Osteoporosis of the hip: symptoms and treatment

Causes, symptoms and treatment of osteoporosis of the hip joint

Osteoporosis is a bone pathology, because of which the bones become porous, flexibility and hardness are lost.

The most vulnerable are the foot and hip joints.

In the latter case, destruction occurs very quickly, and if you do not start treatment in the first stages, then the person will remain disabled.

Risk factors

The main condition for the development of osteoporosis is the violation of metabolic processes in the tissues of the hip joints. As a result, calcium and other minerals are washed away, the bones become brittle and inelastic. The development of osteoporosis can occur for the following reasons:

• Age changes.
• Hormonal disorders.
• Diseases of the endocrine glands.
• Prolonged use of antibiotics.
• Harmful habits (alcohol abuse, smoking).
• Unhealthy, unbalanced food.
• Hypodinamy (insufficient physical activity).
• Lack of useful substances, in particular vitamin D.
• Hereditary predisposition.

The prognosis of treatment is more favorable if the disease is detected in the early stages.

Osteoporosis is considered one of the most common diseases of the hip joint.

Most often it occurs in adult women who have a higher risk of pathology after removal of the uterus or ovaries, as well as during menopause.

But osteoporosis can not be considered exclusively female age-related disease - it also occurs in young girls, adult men and in young children of both sexes.

Symptoms

Recognize osteoporosis only by external symptoms is rather difficult, because the signs are common for many other diseases of the hip joint. Look at the photos of patients with osteoporosis and patients having other problems with the musculoskeletal system - the symptoms will be similar.

People complain about:

• Slouch.
• Rachiocampsis.
• Drowsiness of the chest.
• Acute pain in the hip joint when walking.
• Sharp weight loss.
• Stopping growth in children and adolescents.

These symptoms are indirect and do not necessarily indicate the presence of osteoporosis. But you need to check with a doctor, since if you start a pathology of the hip joint, complications will arise:

• Severe pain when moving and at rest.
• Inability to get out of bed or chair yourself.
• You can walk only with a cane or crutches.
• Strong curvature of the limb from the patient's hip joint.
• Frequent fractures of small bones, which account for the greatest burden.
• The absurd fractures of the hip joint ("fell flat or slightly pushed into the thigh").

For more accurate analysis of the processes, you need to visit the clinic. Only after a series of tests can we say that it is the cause of a poor state - osteoporosis of TBS or other locomotor system.

Danger

In the first stages of the disease passes without pronounced symptoms (they can be ignored or confused with signs of other diseases). Because of this, a big risk is to start osteoporosis.

By itself, pathology is not lethal, but the consequences it causes can be dangerous. Complex forms of osteoporosis increase the risk of multiple fractures due to the fragility of the joints. And the fall can occur on the "level ground so that no one will be insured.

Osteoporosis of the hip joint is a pathology of the bone tissue, in which phosphorus and calcium are washed out of it

Fracture in the hip joint threatens to immobilize for years. Older people often can not fully recover from injuries and prolonged bed rest - they return to active life only in 9% of cases. The rest can not be restored and become disabled.

Examination

Modern diagnostics allows not only to reveal the destruction of the hip joint. Instrumental diagnostics helps to know the form of the disease and to predict the further development of osteoporosis. Main methods:

• Densiometry (measures the density of tissue).
• X-ray photo.
• Tomography (highlights cracks in the hip system).
• Analyzes of blood, urine.

Often the diagnosis of osteoporosis occurs in a complex way, because each of these methods alone gives errors.

For example, an X-ray photo allows you to determine the disease only in the later stages.

If in the course of diagnosis a bone density reduction of 1 to 2.5 points is found, the diagnosis is "osteopenia" - weakening of the hip joint structure, but this is not a pathology. A greater deviation from the norm confirms the presence of a man or woman with osteoporosis.

Medication Therapy

If osteoporosis is detected in the early stages, when the first symptoms appear, then the treatment of joints does not cause difficulties.

The doctor appoints a complex of medicines intended for stopping "washing out" of TBS calcium.

The second goal of the treatment is restoration of bone and cartilaginous tissues.

The doctor appoints a complex of medicines intended for stopping "washing out" of TBS calcium.

For the treatment of osteoporosis, doctors prescribe the following groups of drugs:

• Anabolic - necessary to accelerate bone formation (if osteoporosis is accompanied by a fracture of the hip joint).
• Biophonates to prevent fractures, slow down the destruction of bones, enhance their regeneration.
• Hormonal drugs (eg, estrogens for women) to stop the processes of destruction of the hip joints, contribute to the assimilation of minerals.
• Complexes containing vitamin D and A feed the tissues of the hip joint, reduce pain.
• Calcium-containing preparations (calcium salts), affecting the metabolic processes and strengthening the structure of the hip joint.

Important: the last group of drugs with calcium and vitamins in the composition should be taken not only during treatment, but also as a preventive measure of hip joint disease.

