Content
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1What is tendonosis: how to treat the tendon of the joints (hip and knee)
- 1.1Why there is a tendonosis
- 1.2Types of tendinosis
- 1.3Symptoms of tendonitis
- 1.4Diagnosis of the disease
- 1.5Treatment of tendinitis
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2Tendonosis of the hip joint: what is it, the symptoms, treatment
- 2.1Tendinosis - what is it?
- 2.2Tendonosis of the hip joint - what is it
- 2.3Tendonosis of a large trochanter of the femur
- 2.4Tendonosis of the hip joint - treatment
- 2.5Forecast
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3Why there is and how is it treated?
- 3.1Causes of the disease
- 3.2Types of pathology
- 3.3Tendonitis of the elbow
- 3.4Wrist constriction tendinosis
- 3.5Tendonosis of the knee joint
- 3.6Hip Tendency
- 3.7Tendonosis of the heel
- 3.8Clinical manifestations
- 3.9Diagnostics
- 3.10Methods of treatment and prevention
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4Tendonosis of the knee joint
- 4.1Symptoms
- 4.2Treatment
- 4.3Load limitation
- 4.4Medications
- 4.5Physiotherapeutic treatment
- 4.6Physiotherapy
- 4.7Surgery
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5Tendonosis of the hip joint is what it is
- 5.1How does the disease occur?
- 5.2Characteristic manifestations
- 5.3Features of therapy
- 5.4Hip Tendency: Causes and Development of Disease
- 5.5Symptoms of pathology
- 5.6Treatment of tendonosis of the hip joint
What is tendonosis: how to treat the tendon of the joints (hip and knee)
Tendonosis, or as it is also called "tendonitis is a disease of the musculoskeletal system, which is characterized by inflammation of the tendons and muscle tissue. Typically, this disease affects people for a long time engaged in professional sports or activities related to physical labor.
Such a disease can affect any joints regardless of the part of the body. It can inflammation of the supraspinous muscle of the shoulder, elbow articular joints, wrists and elbows. Doctors distinguish tendonosis of the knee and hip joints, as most often encountered in medical practice.
Tendinosis is a disease that affects the normal functioning of the joint joint and is accompanied by strong pain sensations, both during movement and at rest. In the presence of such a disease a person loses the ability to move normally, thereby reducing his performance.
If the correct diagnosis is not made in time and the treatment is not started, the inflammation of the tendons can spread to the adjacent muscle tissue and ligaments.
The main focus of inflammation is the place where the ligament and bone connect.
In medical cases, when tendinitis affects the tendon along the entire length, it is common.
In the first place, among the most often affected by inflammation of the tendons, there are people involved in sports. This disease often accompanies older people. The causes of its occurrence may be age-related changes and associated loosening of ligaments.
Why there is a tendonosis
The disease can develop in humans for several reasons, among which there are:
- load on the muscles and hip joints, which are of the same type;
- diseases of connective tissue caused by infection;
- diseases of the locomotor system of a chronic nature;
- frequent injuries;
- lack or excess of calcium;
- age and associated changes.
Types of tendinosis
Depending on the causes that caused tendonosis of the hip joint, it is divided into two types. If the causative agent of the disease is an infection, it is an infectious tendinitis.
If the cause of the disease is other factors, such as trauma, changes in the structure of tendons and tissues, then this tendonitis is considered non-infectious or aseptic.
More doctors distinguish several types of tendinitis, which are divided into zones of damage:
- Disease of tendons with the length of the adductor muscle. The muscle is in the pelvic region and is attached to its bones. Tendinitis causes severe pain in almost any movement of the foot. The main discomfort a person experiences when trying to take his foot to the side. The movements of such a person are severely constrained.
- Inflammatory process of the ilio-lumbar muscle. The defeat of her disease is difficult to determine. The main symptoms of tendonitis can be pain when walking or just with limb support, throbbing pain in the pelvis and on the inside of the thigh.
- Inflammation of the tendons of the abductors. This type of disease is most common. It is characterized by the following symptoms: pain of the muscles of the thigh, its external part, the focus of which is concentrated in the upper part.
- Tendonosis of the knee joint, which is characterized by the development of the inflammation of the knee tendon and muscle.
