive synovitis.

To determine which group of disabilities the patient has, several stages of assessing the patient's condition should be organized.

https://www.youtube.com/watc? = sNnQMKMVYZw

The first stage includes diagnostics.

At the same time, all complaints of the patient are assessed, laboratory and instrumental studies are conducted to establish signs of inflammation and destruction of cartilaginous tissue.

At the second stage, social diagnostics is carried out. The future group of disability largely depends on this.

The most important aspect is a person's ability to serve himself, move around, lead a work activity, a degree of adaptation. The psychological state of a person is assessed. The most recent stage is the determination of the extent to which a person needs protection and social support.

When 1 disability group is put

It is known that 1 group of disability is the heaviest. To ensure that such a degree of disability was fixed by a commission of doctors, certain criteria are necessary.

The main one is the inability of a person to serve himself, move, work and study (if a sick person is young).

It must be remembered that the first group of disabilities limits the patient's possibilities, as a result of which he needs constant care. Such people are not able to take care of themselves, cook food, go to stores.

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Thus, their life largely depends on others. 1 group of disability is made out when arthrosis makes it impossible for movement and disability to stand.

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1 group of disability occurs with coxarthrosis of the third degree, with ankylosis of the hip joint.

If the doctors give the first group, then this is a good reason to think about the operation.

The second group is established by the commission with a significant limitation of the person's ability to service and move. To do this, he needs the help of other people or special care. The ability to work can be partially preserved.

This requires the organization of a special place to work. The second group of disability occurs at the third degree of the disease, ankylosis, and a decrease in the length of the limb by more than 7 cm. Less often, doctors give 3 groups.

3 group of disability is characteristic for patients with a small limitation of mobility.

Conclusion, conclusions, recommendations

Thus, the disability group with coxarthrosis is determined on the basis of the medical examination performed. During the research, the patient's condition is assessed, analyzes and other studies are performed.

Most often, with coxarthrosis of the hip joint, a second group of disabilities is formed. The first one is the heaviest. A person in this situation needs careful and constant care.

This disease can not be cured, you can only suspend the process, so it is better to warn.

Be sure to consult a doctor before treatment of illnesses. This will help to take into account individual tolerance, confirm the diagnosis, make sure the treatment is correct and exclude the negative interactions of the drugs. If you use prescriptions without consulting a doctor, it is entirely at your own risk. All information on the site is provided for informational purposes and is not a medical benefit. All responsibility for the application lies with you.

A source: http://artrozmed.ru/artroz/gruppa-invalidnosti-pri-koksartroze.html

Disability in coxarthrosis of the hip joint of 2nd and 3rd degree

Disability in coxarthrosis of the hip joint - a fairly common phenomenon. Disease in the second degree is incurable.

The only thing that remains for the patient is to resist the ailment, slowing the destructive processes in the joints.

In people over forty, the risk of coxarthrosis increases.

There are many reasons for this, but the main one is a violation in the cartilaginous tissue of metabolism.

Statistical data clearly demonstrate that the disease is significantly "younger". Today, the risk group consists not only of pensioners, but also of young people.

In general, all joint diseases became more common in young patients, which was not the case before.

In what situation is a disability group assigned to coxarthrosis? What should Russians aware of this disease know about the assignment of the group?

Where is disability confirmed?

Doctors are convinced that coxarthrosis of the hip joint in the initial degree is perfectly treated.

But the further the disease comes, the more difficult the situation becomes. In the end, the patient is significantly limited in mobility.

Disease can go so far that a person will lose the ability to move independently.

To confirm the diagnosis, the patient must pass the ITU - medical and social expertise. The group is formed only by its results. These powers of the ITU are provided by the State Commission.

But this process is very long and it is not always possible for the plaintiff to prove his case.

Which group is used for coxarthrosis of the 2nd degree

Usually, with arthrosis of the hip joint of the second degree, the patient is given a third group. Getting a second group is much more difficult. Almost unrealistic (according to the patients themselves) to get the group first.

The prohibition on assigning the first group of disability in coxarthrosis of the hip joint does not exist, but it is very difficult to prove its rights to it.