Wellness gymnastics

Physiotherapy exercises for osteoporosis are needed to develop the flexibility of cartilage structures and, most importantly, to strengthen muscle tissue. The developed musculature of the hip joint is a natural corset that supports the bones and protects them from fractures.

Charging for osteoporosis can consist of the most elementary exercises, suitable for both men and women:

• Slopes.
• Incomplete sit-ups.
• Walking in place.
• Circular motion waist.

The main task of therapeutic exercise is to improve blood circulation in the hip joint area. All tissues are enriched with oxygen and nutrients coming from the blood.

Very useful in the treatment of osteoporosis, slow walks (short-lived, so as not to overload the hip joints), exercise on a stationary bike, swimming. Exercise in water has a particularly effective effect, since muscles are trained, but the loads are obtained uniformly.

It is worth remembering that therapeutic gymnastics is allowed only as prevention or, when osteoporosis of the hip is in the acute phase.

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Classes are held in small courses, for 5-10 minutes, with 2-3 repetitions a day. Pain during the exercise should not be, only light muscle tension is allowed.

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If a serious form of the disease is established during the diagnosis, gymnastics should not enter the treatment course.

ethnoscience

There are many different recipes for folk treatments that help increase calcium levels and stop the development of osteoporosis. The most popular and bringing the maximum effect are the following:

• The shell of a chicken egg is pounded to a powdery state, mixed with lemon juice (one to one), taken on the floor of a coffee spoon per day.
• Once a day, a glass of St. John's wort is drunk. A handful of grass is poured with boiling water, it is insisted for two hours.
• Break into a bowl of 6 raw eggs. Squeeze out 10 lemons juice. Add 150 grams of honey and one spoon of cognac. Let it brew in the refrigerator for 3 hours. Take two spoons before eating.

Practice treatment of lotions - in the case of osteoporosis, they should be applied to the hip joint zone:

• Broth geranium. A handful of grass is poured into a glass of boiling water. Insists for several hours. Heats up the product with a gauze dressing or a tampon.
• Tincture of comfrey. It is prepared in the same way as from geranium. Dimexide (several drops) is added to the product. Such a compress reduces the pain syndrome in the region of the hip joint.

Decoctions and tinctures of medicinal plants will be useful for joints.

In addition to the folk recipes described above for the treatment of hip joints, it is possible to prepare and drink decoctions and tinctures from medicinal plants: alfalfa, sabelnik, juniper berries, parsley, dill, golden mustache, horsetail, burdock, dandelion, sleep-grass. Of the listed medicinal plants you can make not only drinks taken inside, but also use them in the form of compresses or add to the water when taking baths.

Prevention

Begin to worry about your body to all people as soon as possible, without waiting for the first signs of destruction of the hip joints. The main measure by which you can prevent osteoporosis is a healthy lifestyle:

• Physical activity.
• Dietary food.
• Rejection of bad habits.
• Walks in the open air.
• Reception of vitamins.

Food

When treating and preventing osteoporosis, you do not need to follow any strict diets.

The most important thing is to monitor the balance of your diet so that the daily portions include a sufficient number of carbohydrates (the body must have the strength to fight the disease) and vitamins. With osteoporosis, you must eat dishes rich:

• Calcium and phosphorus (dairy products, greens, soybeans, sesame, eggs, fish).
• Vitamin D and A (sour cream, olive oil, spinach, pumpkin, carrots, liver).
• Zinc (pumpkin seeds, seafood, nuts).
• Manganese and magnesium (greens, garlic, walnuts, prunes).

In bone osteoporosis it is important to take calcium preparations

To restore hip joints, we must try to quit smoking - nicotine contributes to thinning of the bones, reducing the production of synovial interarticulate fluid. Also, with osteoporosis, you will have to give up excessive consumption:

• Alcoholic beverages.
• Chocolate.
• Coffee, strong black tea.
• Rye bread, potatoes.
• Carbonated drinks.

Food for osteoporosis should be rich in proteins (unfortunately, vegetarians are more prone to the disease).

Try to reduce the consumption of fried and fatty foods - they contribute to obesity, and excess weight will create additional stress on fragile hip joints, increase the risk of fractures.

Important!

Osteoporosis is not a verdict. If it is discovered in time, then the treatment will be easy, without the risk of complications.

At the first symptoms, consult a doctor who will carry out the diagnosis.

If the tests confirm osteoporosis, the expert will tell you which method of hip joint restoration is right for you.

Follow all the doctor's recommendations, take prescribed medications - they will help get rid of osteoporosis, strengthen hip joints. Better yet, do not allow the appearance of the disease, do its prevention, lead a healthy lifestyle.

Artemyev EK, orthopedic physician

"With diagnosed osteoporosis, I recommend that you include chondroprotectors in the treatment. This is an additional feed by the substances of the hip joint. The course of treatment will be long.