Symptoms of tendonitis
Regardless of the localization of the disease, tendinosis has the same symptoms in all cases, which manifest themselves as follows:
- pain when trying to move the limb affected by the disease;
- severe pain when you press the focus of the inflammation with your fingers;
- a crunch of bones during movement, for example, in tendinitis of the supraspinatus;
- the appearance of red spots on the skin around the focus of inflammation;
- increased temperature of the skin in the affected area;
- low motor activity of the affected joint.
This disease is characterized by gradually increasing pain sensations. At the initial stage, the pain can be periodic and not intense.
But if the treatment is not timely and not effective, the pain in the joints will bother constantly, even at rest and during sleep.
Diagnosis of the disease
The basis of diagnosis and subsequent treatment is the communication between the doctor and the patient. The doctor carefully listens to complaints, and then appoints a further examination and treatment.
Diagnosis begins by examining and probing the joint or tendon in which the patient feels pain. During the examination, the doctor assesses the degree of joint damage to the disease, determines the degree of movement limitation.
In the future, the patient is assigned the following types of diagnosis, for example, an X-ray, ultrasound diagnosis or a hip MRI. Based on a comprehensive analysis of the patient's complaints and the results of the examination, the final diagnosis is made.
Treatment of tendinitis
Tendinosis can be treated by applying several techniques. The choice of technique depends on the severity of the disease, its location and the cause of the disease. Treatment of tendonitis includes the following methods:
- ensuring maximum rest to the affected joint;
- cold compresses to the affected area;
- drug treatment;
- regular exercise therapy;
- physiotherapy, mud and mineral baths.
If the last method of treatment is possible only under the supervision of a doctor in clinics or sanatoria, then traditional medicine treatment is available to everyone at home.
At home, to ease the condition, you can use soothing and anesthetic ointments and gels, as well as various tinctures and decoctions, which have virtually no contraindications.
If all these treatments fail, the doctor can recommend an operation to the patient that solves the problem.
A source: http://sustav.info/bolezni/drugie/tendinoz.html
Tendonosis of the hip joint: what is it, the symptoms, treatment
Tendonosis of the hip joint refers to the dangerous and unpleasant consequences of the disease. Tendinosis as a disease can affect not only the hip joints, but according to statistics these joints suffer the most.
Tendonosis of the hip joint is characterized by degenerative-dystrophic processes in the tendon area. Although this is not all, joint structures and periarticular tissues are deformed at the same time. That is, there are multiple deformations.
Tendonosis (a synonym for tendonitis) is in fact part of the inflammatory and deforming process of all the components of the joint. A special risk for the development of pathology affects people who work in the field of heavy physical work.
Tendinosis - what is it?
Muscles in the human body are attached to the bones with the help of tendons. For this, there are special knolls and grooves on the bones of the skeleton, covered with cartilaginous tissue.
Tendons are just a bunch of collagen (protein) fibers.
Before entering the bone, slightly rotate around the cartilaginous cushion, which serves as a tension regulator.
Attention! In case if:
- The tendon loses its moisture as a result of aging or dehydration;
- part of the collagen tissue was replaced by a dense fibrous tissue due to trauma;
- microtraumas occur due to persistent overloads;
- there is a loss of elasticity.
Tendon fibers become inflamed and swell. There is a tendonitis (tendinitis).
Tendo in Latin means tendon, "it" is inflammation, but in most cases, there is an overload or even tissue breakdown, the inflammation itself with the infection is usually not associated (aseptic tendonitis).
All the same Latin treats "oz" as the process of deposition of metabolic products. Then, tendinosis - necrosis, deposition of calcium salts and the formation of bone tissue (based on the simplest connective) in the place of attachment of the tendon.
For reference.Numerous studies do not confirm the accumulation of macrophages (special cells in the body, intended for eating bacteria) and lymphocytes. Therefore, it is more correct to call the disease not tendinitis, but tendonitis.
From the nature of men have stronger tendons, so the risk zone for them: from 40 and older.
Women can develop tendonosis after 30, and the peak of the disease activity is registered for menopausal fading of the reproductive functions of the body.
At this time, the tendons and muscles are significantly weakened - the probability of injury increases.
Tendonosis of the hip joint - what is it
The hip joint is complex and has its own characteristics. In the joint work involves several types of muscles. There are two options.
Tendonosis of a large trochanter of the femur
The end of the femur at the top, called the trochanter major, is adapted for optimal attachment of the medial gluteal muscle, which belongs to the group of external muscles of the pelvis.