The patient should be prepared for the fact that disability must be regularly confirmed.

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If the patient does not pass the ITU in a timely manner, he is deprived of the status of an invalid, and with it, and receiving state support.

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Get a disability - it's pretty troublesome. The need for regular passage of medical and social expertise government agencies explain the fact that today coxarthrosis of the hip joint of the 2nd degree is perfectly treated by the surgical method.

Pain does not entitle the group

Restriction of motor function is the main criterion on which the assignment of a group to the Russian Federation is based. Of course, many will reasonably have the question: why are the pain symptoms not taken into account?

People suffering from arthrosis often experience severe pain. Even the initial degree of coxarthrosis of the hip joint is characterized by intense pain, with which anesthetics do not always cope.

Using modern diagnostic methods, such violations with coxarthrosis of the hip joint can be confirmed. To do this, they resort to help:

• radiography;
• MRI of the hip joints;
• arthroscopy.

Note! Only a documentary confirmation of the limitation of life will give the patient the right to form a group and receive state support. To confirm the diagnosis to the documents it is necessary to attach an x-ray image of the patient joint.

The degrees of coxarthrosis and the group assigned to the patient are not interrelated. The presence of some degree of arthrosis does not give a person the right to receive a group of "automatic". The same situation develops with the release from the army service or with receiving a delay from it.

And what about the third stage arthrosis? As a rule, people with an ankle joint are diagnosed as disabled persons:

1. coxarthrosis;
2. gonarthrosis of the third degree;
3. arthrosis.

Pathology entails a violation of the motor function of the body. The severity of a state is determined by the appropriation of a particular group. If the limitation of vital activity is insignificant and the disease does not cause the patient much trouble, the ITU group may not be assigned.

With moderate deformations, which is characteristic of coxarthrosis of the third stage, a person can achieve assignment to him of the third group. This rule usually works in relation to those patients who have coxarthrosis relatively recently.

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If the disease is accompanied by a shortening of the limb, the patient is given a second group. Those people who have a leg shortened by seven centimeters or more have a real chance to get a disability.

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Disease greatly limits the patient's ability to self-service. With deforming arthrosis of the hip joint, the patient can fully expect to be given the first invalid group.

Causes and symptoms of arthrosis of the hip joint

According to the unfavorable forecasts of physicians, it can be concluded that annually the number of patients with coxarthrosis in Russia will increase. This fact is explained by two reasons:

1. Genetic factor,
2. Chronic stress.

Genetic predisposition to pathology is expressed in metabolic disorders and is transmitted from parents to children. The more mature a person with a hereditary predisposition, the higher the likelihood of developing a disease in him.

No less important factor is chronic stress. They can provoke the development of arthrosis, gonarthrosis and coxarthrosis.

When the human body is in a stressful state, it begins to produce substances that destroy the joint tissue.

The reasons for the development of coxarthrosis secondary are much greater. Almost all of them relate to diseases caused by nervous tension:

• inflammatory diseases;
• heart attacks;
• chronic fatigue syndrome.

Therefore, in order to prevent, whenever possible, every person should try to avoid stress and anxiety.

A source: http://sustav.info/bolezni/coxarthrosis/invalidnost-pri-koksartroze.html

How to get and what does a disability in coxarthrosis 2 degrees?

Coxarthrosis - the most severe in the course and consequences of the disease of the musculoskeletal system: it is the deforming coxarthrosis hip joint most often leads to long-term disability, limited ability to self-service and disability. And as coxarthrosis often affects people 35-40 years old and even younger, the issue of establishing disability is very relevant.

When coxarthrosis passes into the 2nd degree - this indicates the ineffectiveness of the early treatment (or the late onset of therapy or none at all).

It is impossible to reverse the ailment - it will only progress further.

The second degree of the disease is always accompanied by a serious decrease in the quality of life, as patients experience pain and difficulty even with quiet walking - that is, a person feels disabled.

But for the state to confirm the patient's right to retirement, social and other benefits - disability must be formalized.

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It is possible and necessary to do official registration if you have a diagnosis of grade 2 coxarthrosis and the ability to move is clearly impaired.