As practice shows, this accelerates the dynamics of recovery of the hip joint, significantly reduces the risk of disability of the patient with osteoporosis. "

A source: http://ProKoksartroz.ru/patologii/osteoporoz-tazobedrennogo-sustava

Osteoporosis of the hip: What should I do?

Osteoporosis of the hip jointIs a disease that occurs as a result of a metabolic disorder in the body that leads to the destruction of bone tissue.

Localization of the disease occurs in places prone to heavy loads. It is because of the constant mobility that the hip joint is most often injured and destroyed.

Osteoporosis is the consequence and cause of bone skeletal injuries, the difficulty of treatment usually lies in the extensive damage to the bones. In addition to the hip joint, the disease affects closely located bones, cartilages, ribs and spine.

Against the background of osteoporosis, the neck of the hip is subjected to resolution, the violations of which immobilize a person and lead to death without treatment.

Causes of appearance

Osteoporosis of the hip joint appears, as is the osteoporosis of other bones, the phenomenon is frequent and occurs for a number of reasons. Wear of bone tissue and as a result of osteoporosis, causes a number of violations:

• Hormonal disorders, decreased production of estrogen during menopause in women;
• Endocrine diseases;
• Lack of substances and vitamins due to poor nutrition;
• Harmful habits - alcohol dependence and smoking;
• Hereditary factor;
• Reception of medicines;
• Long-term use of immunosuppressants;
• Age changes;
• Removal of the organs of the female reproductive system and the intake of artificial hormones.

Symptoms and signs

The main signs of osteoporosis are considered to be pain and discomfort in the area of ​​the lesion.

The pain arises gradually and intensifies after physical exertion. After the pain does not pass a long period, even at rest. Gradually there is an atrophy of a muscular tissue and as a result the motor activity decreases every day.

On the side of the lesion, shortening of the joint and deformation, which is expressed by lameness, is observed.

Progressing the disease, disrupts the work of other body systems, primarily forced inaction suppresses the mood and manifests nervous disorders. Feeling of depression, weakness and general malaise accompany the development of osteoporosis.

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One type of disease that affects mainly elderly people is diffuse osteoporosis. He is distinguished from other species by the defeat not only of one joint, but of all parts of the human skeleton.

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This form does not manifest itself at the beginning of its development, painful sensations are not observed. Bone tissue loses its density, only regular fractures and increased brittleness of bones is a sign of diffuse osteoporosis.

Degrees of osteoporosis of the hip joint

There are three degrees of development of the disease in nature and neglect of the course.

1 degree

This is the initial stage of osteoporosis, which is characterized by the appearance of a small narrowing of the articular lumen. Like the first osteophytes, crevices can be found on an x-ray.

Of the symptoms can be identified the appearance of pain during physical exertion, which takes place at rest.

This stage without complications and deep lesion of the joint can be treated well.

2 degree

Progresses with severe pain, which does not go away, the joint begins to lose mobility. Inflammatory process in soft tissues and edema does not allow to bend and unbend the joint.

The pain periodically changes the localization and most often gives into the groin and lower limbs. Sometimes the sensations are associated with the disease of the spine and are confused with osteochondrosis.

Another characteristic feature of the second degree of osteoporosis is the appearance of squeaking and crunching during movement, which is accompanied by painful shooting.

Diagnosis of the disease can be using X-rays. The images clearly show the growth of calcium outgrowths and the beginning of deformation of the head of the femoral joint. The gap in the joint increases three-fold, and the head rises.

3 degree

The started stage of osteoporosis leads to complete occlusion of the joint.

Muscles surrounding the hip joint are atrophied, and soft tissues are partially affected by necrosis. The pain intensifies and does not go round the clock.

The pelvic bones are deformed, and the inclination towards the lesion is increased, which is already noticeably not armed with the eye.

On the x-ray, the articulation gap is either not visible at all, or, apparently, a slight shadow. The whole cavity is filled with osteophytes.

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The cervical hip is thickened, and its edges are indistinguishable.

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At this stage of the disease, conservative methods are practically powerless. To restore mobility to the legs, maybe only surgical intervention and complex therapy.

Methods and methods of treatment of osteoporosis in the hip joint

The main direction of treatment of osteoporosis is inhibition of the process of joint destruction, replenishment of the defect calcium and other trace elements important for the growth of bone tissue, as well as the activation of natural regeneration processes bones.

There are many ways of treatment, at different stages they combine and select the optimal scheme for an individual case.

The main areas are:

• Drug treatment;
• Physiotherapy, massage;
• Plasmolifting;
• Gymnastics and therapeutic exercises in various techniques;
• Unconventional therapy;
• Surgical intervention.

In the first stage, when the joint structure is not broken yet and only the first signs of deformation that triggers the inflammation appear and swelling it is enough to undergo a course of drug treatment and, if necessary, restorative therapy with the help of gymnastics and physiotherapy procedures.