The superficial and deep layers of muscle bundles are arranged in a fan-shaped manner and are designed to guide the thigh (or pelvis, if the thigh is fixed). The muscle is also involved in straightening the back, if the body is tilted forward.
For reference.The muscle is attached to the skewer in such a way that the front fascicles, if the hip is withdrawn, rotate it inward, and the rear ones outward. Therefore, in violation of the integrity of the tendon, the pain syndrome is activated when the foot rotates. Problematic for the patient is the slopes.
The hump for attaching muscles (anus-lumbar, large lumbar), located below the head of the femur, is called a small trochanter.
For reference.If there is tendonitis, the pain spreads down the abdomen, sinking down the inside of the thigh to the knee.
If the load on the hip joint approaches the maximum during active sports, the tissues of the tendon apparatus are damaged: immediately or after a while. And the risk of injury increases with "cold" muscles.
Although tendonosis is attributed to the typical overload injuries, characteristic, in general, to athletes - the disease is fixed in people far from increased physical exertion.
Often the pathology occurs after prolonged walking, the transfer of heavy loads or running unusual for the untrained organism, especially when the person has a cold or has become overcooled at the same time.
Attention!Inflammatory process of tendons of hip joints can become a consequence of the "flu" on the legs.
It is noticed: car accidents (when there are bruises and blows in the pelvic area), as well as falling on the joint can provoke tendonosis.
The metabolic disturbance in the body strongly affects the supply of nutrients to the entire musculoskeletal system.
Excess weight provokes in the body a constant "regime of overloads".
Under pressure of body weight, which increases in motion, microfractures of tendon tissue occur, which also leads to pathology.
For reference.Disharmony in the work of the vegetative system, circulatory diseases indirectly affect the functioning of the entire hip joint and surrounding tissues.
Pathology is divided into:
- one-sided (one joint suffers);
- bilateral (if the tendons of both are injured).
Fatigue during walking is a frequent companion of tendonosis. The pain syndrome in the hip joint is mild, it can appear on the outer (lateral) surface of the thigh.
Women well know this place as "riding breeches." Occasionally, pain is felt in the groin, then the risk to establish an incorrect diagnosis - arthrosis - is increased.
On walks at the patient there is lameness.
In the prone position, the pain subsides, the night sleep gives peace.
Attention.However, night pain with tendenitis will return if you turn on your side and lie down on the "sick" area.
When the joint is probed, the pain does not increase over the entire area, but only in painful points. Restriction of rotation does not occur (if a third person helps the movement, and the patient lies). But the patient himself is painful and difficult to do, because a damaged tendon is involved.
For reference.There is also a local swelling of the gluteus muscles and upper thigh.
An accurate, unambiguous diagnosis of tendonitis can not be made with the help of a survey. They are usually performed to exclude damage to bones and cartilaginous tissue common to other diseases of the hip joint.
Indicators of the blood test (from the finger-clinical, from the vein -biochemical) will be normal, if there are no concomitant diseases.
MRI (magnetic resonance imaging) is performed to confirm the integrity of the ligaments.
If the X-ray picture of destructive changes in the joint is not indicated - prescribe treatment.
Tendonosis of the hip joint - treatment
If the ligament rupture occurred during active sports, dry ice is used before hospitalization. For analgesia, analgesics are taken. You can enter and 10 ml of 1% solution of novocaine.
Although tendonosis of the hip joint is easier to cure and faster than arthritis and arthrosis, the main causes of prolonged healing are as follows:
- in the tendons there are a few blood capillaries, which imposes restrictions on the choice of medicines;
- it is problematic to ensure immobility for a long period.
Traditional medical advice for those with tendonosis:
- prohibition of training;
- decreased physical activity;
- a diet chosen to normalize weight;
- bed rest.
For reference.Well-established use of non-steroidal drugs that remove inflammation, and hormonal injections (dipisfan, hydrocortisone, kenalog) in the tendon.
Corticosteroids quickly relieve pain, reduce inflammation and swelling. The introduction of drugs directly into the area of tendenitis is carried out every 2 weeks
- if done more often, complications are possible:
- disorders of the ligament structure;
- destruction of cartilage in the joint;
- muscle atrophy.
For reference.For recovery usually 3-4 doses are enough. The difficulty here is to protect the patient from colds, overloads and hypothermia.
Additionally, drugs are used to stimulate blood circulation, metabolism. For the same purpose, physiotherapeutic procedures are prescribed.