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Disability not only gives the right to material benefits, but also facilitates the receipt of medical assistance (discounts on medicines, emergency operations, hospital treatment, etc.).

The disease does not make you disabled automatically - the disability will need to be proven.

This process is rather complicated, it requires a lot of time, physical and mental strength for patients to visit polyclinics and expert expert medical organizations, and in case of refusal, also means for appealing with the hiring of a lawyer and filing an application in court.

The presence of a disability and her group is determined by the combination of clinical symptoms and signs of disability (abbreviated OR) - that is, in violation of the basic functions of the hip joint - the ability to move normally and stand. More important is precisely OZHD, not symptoms: if the patient is even concerned about severe pain inherent in 2 degrees arthrosis, but a significant limitation of the functionality of the joint is absent - in assigning a group, most likely to you refuse.

Special operations (for example, endoprosthetics - replacement of a joint for a prosthesis) allow practically fully restore the function of the hip joint, which means - to reduce the group or completely remove disability.

Scheme of the installation of the hip joint endoprosthesis: fixation of the cup, legs with a head on the acetabulum and in the femur.

Below we will consider the reasons for obtaining a disability in coxarthrosis of the 2nd degree, how the design process is going on, what benefits are given to disabled people and how to live with this diagnosis altogether.

Basis for obtaining a disability with coxarthrosis of 2 degrees

By itself, arthrosis of the hip joint of the 2nd degree is not a basis for obtaining disability.The main criterion - OZHD - the inability to stand and walk without special devices (sticks, crutches, strollers).

The group can be assigned in four cases:

1. Two-sided coxarthrosis of the 2nd degree (with lesion of the right and left hip joints).

2. Combination of coxarthrosis of 2nd degree with gonarthrosis of 2-3 degrees.

3. Shortening of the limb by 7 cm or more.

4. Rapidly progressive coxarthrosis (progressive damage should be confirmed by a series of radiographic shots).

X-ray of the hip with coxarthrosis of the 2nd degree. The picture shows a pronounced narrowing of the joint gap, marginal osteophytes, damage to the articular surfaces of bones.

Disability and her group with hip coxarthrosis are established in a special organization - the medical and social expert commission (MCEC). The referral to the IEC is given by the attending physician (arthrologist or orthopedist traumatologist).

The procedure for sending to the MCEC takes place in three stages:

1. First, the doctor informs you that you have severe anatomical and functional disorders caused by coxarthrosis 2 degrees, and the possibility of establishing disability (or you yourself ask the doctor).

2. The doctor gives directions and a card for the passage of the medical commission (VC) at the level of your clinic - usually It is required to receive conclusions from several specialists about your condition (therapist, neurologist, arthrologist). The data of the examinations (X-ray, CT, MRI of the hip joint, etc.) and extracts from in-patient case histories (if there was inpatient treatment, operations) are attached to the card.

   Pay attention: the more often you consulted the doctor about pain and other problems with the hip joint, the more often you have a need for inpatient treatment - the higher the probability of appropriation you group. Therefore, try to visit the doctor on a regular basis, and fix each appeal on an outpatient card.

The next stage is actually the MCEC.

With a referral to the Ministry of Healthcare, an outpatient card, all available hospital discharge for the treatment of coxarthrosis, you register with the survey data for the expert committee.

Doctors collectively assess your condition, discuss the results of examination, surveys and conclusions of specialists, and then make a decision by way of anonymity.

In coxarthrosis of 2 degrees, 3 (working) group of disability is most often assigned. Much less likely to give 2 groups (with coxarthrosis combined with gonarthrosis, in the case of rapid disease progression - when the patient's ability to move and self-service is clearly impaired).

What should I do if I have not been given a disability?

Often cases when coxarthrosis 2 degrees are not given a disability. Based on my experience, confirmation of disability is a difficult task.

Of all the patients I sent to the Ministry of Health (I speak in general, and not about coxarthrosis separately), only about 60% get disability.

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The rest of the commission refuses, despite the fact that I and the patients themselves considered the grounds for disability to be sufficient.

