Coxarthrosis (deforming arthrosis of the hip joint) is a disease characterized by violation of normal blood supply, which leads to a gradual deformation, and then destruction of it parts.The disease mainly affects people of middle and older age, and more often women suffer from it. Coxarthrosis can develop in one or both joints.
The disease manifests itself mainly in pain of varying intensity and duration. Before starting the treatment of pain, it is necessary to find out for what reason it appeared.
- 1Classification of the disease
- 2Causes of development
3Clinical manifestations of the disease
- 3.0.1The main clinical manifestations of coxarthrosis
4Symptoms depending on the degree of development of the disease
- 4.1First degree
- 4.2Second degree
- 4.3Third degree
- 5Peculiarities of pregnancy management in a woman suffering from coxarthrosis
- 6Basic principles of treatment
Classification of the disease
Depending on the causes of the onset, it is possible to isolate the primary and secondary forms of the disease:
- Primary coxarthrosis of the hip joint- develops as an independent disease, occurs in almost 25-27% of all cases of the disease.
- Secondary arthrosis- is a complication of severe injuries of the hip joint and bones included in it (fractures, chronic dislocations, tendon ruptures), is more common in people professionally engaged in sports.
Causes of development
A frequent cause of the appearance of pain when walking or at rest, at night or during the day, is coxarthrosis.
The main reasons for the development of this disease are:
- increased load for a long time;
- long walking or running;
- aseptic necrosis;
- congenital anomalies of the development of the bones entering the joint;
- genetic predisposition to the development of deforming arthrosis.
In addition to the main causes, there are factors that influence the onset of the disease. Such factors include:
- presence of concomitant diseases - arthritis, tendonitis, osteoarthritis, osteoarthritis, osteoporosis;
- severe chronic diseases of the body - diabetes, rheumatoid arthritis;
- chronic stress;
- excess body weight, because of which an increased load of the lower extremities is created;
- alcohol abuse;
- changes in the hormonal background during adolescence or during pregnancy can cause pain.
Clinical manifestations of the disease
Cartilage tissues completely complete their formation together with the end of maturation of the bones of the skeleton. Over time, deformation and thinning of the cartilaginous tissues lead to the fact that during movement the joints of the bones entering the joint begin to touch. This is the cause of the appearance of pain.
The main clinical manifestations of coxarthrosis
The intensity, duration and time of appearance of the main symptoms of coxarthrosis depend on the degree of its development.
The main clinical manifestations of deforming arthrosis include:
- Pain in the hip joint - it can occur at night, with motor activity (walking or running), at rest (lying on the side or back, sitting).
- Restriction of movements.
- Change in limb length, gait, appearance of lameness.
- Atrophy of hip muscles.
- A sharp pain that occurs when a small part of the cartilage is wedged between the articular surfaces of the bones.
Symptoms depending on the degree of development of the disease
The main clinical manifestation of the first degree of the disease is pain, which appears after a long walk or other physical exertion on the lower limbs. After awakening, a stiffness appears in the joint, but the movements are not limited.
With deforming arthrosis of the thigh of the second degree, the pain irradiates (spreads) in the leg or groin area and can occur during the rest period. When walking, there is lameness, motor activity is limited, and the muscles of the hips begin to weaken.
Disease in the third degree leads to the appearance of constant pain, disruption of its mobility (up to the development of ankylosis), atrophy of the muscles of the thigh, change in the length of the limb (often shortening). Pain at this degree is felt in the spine, other closely located joints.
Formally, ankylosis (complete immobility) of the joint is the fourth stage of the disease. With the development of this pathology, a person is given a disability.
Peculiarities of pregnancy management in a woman suffering from coxarthrosis
A pregnant woman with coxarthrosis should be observed simultaneously by two doctors - gynecologist-obstetrician and rheumatologist. In connection with increased workload, its overload increases, and the intensity of clinical manifestations increases.
In the first trimester, the future mother is assigned a set of physiotherapy procedures to prevent the development of muscle atrophy of the hip. The pregnant woman should spend the second and third trimester in a mode of full rest (it is forbidden to bend, lift any weights).
Basic principles of treatment
For the treatment of the disease at various degrees it is used:
- Medicamentous therapy - for the treatment of joints the following drugs are used:
- anti-inflammatory nonsteroidal(ibuprofen, diclofenac, movalis, nimesulide) - these drugs have anti-inflammatory, analgesic and antipyretic effects;
- injections of hormonal drugs(hydrocortisone, kenalog) -buy the inflammatory process directly in the place of pain;
- chondroprotectors(glucosamine, teraflex, arthra, chondroitin sulfate) improve the state of cartilaginous tissues and restore their structure.
- muscle relaxants(sirdolud, mildolkam) relieve spasms in the muscles;
- vasodilating(nikoshpan, trental, cinnarizine) improve blood circulation.
- LFK and massage.
- Physiotherapeutic methods of treatment - ultrasound, electrophoresis, laser treatment.
- Compliance with the principles of dietary nutrition.
- Operative methods of treatment are applied at a high degree of restriction of movement:
- arthroplasty- replacement of a small part of the joint;
- osteotomy- dissection of the wrong joint of bones in order to restore the anatomically correct version;
- endoprosthetics- replacement of the hip joint;
- arthrodesis- Bonding with metal structures to restore the supporting function of the limb, the motor function is not restored.
It must be remembered that this is a serious disease and before starting to do something, having felt pain in hip, it is necessary to consult a specialist who will put the correct diagnosis and appoint an adequate treatment. The success of the treatment depends on how thoroughly the patient complies with all the doctor's recommendations.