Laser therapy, which has a mild anti-inflammatory effect with tendenitis, has proved to be excellent. To activate the immune system, suppress the foci of infection and reduce inflammation, the laser also affects the area of the ulnar vein.
Contraindications:
- blood diseases;
- disruption of the thyroid gland;
- tuberculosis;
- myocardial infarction;
- stroke, etc.
A good result is therapeutic exercise, especially if tendon calcification sites are noted.
Postisometric relaxation is performed with a doctor - these are special exercises, when the patient strains and relaxes the muscles, and the doctor carefully stretches them at the time of lifting the load.
In the case when the tendonosis of the hip joint develops against the background of osteochondrosis, the gluteus muscles and back are also massaged. Not bad helps and manual therapy. In this case, anti-inflammatory ointments, gels, creams (ibuprofen, voltaren-gel, diclofenac, etc.) are used.
Forecast
If the diagnosis is made correctly - the tendonosis of the hip joint can be cured within a month or two.
The time of recovery depends on the sex and age of the patient, the viruses and infections present in the body, the diseases that are transferred, which impose restrictions on the choice of medication.
For reference.When all the medical measures did not help - recommend surgery (ligation of the tendon or complete replacement with a graft).
A source: http://osustavaxt.ru/bolezni-sustavov/tazbedro/tendinoz-tazobedrennogo-sustava.html
Why there is and how is it treated?
During sports activities and other stresses on the body, the risk of small lesions of muscle and connective tissues, as well as tendons, increases at the end of the tissue.
If, after loads, the muscles, tendons and ligaments do not get rest, they can not recover, as a result, the tension increases and inflammation arises (for example, hip joint tendinosis).
Tendinosis, what is it and why does it occur?The emergence of acute pain syndrome and impaired motor function suggests that the disease develops and it is required to begin treatment, because there is a risk of detachment of tissues and surgical interference.
Tendinosis is one of the pathologies of the musculoskeletal system.
Tendonosis is the degenerative and dystrophic processes of muscles, tendons and connective tissues without the inflammatory process.
Often this disease is confused with tendinitis, but these are two different pathologies.
The difference between these diseases is that tendonitis is characterized by acute or subacute inflammation in the tissues, and tendonosis is a chronic condition without a focus of inflammation.
As with other pathologies of the musculoskeletal system, the course of the disease is rather insidious, because it starts with almost unnoticeable pain and discomfort in the area of the muscle.
Man, as a rule, does not pay attention to this, and the defeat of tissues passes into a chronic form, causing serious, almost irreversible changes in muscles, ligaments and tendons, up to necrosis (dying out).
With a pronounced lesion, there is acute pain, impaired motor function and deterioration in the quality of life.
It should be noted that therapy and preventive measures in the initial stages of the disease make it possible to get rid of the inflammation forever. It is for this reason, even with minimal discomfort in the joint, tendon or muscle area, it is required to consult a specialist.
Causes of the disease
If the load during an intensive sports training is so high that the tissues are not in to rest and recover from micro-traumas, provoked by a load, then their destruction. In other words, the so-called fatigue or chronic damage is formed. The most common phenomenon is the tendon tendon.
The most common causes are:
- microscopic injuries of the tendons;
- increased loads when playing sports.
As a result, necrotic areas are formed, fat hypothermia of tissues and deposition of calcium compounds (salts). As the disease develops, the tendon becomes ossified and the elasticity is lost, leading to the onset of a degenerative-dystrophic process and inflammation.
Types of pathology
In modern medicine, specialists distinguish several basic types of tendonosis, depending on their location.
Tendonitis of the elbow
This type of disease occurs, as a rule, in people who play golf and tennis. Still these forms of tendonosis are called "the elbow of the golfer" and "the elbow of the tennis player" respectively. Pathology affects the tendons that are attached to the lateral and medial epicondyle of the shoulder bone.
Pain occurs during exercise and is felt both on the inside and outside of the elbow joint, moving to the muscle tissue of the forearm.
After some time, the patient begins to feel the weakening of the sick arm to such an extent that it is impossible to hold a mug or spoon on its own.
Wrist constriction tendinosis
This form of the disease is typical for people who perform many operations with fingers, for example, programmers or pianists.
The pain is felt in the area of the affected fingers, most often the first and the index finger, and irradiates in the forearm.
In the event of complications, the risk of impaired sensitivity and movement of the entire limb increases.