Inflammatory process and painful sensationsblocked with steroid means. These can be intramuscular injections, tablets and suppositories for topical use.

If the skin is not damaged, ointments with anti-inflammatory effect are used. At an exacerbation use antibacterial therapy.

To prevent thrombosis in immobilized limbs, drugs that dilute blood are used.

Prevent this can spasmolytic drugs like No-shpy, Drotaverina. Help in blood circulation can drugs to reduce permeability.

For removal of strong pain sensationsapply local application therapy.

Anti-inflammatory steroid ointments relieve pain locally and for a short time, but it is convenient in home conditions and reduces the need for other drugs that can disrupt the operation of other systems with prolonged reception. In addition, the side effects of such drugs are much less.

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These drugs have only a short temporary relief, but cartilage tissue is not restored. To replenish calcium and other essential trace elements for the functioning of the joint appoint supplementary complexes of vitamins and calcium preparations.

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In the second stage, when the process of destruction is started and the general condition of the patient worsens and the mobility becomes more complicated, chondroprotectors and plasmolifting are added to medicinal preparations.

Plasmoliftingis considered a new and effective method of treatment and recovery of the hip joint.

With the help of a special device, an autoplasma with a high content of platelets enters the lesion area and stimulates the growth of new bone and cartilaginous tissue. The course of procedures triggers a natural regeneration process.

The success of treatment depends on the percentage of healthy tissue and subject to necrosis, so the method is effective with minimal disruption.

Chondroprotectorsnot only stop the process of destruction, but prevent the factors of repeated development.

Preparations are made on the basis of natural components of cartilage and hyaluronic acid. A distinctive feature of other drugs is their combined effect.

The drug has anti-inflammatory, analgesic and healing effect.

Hyaluronic acid acts on the joint surface as a natural lubricant, which improves the mobility and elasticity of tissues.

The absence of friction during deformation helps to stop the destructive process.

Only preparations based on hyaluronic acid can be prescribed after the removal of an acute inflammatory process.

Third degreethe disease is characterized by neglected changes in the structure of the joint and the defeat of the head of the hip joint. Conservative methods are powerless here.

There are several types of surgical correction:

1. Osteotomy. The affected area is cleared of osteophytes and bone deformation is corrected. The motor function after such intervention is restored quickly enough and practically painlessly.
2. Arthroplasty. It requires a creative approach, since with its help it is restored and the surface of the joint is modeled almost anew. The motor activity in this case is also preserved.
3. Endoprosthetics. The affected joint and its affected part are replaced with an artificial analog. Over time, the prosthesis wears out, but can last up to 20 years. There is a risk of rejection of the prosthesis by the body, but this is a chance to return the leg mobility.
4. An arthrodesis. Applied in case of impossibility of using any other methods. With the help of plates and screws, the destroyed joint is fastened, restoring the supporting function. The mobility of the joint is not completely restored.

The surgical intervention is expensive and requires a lot of patience from the patient, rehabilitation rehabilitation in this case is prolonged for a long time and does not always give positive results.

Medications for osteoporosis of the hip joint

Medication for osteoporosis is aimed at relieving pain, inflammation and accelerating the process of bone tissue regeneration. Restore the structure of bone tissue can be a number of drugs given the nature of the origin of the disease.

Calcium and vitamin D

The lack of these substances leads to the wear of the joint, and additional stimulation stops the process of destruction. Popular and affordable among the drugs are Calcitonin and the analogue of Mycaltsik.

Hormonal preparations

In the disorder of the reproductive system due to diseases and during the menopause, only the synthetic analogs can restore the natural balance of hormones.

Naturallyn, Raloxifene and Teriparatid are the main drugs that help to activate the natural process of bone repair.
Anti-resorptive drugs. Biofosfonates and calcitonin suspend the destruction of the bones of the hip joint.

Exercise and gymnastics

In addition to conservative treatment, a mandatory part of therapy is exercise therapy.

Despite the limitations in physical activity, a specially selected set of exercises will help restore motor activity.

Therapeutic gymnastics is aimed at reducing pain symptoms, relaxation of damaged muscles.

Exercises improve blood flow and promote a speedy recovery.

To get the desired resultIt is necessary to perform gymnastics regularly, in the morning and in the evening.

1) Lying on your back you need to press your legs along the whole plane on the surface, for one minute strain the muscles of the pelvis.

2) Do not change the position of synchronously pulling socks off from yourself and towards yourself.

3) Lying to spread your legs to the width of your shoulders. Turn one leg in turn from the hip to the left and right, then at the same time.

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4) Alternately lift the foot from the floor, pulling the sock to itself. Hold in this position for 10-15 seconds.

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5) Bend the leg in the knee and slowly rotate.

6) The bent leg in the knee should be pulled as close to the chest as possible. Repeat 10 times with each leg.