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So in the case of coxarthrosis - most members of the MCEC can decide that the limitations of the hip joint functionality are insignificant, and the patient can remain able to work with insignificant restrictions (heavy physical work). However, if you do not agree with the decision of the MCEC, it can be challenged in higher authorities (regional, main office of the MCEC) or through the court.

What are the benefits of disability?

Disability entitles citizens to receive benefits (pensions) for incapacity for work, as well as for a number various benefits at the regional and federal level, obtaining government support measures disabled people.

For registration of benefits and benefits to you with a certificate from the Ministry of Health and other documents (passport, SNILS, savings account, certificate of birth of minor children) - originals and copies - should appear in the regional office Of the Pension Fund.

Persons with disabilities of group 3, most commonly found with arthrosis of the hip joint of the 2nd degree, are entitled to the following benefits:

• allowance (pension);
• 50% discount on prescription drugs (the list of preferential medicines varies annually, you can find it in the clinic);
• 50% discount for utilities and housing;
• 50% discount for sanatorium treatment (including travel expenses);
• privileges for travel in public transport (discount on the purchase of a travel card);
• assistance in retraining and selection of a place of work;
• labor benefits (shortening of the working week without a reduction in wages and duration of paid leave, additional unpaid leave);
• benefits for admission to educational institutions, while paying for tuition.

In addition to these benefits, in the regions can give additional payments and benefits.

Periodically carry out programs of state and non-state support for disabled people, within the framework of which you can get money for purchase of expensive devices (wheelchairs, crutches, etc.), partially or completely compensate for the costs of operational treatment.

Note: 3 group of disability must be confirmed annually, after repeated inspections at the Ministry of Health.

Life with coxarthrosis 2 degrees with disabilities

Disability is not just a group, benefits and benefits.This is life, connected with limited opportunities for work, communication and self-service.

Arthrosis of the hip joint of the 2nd degree is accompanied by chronic painful pains, the inability to stand for a long time and walk normally.

Public buildings (shops, organizations) and entrances of residential buildings are rarely equipped Special appliances (handrails, gently sloping stepless, automatically opening doors). All this further complicates the movement of disabled people outside the apartment.

A gentle rise significantly helps in the movement of wheelchair users

However, many of the difficulties are quite possible to overcome: for ease of walking, always use a cane or crutches - comfortable and light, which can be purchased at the orthopedic store.

Disabled people have the opportunity to hire social workers (with preferential payment), there are private firms that provide fee-based services for the maintenance and care of disabled people - sometimes you can contact and to them.

Remember also about operations on hip restoration. Although these interventions are costly, they allow the joint to return to work and remove most of the movement restrictions.

Svetlana Agrineeva

A source: http://SustavZdorov.ru/artroz/koksartroz-tazobedrennogo-2-stepeni-invalidnost-250.html

Disability in coxarthrosis of the hip joint: 4 degrees of injury

The causes of coxarthrosis have not been fully understood yet, but heredity plays a certain role. A common point of view is the explanation of the development of the disease by the premature aging of the cartilaginous tissue, due to a metabolic disorder. With age, the likelihood of the disease increases.

Also negative influence of chronic stresses due to which the articular tissue is destroyed, which ensures the normal work of the joint, is proved. Secondary coxarthrosis appears "on the nerves" after a heart attack, inflammatory diseases, fatigue syndrome.

At first, pains are felt only with severe loads, localized directly in the joint, pass at rest. The gait is not broken. Pathology is noticeable only on an X-ray.

Then, the pain intensifies and in a state of rest, the groin region is also raised. Long walking becomes impossible, the patient noticeably limps. There are limitations of the joint, muscle atrophy begins.

On the x-ray, the initial stage of deformation of articular surfaces is noticeable.

If the condition worsens, there are constant severe pains. Significantly limited movement of the legs. The patient needs walking aids, since the muscle tissue has undergone atrophy, the joints are deformed and the joint cracks become overgrown.

This significantly affects mobility. The gait of patients changes and becomes similar to a duck. With progression, a dislocation in the hip joint can occur and it will no longer be able to bend. A person is bedridden.