Tendonosis of the knee joint
The greatest risk of pathology is patellar ligament, with which the quadriceps femoris is attached.
The second name of this form of the disease is the "knee of the jumper which indicates the etiology of the disease. Most often it affects people who are involved in athletics.
The focus of pain is located under the patella, and the pain syndrome is felt only during the load on the limbs.
Hip Tendency
The diagnosis of "tendonosis of the hip joint as a rule, is established with the damage of tissues attached to the structural elements of the joint.
The disease affects the tendons of boring, leading, draining and ilio-lumbar muscles. The tendon of the large trochanter of the femur can also be affected.
Sick people feel discomfort and bouts of pain only when the foot moves.
Tendonosis of the heel
The pathology of the calcaneus is characterized by inflammation and death of tissues in the heel. The elderly are most often at risk.
If, when there is increasing pain in the heels, do not seek help from specialists, there is a risk that inflammation of the tibia and plantar muscle will begin.
As a result, impaired motor activity and problems with movement begin.
Clinical manifestations
Starting to treat the disease, you need to remember that the symptoms are divided into general and specific.
Common manifestations include:
- pain syndrome with motion, which passes at rest;
- compaction in the affected area, redness of the skin and fever;
- crackling and crunching during limb movement.
It should also be noted that the palpation of the focus of the inflammation of the tendon is painful and causes discomfort. Also, depending on the location of the focus of inflammation, tendinitis has features.
Diagnostics
To treat the disease gave the expected result, it is necessary to properly diagnose. Tendinosis is easy to determine even during the collection of anamnesis on complaints and examination.
In case of doubt and the need to exclude other diseases, radiography is performed. On the x-ray there are no changes in tendonosis, but they are, for example, with arthrosis, arthritis, etc.
The level of tissue damage, localization and depth of lesion is determined by CT and MRI.
Methods of treatment and prevention
Treatment is carried out by specialists - orthopedists. Depending on the degree of tissue damage, treatment can be performed both conservatively and surgically.
It is recommended to apply primary and secondary methods at the initial stages of the disease.
Measures of a primary nature include:
- Immobilization (immobilization of a limb or a joint). For this, bandages, longi, elastic bandages and bandages are used. The immobilization of a damaged arm or leg greatly alleviates the pain.
- Cold packs and rest.
- Giving the limb a comfortable position.
Secondary measures of conservative treatment include injections of anti-inflammatory drugs (NSAIDs), antibiotics, as well as preparations for external use (gels, creams, ointments).
Also, treatment most often involves physiotherapy and exercise therapy.
If the methods of conservative treatment do not bring the expected results, then a surgical operation is carried out, which consists in removing the affected tendon.
The entire course of treatment of tendonitis can last from one to two weeks to several months, provided that all the recommendations of specialists are observed.
To avoid tissue damage, it is recommended not to make sudden movements during sports.
Begin training with warm-up and warm up muscles. If possible, monotonous actions should be avoided.
Compliance with these recommendations will reduce the likelihood of the occurrence of the disease to a minimum.
A source: http://drpozvonkov.ru/ossa-musculi-ligamentorum/musculus/pochemu-voznikaet-i-kak-lechitsya-tendinoz.html
Tendonosis of the knee joint
There are two main causes, under the influence of which a man develops tendonosis of the knee joint:
- regular microtrauma of the tendon apparatus;
- intensive motor load.
Constant stress on the knee leads to microtraction of the tendons of the latter. With timely adequate rest, physiological regeneration of damaged areas occurs.
In the case when the joint works a lot and while not resting, microtrauma does not have time to heal. As a result, the degeneration processes progressing in tendon of the knee lead to the development of tendinitis.
Other causes of tendonitis:
- deforming arthrosis or arthritis of the knee;
- fungal pathology; bacterial infections;
- allergies;
- incorrectly selected shoes;
- age-related changes of degenerative nature in the knee joint;
- weak immunity;
- conditions in which the knee experiences additional stress (for example, deformity of the bones of the lower extremities, incorrect posture, etc.);
- Hypermobility, in which the knee joint is unstable.
Symptoms
The clinical picture of tendonosis is similar to that of sprain, which should be taken into account, since the treatment of these two pathologies varies.