7) In the position on the abdomen with the help of the hand, pull the foot to the buttocks.

8) In turn, lift the leg above the floor and hold in this state for 10-15 seconds.

9) Turn over sideways to lift a leg upwards holding for 10 seconds in air.

10) Standing on your knees you need to tilt your foot back sharply, slowly returning to its original position.

11) In the same position, raise the leg upwards while bending it in the knee.

The Gitt Method- therapeutic gymnastics is based on smooth movements with frequent repetition, which without too much effort warms the joint and improves blood circulation in the tissues of its surrounding. Lying on the platen and placing it under the knees, or the hips of the pelvic muscles spontaneously strain, and the vibrational movements without pain knead the muscle tissue.

In the methodBubnovskylaid out a pattern of exercises through special blocks, but the complexity allows you to perform gymnastics only under the supervision of a specialist.

Remove the load and return the joint the working capacity and the original structure is helped by Evminov's apparatus.

Exercises, in a suspended position while simultaneously relaxing the pelvic muscles and increasing the strain on the spine. The balance improves the patient's condition after several sessions.

Prognosis for recovery

Only timely diagnosis and referral to a specialist will help to avoid consequences and complications.

Having begun treatment at an early stage of the disease, the chances of restoring mobility are much greater than in the case of an operative solution to the problem.

Full compliance with the prescription of the specialist and the implementation of all the recommendations after the main treatment increases the chances of a complete cure of the disease.

A source: http://vse-sustavy.ru/lechenie/tazobedrennyj/osteoporoz-tazobedrennogo-sustava.html

Osteoporosis of the hip joint: symptoms and treatment, diagnosis

Osteoporosis of the hip joint in women and men reduces the strength of bones. By the way, most often from this disease suffer representatives of the weaker sex during the menopause.

Therefore, the symptoms and treatment of osteoporosis of the hip joint should be known first of all to all women. Often, pathology leads to fractures.

There may also be other signs of calcium deficiency in the body.

What is this ailment

Symptoms and treatment of osteoporosis of the hip joint have been known for a long time. The disease is a pathological change in the tissues of the bones.

A similar disorder occurs when there is a deficiency of calcium and phosphorus. As a result, the strength of bone tissue decreases, the risk of bruises and fractures increases.

For the patient it becomes dangerous to lift weights, and also to fall even from a small height.

This disease has other names: "glass" or diffuse osteoporosis. Often the disease occurs in one place and gradually spreads to other parts of the body.

The hip joint assumes a static and dynamic load, and therefore It is this department of the musculoskeletal system that is most often subjected to osteoporosis by a variety of damage. Thus, fracture of the neck of TBS leads to almost complete immobilization, and in the elderly and to death.

Why there is a disease

Often, the washing out of bone tissues of elements that increase their strength, is due to the disorder of certain metabolic processes. As a result, the content of mineral salts in the body decreases. Among the reasons for the development of osteoporosis of the hip joint is:

• disorders in the work of the hormonal system;
• deficiency of vitamin D, which occurs when there is a shortage of sunlight in the autumn-winter period;
• the age factor at which the disorder of parathyroid gland function begins to progress, and also the metabolic processes of the organism appear;
• malnutrition, leading to a deficiency of calcium and phosphorus;
• During the menopause, estrogen secretion decreases;
• bad habits: abuse of alcohol, drugs, and smoking;
• heredity, predisposition to the disease;
• congenital pathologies, among which shortening of one of the limbs, scoliosis, dysplasia in children, etc .;
• surgical intervention associated with the removal of one or more internal organs;
• use of drugs that can wash out calcium and minerals, for example, anticonvulsant drugs, corticosteroids and diuretics.

Some statistics

If we examine the statistics of the disease in more detail, it can be noted that:

• in 45% such a disease as osteoporosis, affects the hip joint and femur;
• in 90% of cases, disruption of the integrity of the neck of the hip occurs due to developing osteoporosis;
• approximately 8% of all cases after a neck fracture patients return to normal life;
• after disruption of the integrity of the neck of the hip joint, about 75% of all cases a person becomes disabled, and about 20% of patients die due to trauma.

Osteoporosis is the fourth most dangerous disease in the list. And the death of the patient can occur as a result of trauma or fracture of the neck of the hip joint. The disease gives way to the leading places only diabetes, oncological diseases and disorders in the work of the heart.

It should be noted that the development of osteoporosis increases the risk of injuries and fractures of the bones, of which consists of TBS: the acetabulum located on the side of the pelvic bones, the epiphysis of the femur and so Further.

Symptoms of osteoporosis of the hip

Often described disease occurs almost without symptoms. However, the gradual destruction of bone tissue occurs continuously.

In this case, dividing bone cells - osteoblasts - do not regenerate. Symptoms of the disease begin to appear after a while.

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And, as a rule, this happens when the third part of the osteoblasts ceases to function.