Reasons for obtaining a disability

The main criterion for obtaining disability: a person is not able to perform simple domestic activities. In this category of citizens fall:

• Patients suffering from the disease for more than three years, with frequent periods of exacerbation.
• After carrying out of surgical operations in occasion of an osteoarthritis which limits ability to live.
• If the static-dynamic function is violated.
• Rapid course of the disease (confirmation is required - X-rays pictures).
• With simultaneous damage to the hip joints.

Three groups of disability with coxarthrosis

• The first (with arthrosis 3-4 degrees) - is assigned with a complete violation of movement in the hip joint: arthrosis of the joints, the knee cap and ankle joint are affected. Such patients (usually wheelchair users) can not move independently.
• The second is the partial loss of motor functions. The patient moves independently, but he can not serve himself. The hip and knee joints are affected, the limb is shortened by 7 or more cm. Coxarthrosis of the third degree is the basis for the preparation of the 2nd group. This category of citizens retains the ability to work and has the opportunity to work (using special devices - crutches or sticks).
• The third - the function of the joints is slightly limited. A person can move slowly with frequent stops, but without the help of outsiders.

Where to go

In order to receive disability and benefits, an official confirmation is necessary.

A disabled person can receive financial assistance and medical assistance with discounts on medicines, treatment without queue. Disability is not life.

Getting a group is difficult, it takes time, physical and mental strength. It is necessary to visit regularly polyclinics, expert honey organizations.

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In addition, the modern level of medicine with the help of special operations - when the joint is replaced with a prosthesis - restores functions, thus depriving the status of the disabled person, or lowering the group.

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Only if the replacement is unsuccessful (because of poor quality of the prosthesis, it is wrong selected by a surgeon of geometric dimensions or in the absence of rehabilitation) disability is retained.

The process of obtaining

Disability is established by a special organization - the medical and social expert commission. Your therapist makes a preliminary diagnosis.

The specialist directs to the medical commission to the polyclinic at the place of propiska.

The map records the results of a survey of narrow specialists, the history of the disease and laboratory data.

The final stage. When all documents are collected, namely: referral, all available extracts, outpatient card, data from all analyzes. A medical consultation, by way of ania, makes a verdict.

Disability and her group is determined by the degree of disruption in the joints: can a person walk and stand.

If the restriction is recognized, the patient receives documents: a certificate of proof of disability and a recovery program, developed individually.

Benefits and assistance

The third group (working) - the base - coxarthrosis, 2 degree; is confirmed annually:

1. Disability pension.
2. Significant discounts on medical products, hospital treatment, utilities.
3. Free pass.
4. Shortened working week with the same salary.
5. Retraining and a new job.
6. Benefits for students - payers.
7. Regional compensation.

The program - state support for disabled people allows people to purchase expensive devices (wheelchairs, etc.) and money for operations.

Not all patients, aimed at the commission, can expect to receive a group of disabilities. About 40% of patients are refused.

In these cases, you need to contact the higher authorities or the court.

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«Treatment of coxarthrosis»

From this video you will learn about the treatment of coxarthrosis of the hip joint.

A source: https://prospinu.com/bolezni/artroz/invalidnost-pri-koksartroze-tazobedrennogo-sustava.html

Coxarthrosis of the hip joint of 2nd degree disability

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Deforming osteoarthritis in most cases requires a medical and social expertise (MSEC) to determine the disability group.

Disability in arthrosis is associated with the degree of violation of the static-dynamic function of the limb, which determines the patient's ability to move independently, self-service and work.

Signs of osteoarthritis are of secondary importance.

Deforming arthrosis - perhaps the most common joint disease, leading to a restriction, loss of ability to work.

The cause of disability with arthrosis is not even pain, crunch, blockade, stiffness and restriction of movements in the joint - these signs of osteoarthritis are, rather, diagnostic value.

In determining the group of disability, the degree of violation of the static-dynamic function of the limb, expressed in the patient's ability to move independently, self-service, work and social adaptation.

Who is sent to the medical and social expertise - (MSEC) disability?