Inflammation in the patellar ligament passes in four stages:
- forfirst stagecharacterized by "working" pain, which appear only with prolonged physical activity. There are no other symptoms at this stage. A habitual load on the knee joint does not lead to discomfort and soreness;
- onthe second stageparoxysmal blunt pains more often disturb the person after training, however can appear and in rest. They are localized on both sides of the ligament of the patella and along its course;
- the third stagethe disease manifests itself as a strong pain syndrome. In the absence of drug therapy, soreness increases with both load (even insignificant) and at rest;
- if no adequate treatment has been carried out, the disease "enters" intothe fourth stage, which can be described as a "stage of complications". Progressing inflammation, which is exacerbated by the continuing physical activity, ends with the rupture of the damaged ligament.
Pain with knee tendonitis may be supplemented by other symptoms:
- edema in the area of inflammation;
- hyperemia of nearby sites;
- restriction in movement of the knee joint (its extension);
- the onset of pain when pressing on the patella;
- the appearance of a crunch while driving.
Treatment
Treatment of tendonitis is complex. It includes several main blocks:
- unloading the damaged joint;
- drug therapy;
- physiotherapy;
- Exercise therapy;
- surgical intervention.
Load limitation
The first thing to do is to minimize the load on the tendon knee as much as possible. For this purpose, the patient is advised to use a walking stick and crutches when walking.
To relieve the patella, use orthoses (knee pads), or resort to teypirovaniyu (fixing the knee with the help of special tape-teips). Orthoses are also recommended for prevention of damage to ligaments and tendons.
In some cases it is necessary to immobilize the joint with a langette or plaster bandage.
Medications
From medicines, preparations of a group of anti-inflammatory non-steroids are prescribed (ibuprofen, naproxen, etc.).
They not only help to cope with inflammation, but also "remove" the pain.
These drugs adversely affect the mucosa of the gastrointestinal tract, so they are only used for a doctor's prescription for no more than two weeks.
In case of ineffectiveness of anti-inflammatory nonsteroidal agents, hormonal treatment is performed.
Corticosteroids are injected directly into the affected joint in combination with platelet-enriched plasma.
Hormonotherapy is indicated in short courses to prevent weakness and tendon rupture.
Antibacterial drugs are prescribed when the cause of tendonitis is an infectious agent.
Physiotherapeutic treatment
With tendonosis of the knee joint, apply:
- electrophoresis;
- UHF;
- magnetotherapy;
- iontophoresis.
Physiotherapy
To restore the tendon apparatus, after medical treatment a set of specially designed exercises is appointed, which also helps to strengthen the muscles.
Surgery
In advanced cases, when the fourth stage of the disease is diagnosed, surgical intervention is required. Sites of tissue that have undergone degeneration, open (through a classic incision) or arthroscopically (endoscopic surgical technique) are removed.
In order to "provoke" the prompt regeneration of tissues, during the operation, patellar scraping (its lower part) is performed. If the patellar ligament is damaged (stage 4), its reconstruction is performed.
A source: http://LechenieSpiny.ru/content/tendinoz-kolennogo-sustava
Tendonosis of the hip joint is what it is
Tendonosis of the hip joint, or tendonitis, as an independent disease is very rare.
Much more often, pathology is part of a multi-stage degenerative process in the tendon, which causes inflammatory and deforming reactions in surrounding tissues and articulation.
This pathology is most affected by people engaged in heavy physical labor and professional sports, as well as people older than 40 years.
Defeat can touch any joint, but most often suffer from hip joints.
If adequate treatment of such a pathology as tendonosis is absent or permanent trauma is noted, the disease can acquire a chronic course. Let us consider in more detail the symptoms, causes and treatment of the disease.
Pathology causes an inflammatory process in the muscular ligaments
How does the disease occur?
In itself, the tendonosis of a large trochanter of the femur and the hip joint can be both a cause and a consequence of other diseases of the musculoskeletal system. Among all the reasons can be identified a number of unfavorable factors, under the influence of which joint tendonosis develops. For example, the following:
Permanent single-type loads on the hip joint joints. Sports overload. Chronic inflammation of the joints (arthritis, arthrosis).
Infectious lesions of the periarticular tissues. Frequent injuries. Violation of calcium metabolism in the body.
Age changes in the structure of bony joints, muscle fibers and tendons.
Given the most common causes of tendonitis, we can distinguish two of its main types:
Infectious tendonitis.
Such a diagnosis is made on the basis of confirmation of the infectious nature of the disease, that is, if the inflammation of the tendons is caused by some microorganism.
Aseptic (non-infectious).