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The development of any ailment can be detected only in the definition of provoking factors and the corresponding symptoms. Thus, pain in osteoporosis of the hip joint is observed:

• on the front of the thigh, as well as from the side, with increasing loads (with the development of the disease, discomfort increases);
• in the buttocks and groin - sudden.

Pain sensations are variable. They can be chronic or acute. Pain increases with exercise, and decreases with rest.

At the same time there are changes in the gait - the patient thus tries to eliminate the feeling of discomfort.

This pathology is characterized by the absence of factors that cause pain, as well as insomnia and worsening of the general condition.

And at a doctor's appointment, patients often complain of fatigue, irritability, depression, and disability.

12 months after the appearance of the first signs of the disease, the patient may experience weakness in the leg.

What degrees of disease are

Symptoms and treatment of hip osteoporosis depend on the stage of the disease. The main difference is in the pathological changes revealed during the diagnosis. At the moment, there are 4 degrees of osteoporosis of the hip joint:

1. At this stage, the patient only has a suspicion of ailment.
2. There is an osteoporosis of a mild form.
3. The disease becomes more pronounced.
4. There are signs of a serious illness.

How is the diagnosis of osteoporosis TBS

Symptoms of osteoporosis of the hip joint, unfortunately, do not always allow the timely detection disease, therefore, if any of the previously listed symptoms occur, the following Research:

• MRI - allows to determine the exact location of the focus of rarefaction in bone tissues.
• Densitometry is a diagnostic method that identifies the initial form of the disease by measuring the density of bone tissue.
• X-ray examination is one of the available diagnostic methods, but which has a low sensitivity. Determine the disease can only be after losing 30% of bone mass.
• Analysis of urine and blood. This method is used to clarify the diagnosis and allows you to determine the amount of phosphorus and calcium in the blood, as well as the level of alkaline phosphatase, insulin, parahormon, thyroxine, estrogen and cortisol.

Compare the results

To diagnose the disease, it is necessary to identify the signs of osteoporosis of the hip joint, and also to compare the results of bone mineral density with certain parameters:

• A normal indicator is the T-test from +, to -1 deviations from the peak bone mass.
• Osteopenia. With such a violation, the T-test is from -1 to deviations.
• Osteoporosis. In this case, the T-test has an indicator of below-deviations.
• Severe degree of osteoporosis. The T-test has an indicator of below-deviation. In this case, there is more than one fracture in the patient's history.

How is the disease treated?

How to treat osteoporosis of the hip joint? To avoid negative consequences and serious complications of the described pathology, it is necessary to begin therapy of the disease immediately after the diagnosis.

It is worth noting that the injuries received with such a disease, very slowly heal. Treatment consists of complex measures aimed at restoring damaged tissues, as well as stopping the development of pathology.

In this case, the therapy of the disease is carried out under the supervision of a doctor. Treatment of osteoporosis of the hip joint includes:

1. Taking medications aimed at slowing the destruction of bone tissue. Such drugs should help to eliminate the underlying cause of the development of the disease, as well as trigger regenerative processes.
2. Maintain the necessary level of calcium in the body with medication and eliminate vitamin D deficiency.
3. Facilitation of loads on the damaged joint, application of therapeutic physical training to restore the bones of the patient joint.

It should be noted that the methods of treating osteoporosis of the hip or knee joint are not distinguished by the nature of the therapeutic procedures from the described disease.

Methods of traditional medicine

Transient osteoporosis of the hip joint and other varieties of the disease can be cured if you contact the doctor in a timely manner. In the presence of such pathologies, the following can be assigned:

• Anabolic drugs that activate bone repair processes, such as testosterone, Raloxifene, Teriparatide, and so on.
• Anti-resorptive medications that slow down the destruction of the tissue structure, such as Risedronate, Alenronate, Ethidronate, Calcitonin.
• Hormonal drugs that help to eliminate the underlying cause of the disease, and replace all the missing hormones. Such drugs are prescribed to women in menopause and with the extinction of sexual function. They are able to restore the level of gestagens, androgens and estrogens.
• Medicines with calcium, which help to eliminate the deficit of this mineral, slow down destructive changes, and ease pain. Ideal is "Calcitonin "Kaltreit "Calcium gluconate."
• Vitamin D, as well as its metabolites. Often appoint "Calcium D3 "Alfadol-Sa "Natekal D3 "Akvadetrim".

Methods of Alternative Medicine

Some specialists also welcome folk treatment of osteoporosis of the hip joint. This is considered a good addition to the traditional therapy of the disease.

However, it is not recommended to take or cancel prescribed medications independently. It is worth consulting with a doctor.