• Patients with rapidly progressive joint arthrosis, characterized by the appearance of severe x-ray signs of osteoarthritis in for 3 years from the onset of the disease, with frequent, more than three times a year, exacerbations of reactive synovitis and the presence of associated diseases.
• Patients after surgical treatment of osteoarthritis, with violations that lead to the limitation of vital activity.
• Patients with severe violations of the static-dynamic function, which is the cause of disability.

Medico-social expertise (MSEC): disability and its diagnosis

The definition of the disability group for arthrosis includes several stages of examination

• Clinical and functional diagnostics, during which the analysis of complaints, the degree of signs of osteoarthritis, the results of laboratory and functional research is carried out.
• Social diagnostics, including assessment of a patient's ability to self-service, independent movement, determining the level of its adaptation in the social environment and the degree of disability as reasons disability. This takes into account the psychological state of the patient, the availability of his rehabilitation potential, the desire to return to normal life.
• Determining the patient's needs for social assistance and protection.

Definition of I, II, III disability groups: criteria

The first group of disabilities in osteoarthritis of the lower extremities

The main criterion for determining the first group of MSEC incapacity for work is: a complete loss of ability to self-relocate and self-service, work and learning.

Persons with disabilities in group I need constant care and help from strangers, since they can not lead independent existence, can not observe hygiene, dress, eat, perform everyday business.

Usually, the first group of disabilities is established with a pronounced violation of walking and standing functions that reflect the signs deforming osteoarthrosis of the hip joint of 3-4 degrees, ankylosis of the hip and knee, ankle joint in disadvantageous situation.

The second group of disability in osteoarthritis of lower extremities

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The second group of disability is determined with a significant limitation of the ability to independent movement and self-service, if necessary, use of outside help or auxiliary means.

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Labor activity in such cases requires the creation of a specially equipped workplace, the assistance of others. Training is possible only at home or in special educational institutions.

Most often, the II group of disability is established with arthrosis of the hip and knee joint of the third degree, ankylosis of the large joints at a disadvantage position, shortening of the limb by more than 7 cm, an unfavorable rapidly progressing type of course of the disease, prolonged and frequent exacerbation synovitis.

The third group of disability in osteoarthritis of the lower extremities

The criterion for establishing the third group of disabilities is a moderately expressed or insignificant restriction of the function of the joints, leading to a restriction of the ability of independent movement, self-service and labor.

Labor activity becomes less productive, the qualification is reduced, and in some cases is lost altogether. Sometimes work by profession is impossible due to the presence of contraindications to certain activities.

Training requires adherence to a special regime and the assistance of others.

The reasons for the establishment of the III group of disability: coxarthrosis and gonarthrosis of 2 degrees, combined deforming arthrosis of the lower extremities.

Patients with deforming arthrosis of 1-2 degrees with lesion of one joint, slowly progressive course of the disease, with persistent but minor violations of joint function,recognized as able-bodied. Usually, these patients are engaged in light physical and mental work, not involving excessive stress on the joints.

Disability for arthrosis

Pain, crunches, blockages, restriction of movements and joint stiffness - this is far from a complete list of symptoms for arthrosis. Each of them individually can poison a person's life, and their combination can easily make it unbearable.

Naturally, arthrosis must necessarily be treated. Ignoring the pain is impossible. Moreover, only a doctor can direct a patient to receive a disability.

Very often with arthrosis, pain occurs in the knee, in the lower part of the leg (ankle), and so on. In some cases for the treatment of arthrosis and arthritis even resort to surgery. However, this is not always an effective method.

Disability for arthrosis

You can get a disability for arthrosis. True, not all. There is a certain category of patients who are referred for medical and social expertise (ITU). It includes.

- Patients with progressive joint arthrosis within 3 years from the onset of the disease, suffering from frequent exacerbations (more than 3 times a year);

- Patients after surgical intervention in the treatment of osteoarthritis, which are noted for violations that limit their life;

- those who suffer from pronounced violations of the static-dynamic function, which, in fact, is the cause of disability.

Medico-social examination is a necessary stage in obtaining disability. And it can not be avoided. It is also necessary to take into account the fact that it will be necessary to undergo such an examination to confirm disability all the time.

During the ITU they will determine the disability group. For this, several stages will pass. In the first, clinical and functional diagnostics are examined and analyzed: they analyze complaints, the severity of symptoms, and so on.