In this condition, tendon inflammation is caused by mechanical factors. Also of great importance are age-related degenerative-dystrophic changes.
Characteristic manifestations
Regardless of the specific location of the pathological process, tendonosis of the hip joints will have the following symptoms:
Pain in the movement of the affected limb. Sharp painful sensations when feeling the affected area. Crunch when driving.
Redness of the skin in the area where tendon inflammation develops. Increase in temperature in the affected area.
Limited mobility of joint joint, subjected to pathological process.
It should be noted that tendonosis can be localized in various areas of the joint joint. In this case, typical symptoms acquire a special characteristic, for example:
In the tendons of the long adductor muscle.
In this case, the main symptom of the disease is severe pain with the legs sideways. And also may be noted stiffness in the movement of the affected limb.
In tendons of the ilio-lumbar region.
Symptoms in this case include discomfort while resting on the leg and walking. There is also pain in the inner thigh and in the lower abdomen.
In the tendons of the abductors.
Given the location of the muscle, all the signs are observed in the outside of the thigh, including the characteristic pain.
As a rule, the symptoms of tendonitis increase with the progression of the pathological process.
Also, the pain syndrome may weaken or become more intense at different times of the day.
Deterioration of the condition is usually observed during periods of physical activity, but sometimes the pain intensifies at night, making it impossible to fully relax.
Features of therapy
Tendonosis of the joint is diagnosed on the basis of an X-ray, magnetic resonance imaging and ultrasound. Also, the doctor takes into account the symptoms to which the patient complains. After confirming the diagnosis, a suitable therapeutic regimen is selected.
Treatment of this ailment is also carried out with the help of magnetotherapy
Treatment of tendonitis may include several therapeutic methods, the expediency of which the doctor determines depending on the location and stage of development of the pathological process. Tendonosis of the hip joints requires complex therapy. Typically, the treatment of the disease consists of the following measures:
Limitation of mobility of the affected joint. Cold compresses to the place of injury.
Admission of anti-inflammatory drugs and pain medications. Physiotherapeutic procedures - magnetotherapy, laser and ultrasound therapy.
Physiotherapy. Mineral baths and mud treatment.
Also, at home, treatment can be carried out by traditional medicine methods, but only with the permission of the attending physician.
Tendonitis of the hip joint at an early stage is well treatable by folk remedies.
The most effective means to combat a disease such as tendonitis are:
Tincture, prepared from walnut membranes based on alcohol. Decoction of wild cherry. Adding curcumin to your daily diet.
In rare cases, when conservative therapy is ineffective, it is possible to eliminate tendonosis in an operative way. However, this method of treatment is quite traumatic, that is why it is an extreme variant of elimination of symptoms.
Inflammation of the tendon of the hip joint is a serious problem, as the clinical manifestations diseases can disrupt the habitual rhythm of life, and the process of restoring tissue repair and repair is usually complex and long.
High loads associated with sports or heavy physical work have a significant impact on all the joints of the human skeleton.
One of the most susceptible to mechanical action is the hip joint, which accounts for up to 80% of the body weight.
One of the consequences of this load, as well as injuries in this area is the inflammation of the tendons, with which the muscles of the thigh are attached to the pelvic bone.
Hip Tendency: Causes and Development of Disease
The hip is actuated with the help of a long leading, ilio-lumbar and deflecting muscles.
Their tendons attach to the pelvic bone, and in the place of their fixation for various reasons, a hotbed of inflammation arises that can spread to the entire ligament.
This process is called tendonosis or tendonitis of the hip joint. Depending on the reasons, this disease is divided into the following types:
infectious tendinosis of the hip joint, caused by the action of pathogenic microorganisms, as well as the response immune response; non-infectious tendinosis develops due to traumatic lesions of tendons, inflammatory articular diseases (arthritis, arthrosis, gout, etc.), age-related changes in connective tissue, metabolic disorders, frequent same-type loads on the hip joint.
Primarily this pathology affects professional athletes, as well as workers engaged in heavy physical labor, in particular builders, carpenters, etc. In addition, the risk group includes people older than 40 years - this is due to changes in the tissues of ligaments, which become less elastic and durable.