Most often recommend:

• Apply a compress to the affected area, which contains "Dimexid" and infusion of herb comfrey. The course of treatment - no more than two weeks.
• The area of ​​the damaged joint can be rubbed with ointment daily. For its preparation on a water bath, it is necessary to heat 50 g of spruce resin, 25 g of copper sulfate and 150 g of olive oil. After cooling into the resulting mixture, add 2 tablespoons of onion juice.
• Take a warm bath. To do this, dilute the decoction of the willow bark in water. The procedure must be completed in 20 minutes.

Prevention of disease

Any disease is much easier to prevent than to get rid of its consequences. Preventive measures in this case include:

• Power control. The diet should contain the necessary amount of foods rich in fiber and proteins. It is necessary to completely abandon alcoholic beverages, as well as foods rich in cholesterol. It is recommended to eat foods that contain a large number of minerals. Also in the diet should be present milk.
• It is worth taking vitamin complexes and sunbathing.
• The way of life should be active. However, it is recommended to avoid heavy loads.
• It is necessary to perform special exercises for osteoporosis of the hip joint. This gymnastics is capable of dynamic loading. In addition, there are exercises for resistance and flexibility. When doing gymnastics, avoid overloading, sudden movements and jerks.

List of exercises

Experts recommend the following exercises for the prevention of osteoporosis of the hip joint:

• "A bike". Lie on your back and make circular motions with your legs.
• Stand on all fours and simultaneously raise your right arm and your left leg, and then your left arm and your right leg. In this situation, you need to stay for 8-10 seconds.
• Lie on your side and lift your leg up. Hold in this position for 10 seconds. Then gently turn over to the other side and do the exercise with the second leg already.

What forecast

Only a timely call to a doctor and an accurate diagnosis will avoid further development of osteoporosis of TBS, its complications and consequences.

If we start therapy early in the early stages of the disease, the chances of restoring mobility will be much higher than when solving the problem quickly.

On the complete cure of osteoporosis TBS gives a chance only strict compliance with all medical prescriptions and recommendations.

In conclusion

In most cases, osteoporosis of TBS occurs as a result of neglect of preventive measures that can protect bone tissues from many pathological processes.

Do not forget that the development of ailment is fraught with a complete loss of mobility, so it is important to conduct preventive measures, and if any signs of osteoporosis occur, TBS should be contacted immediately to specialists. Only a doctor can prescribe a comprehensive therapy.

Self-medication in some cases may not produce results and lead to more serious complications.

A source: http://.ru/article/323923/osteoporoz-tazobedrennogo-sustava-simptomyi-i-lechenie-diagnostika

osteoporosis of the hip joint: treatment, symptoms, signs, degrees

The basis of the CPD - the human skeleton, carrying out its vital functions, must have strength, firmness and at the same time flexibility. These properties completely depend on the content of the bones of a certain amount of phosphorus, calcium, and other essential components.

If from a bone these substances for any reasons leave, properties of a tissue in the direction of density decrease change and the osteoporosis begins.

In this article, we will discuss how to treat osteoporosis of the hip, knee and other joints, whether it can be cured in full and what preventive measures can be applied.

What is osteoporosis?

Osteoporosis refers to pathological changes in bone tissue, the result of which isdecrease in the content of phosphorus in itand calcium.

This significantly reducesstrengthbones, increasing the risk of fracture or bruise, lifting the gravity, falling from a small height.

Another name for this ailment is diffuse or "glassy" osteoporosis, it was named so because of the occurrence in one place and the possibility of spreading to another part of the body.

Due to its location, the hip joint takes on a heavy load of both static and dynamic nature. In the case of osteoporosis, this particular department of the musculoskeletal systemruns the risk of being damagedin the first place (as well as knee joints). Fracture of the most vulnerable place of the joint - the neck of the hip leads to immobilization, and in people aged often to death.

Causes

Bone washoutelements giving strength, is due to factors that violate certain metabolic processes, as a result of which a sharp decrease in the content of mineral salts occurs. The reasons that can provoke osteoporosis are:

1. Disordershormonal system.
2. Lack of vitamin D, more often manifested in the deficit of the sun in autumn and winter.
3. Age factor, in which, as we approach the age of old, violations of the parathyroid gland and metabolism progress.
4. Improper diet, in which the body receives less phosphorus and calcium.
5. Low estrogen secretionwhen menopause in women.
6. Influence of bad habits -smoking and alcohol.
7. Unfavorableheredity.
8. Use of medicines, washing out minerals and calcium - corticosteroid and anticonvulsants, diuretics.

Symptoms and signs

The begun illness proceedsasymptomatic, but the process of destruction of bone substance goes, and osteoblasts (dividing bone cells) practically do not regenerate.

The symptomatology begins after the termination of the functioning of the third part of the osteoblasts.