The second stage involves social diagnostics, during which the patient's ability to independent service itself, as well as an assessment of the patient's adaptation to the social environment and the extent of their loss ability to work.

Disability groups for arthrosis

The first groupgive those who have motor activity due to arthrosis is completely impaired.

Invalids of group I, due to the developed disease, are not able to walk, prepare food, eat, walk, study, etc.

Doctors say that this stage usually occurs with diagnosed arthrosis of the hip joint of 3-4 degrees, as well as in the defeat of the knee cap and ankle joint.

Second groupappropriated to those who have a motor function lost partially, that is, a person can move, but often he needs help from the outside.

As a rule, the basis for the appointment of group II are: arthrosis of the hip and knee joint of the third degree, ankylosis of large joints, limb shortening more than 7 cm and so on.

Third groupis given to those with moderately expressed or insignificant limitation of joint function.

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That is, a person can move independently, but at a much lower speed, with more stops for rest and so on.

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Among the causes that lead to the third group of disability are coxarthrosis and gonarthrosis of the 2nd degree, as well as combined deforming arthrosis of the extremities.

Medical and social expertise

200? '200px + (this.scrollHeight + 5) +' px '); Because of my short experience, my singing is the amount of the subsistence minimum. Even a healthy person can not live on this money.

My entire pension goes to medicine. STRUCTUM -1200r, DONA-1100, FROZA-1200, NICE -10, also omez, midokalm and others. A massage - 200 r session (it already has no money). HOW TO EXIST? I really need 2 groups from childhood.

In terms of money, at least some kind of increase

the current legislation does not provide for the possibility of establishing a more severe disability group on the basis of a low level of the patient's material wealth.

200? '200px + (this.scrollHeight + 5) +' px '); deformation of the head of the femur. Severe multicomponent hip joint contracture. Functional shortening of the lower limb by 2 cm. Deformation of the pelvic ring. Lumbar osteochondrosis.

With this pathology, it is possible to establish 2 groups of disability in cases of: -existing pain syndrome with frequent and prolonged exacerbations due to lumbar osteochondrosis - DOCUMENTED confirmed over the last 12 months. before the passage of ITU; -expressive pathology of the opposite hip joint (if it also worries - it is necessary to take his pictures and get a consultation of the orthopedist-traumatologist about the severity of his pathology;

- with pronounced negative dynamics for P-pictures - when the pictures in the dynamics - it is clearly visible that the process is going on active destruction of the head of the femur (to confirm this - it is desirable to do P-pictures of the joint at least 2-3 times a year). In this case, it is necessary in dynamics - will increase: the shortening of the leg and the degree of hypotrophy (drying out) of its muscles.

Lyusya12. You have not written anything about your profession at this time and about the profession in which you worked at the time of injury.

200? '200px + (this.scrollHeight + 5) +' px '); If it is laid, which group?

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No more than the 3rd - in the presence of absolute contraindications on the nature and working conditions in the main profession (hard physical labor, prolonged stay on legs).

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200? '200px + (this.scrollHeight + 5) +' px '); Is it worth my disability?

Depends on your main profession.

If mental work in the office environment - then - no, it is not.

To answer your question, you need additional information: 1.

Completely and without abbreviations - the diagnosis from a fresh consultation of the orthopedist-traumatologist (if the patient at it or him was not - that it is necessary to receive such consultation) - with the instruction of its date. 2. I need to see the X-rays themselves (fresh) of the affected joints themselves.

If there is a desire and an opportunity, you can give me P-pictures of the joints for examination.

If possible - you can upload them to any photohosting and give links here or drop pictures on my mail: [email protected]

If you drop on the mail - then write about it in this thread - because I'm on the site more often than I check mail.

Without the above data - nothing definite about the prospects of strengthening the disability group - it's impossible to say.

Sources: http://www.medkrug.ru/article/show/opredelenie_gruppi_invalidnosti_pri_artroze_nizhnih_konechnostei, http://m.doorinworld.ru/stati/invalidnost-pri-artroze, http://www.invalidnost.com/forum/2-420-1

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