Symptoms of pathology
Regardless of which tendon of which muscle group has undergone inflammation, tendonosis of the hip joint is manifested by the following symptoms:
painful sensations arising from the movement of the affected joint; intense pain that occurs when palpation (probing) the affected joint; the occurrence in the inflamed joint of crepitus (crackling or crunching) during the movement; change in skin color in the area of inflammation; local increase the temperature of the skin in the area affected by inflammation of the tendon; reduced mobility or complete blockage of the inflamed hip articulation.
This pathology is characterized by the gradual development of pain syndrome - with each phase of the disease the pain manifests itself more intensely. Its severity depends on the time of day, weather, movement and other factors.
In most cases, the deterioration of the patient's well-being occurs during wakefulness and in the process physical activity, but often the pain is exacerbated at night, interfering with normal sleep patient.
Tendonosis of the hip joint is also dangerous due to its complications, in particular the degeneration of the elastic the tendon tissues in a dense connective, which entails a decrease in its strength, as well as a thickening ligaments.
Treatment of tendonosis of the hip joint
This disease does not go away on its own, therefore modern clinical medicine offers quite effective methods that can reduce symptoms or eliminate the causes of pathology.
However, for this it is necessary to put a clearly differentiated diagnosis, which can be done only by a qualified professional doctor.
To do this, he performs the following diagnostic procedures:
visual examination, palpation of the affected joint, as well as the collection of anamnesis of the patient to identify traumatic injuries of this area and factors contributing to inflammation (professional activity, sports, etc.); X-ray, ultrasound and magnetic resonance examination of the joints and soft tissues of the joint for changes in the structure ligamentous apparatus.
Only by results of the performed procedures the doctor can determine the exact symptoms and treatment of hip joint tendonosis.
It is important that the patient applies at the first suspicion of this pathology, because this largely depends on the effectiveness of therapy and the speed of recovery of limb performance.
Clinical treatment of hip joint tendonosis is complex in most cases and includes the following methods:
- medicamental therapy - for the removal of inflammatory syndrome and pain the patient is prescribed courses of admission and injections of anti-inflammatory non-steroid drugs, glucocorticosteroids, as well as local anesthetics means;
- physiotherapy - to improve the effectiveness of drug therapy, the affected joint is exposed to various physical factors, in particular magnetic field, laser radiation, ultra- or infrasound, electric microcurrents, e.
- exercise therapy - to prevent mobility of the joints to the patient with hip joint tendinosis a course of special exercises designed to preserve muscular function and elasticity ligaments;
- mud treatment - this technique consists of taking mud baths or applying to the affected joint applications with healing mud, saturated with useful mineral and organic elements;
- balneotherapy - as well as mud therapy, this principle is based on the effect on the affected joint of nutrients dissolved in natural mineral waters.
In severe cases, with structural changes in the tendon tissues, surgical treatment can be used.
It consists in excision of the degenerated tissue of the ligaments and their subsequent cross-linking.
Surgical treatment is used in those cases when the disease is already chronic and conservative methods do not give the necessary effect.
Folk therapy.
How to treat tendonosis of the hip joint at home, if the relevant professional help is for any reason not available? For centuries, people have developed fairly effective techniques with the use of naturopathic drugs, the most effective of which include the following:
- use inside the 3-week alcohol or vodka infusion of septicles from walnut shells, as well as a decoction of fresh and dried cherry fruit cooked on a steam bath;
- lapping of the affected joint and surrounding tissues with a mixture of honey, iodine, glycerin and alcohol, which has a warming effect and stimulates blood supply;
- the adoption of therapeutic baths with the addition of crushed Jerusalem artichoke, sea salt, pine branches and zhivichnogo turpentine, after which an iodine net is applied to the affected joint and a film with a pig fat;
- application of ointments prepared on the basis of fat of various animals, for example, a badger, a bear, a marmot, etc., which contains anti-inflammatory, analgesic and nutritional components, including vitamins and polyunsaturated vitamins useful for tissue regeneration fatty acid;
- As an exotic but effective technique, acupuncture can be used that stimulates metabolic processes in affected tissues, improves blood flow and relieves pain, but remember that this procedure should be conducted by a qualified specialist in Chinese traditional medicine.
It should be understood that no naturopathic medicine will replace the clinical treatment of tendonosis of the hip joint.
Moreover, the self-medication not coordinated with the professional doctor can not only not bring the desired effect, but also aggravate the pathology.
Therefore, before using the above methods, be sure to consult an orthopedic specialist.
A source: http://lechim-nogi.ru/2017/10/14/tendinoz-tazobedrennogo-sustava-chto-eto-takoe/