Developing osteoporosis of the hip joint can be determined by identifying provoking factors or characteristic symptoms:

• The appearance of aches and pains in osteoporosis on the front of the thigh, at the sides of the hip joint, especially under load. The development of the disease passes with increasing pain.
• Sudden pain in the groin and buttocks.
• The pain is variable, in which the acute changes the chronic, and vice versa. Increased sensation occurs during movement and load, and decreases during rest.
• Changes in the gait due to accurate movements of the hip, in which the patient is trying to alleviate the pain.
• Absence of factors that provoke pain.
• Deterioration of general condition, insomnia.

At the reception of a specialist, patients complain of fatigue, depression, increased irritability, decreased ability to work. A year before the appearance of clinical symptoms, there are feelings of weakness in the leg.

Degrees of osteoporosis

The degree of severity of osteoporosis differs by the presence of pathological changes revealed in the diagnosis:

• 1 degree, characterized by suspicion of the disease;
• 2 degree - easy osteoporosis;
• 3 degree - moderate osteoporosis;
• 4 grade - signs of severe osteoporosis.

Diagnostic Methods

Identification of signs of osteoporosis occurs by the following methods:

• MRI- is used to accurately determine the main foci of rarefaction in bone tissue.
• Densitometry- method of diagnosis, which allows to determine the initial form of osteoporosis and osteopenia by measuring the density of bone tissue. Two versions of the method are used: isotope and ultrasonic.
• X-ray examination- the most accessible method, but having low sensitivity, at which the disease is diagnosed after 30% loss of stagnant mass.
• Blood and urine test- used to clarify the diagnosis by determining the content of calcium, phosphorus, cortisol, estrogen, thyroxine, parot hormone, insulin, alkaline phosphatase.

Compare your mineral bone density results with the following indicators:

• Normal parameters of BMD (bone mineral density) are T-test values ​​from +, up to -1 standard deviations from peak bone mass.
• Osteopenia - T-test indices from -1 to standard deviations.
• Osteoporosis - indicators of the T-test standard deviations and below.
• Severe osteoporosis - indicators of the T-test standard deviations and lower with the presence in the anamnesis of one or more fractures.

Methods of treatment

When a disease is found, therapeutic measuresshould begin immediatelyto avoid the onset of trauma, which is a sluggish healing fracture.

Treatment consists of a set of measures that can restore the structure of the affected bones and stop further pathological changes.

All therapy is conducted undercompulsorycontrol of densitometry. Effective treatment includes:

1. The use of measures and medicines,slowing and stoppingdestruction of bone tissue, as well as contributing to the elimination of the cause of the disease and the launch of regenerative processes in affected areas;
2. Relieving the loadon the affected joint and the use of physical therapy as a means of facilitating the rapid restoration of the bone of the affected joint;
3. Maintaining calcium levelsin the blood with the help of preparations containing it in its composition, the intake of the optimal amount of vitamin D.

Treatment methods for osteoporosis of the spine, knee, hip joint or other localization are not distinguished by the nature of the therapeutic measures being performed.

Traditional medicine

Traditional treatment of osteoporosis reduces to the use ofmedicines, relieving inflammation and pain, as well as contributing to the elimination of the cause of the disease and the activation of bone tissue recovery processes. To this end, the following applies:

• Anti-resorptive drugs- slow down the destruction of bone structure. Calcitonin, bisphosphonates (Etildronate, Alendronate, Risedronate).
• Anabolic agents- activate the recovery processes in the bones. Teriparatide, Raloxifene, testosterone preparations.
• Hormonal therapy- eliminates the cause of the disease, replacing the missing hormones. It is prescribed in the substitution treatment for women with menopause and extinction of sexual function by the method of combined use of estrogens, androgens and gestagens.
• Calcium preparations- make up for the lack of a trace element, slow the destructive changes in the bone, and eliminate the pain in the fracture. Calcitonin, Calcium gluconate, Kaltreit.
• Vitamin D and its metabolites- contribute to the complete absorption of calcium that has entered the body. Aquadetrim, Natekal D3, Alfadol-Ca, Calcium D3.

Folk methods

Treatment of the disease with folk remedies at home iseffective complementto traditional therapeutic methods. With their help, the best results from the use of medicines are achieved. For this purpose, the following can be used:

• Applying a compress containing dimexide and comfrey to the sore spot. The course of treatment is two weeks.
• Daily rubbing of the joint area with ointment, prepared by heating on a water bath in 25 g. of copper sulfate, 50 g. resin spruce, 150 g. olive oil. After cooling, 2 tables are added. spoons of onion juice.
• Reception of warm baths with the addition of a strong decoction of willow bark. The time of taking the procedure is 20 minutes.

Prevention

Preventive measures to prevent the onset and development of osteoporosis include:

1. Mandatory power control. The diet should include foods with sufficient protein and fiber content. It is necessary to completely remove alcohol and limit the cholesterol-rich and harmful food. Regular use of dairy and mineral-rich products.
2. Use of complexes with vitamin D and regular sunbathing.
3. Keeping an active lifestyle, avoiding excessive loads on the OPA.
4. Execution of complexes of therapeutic gymnastics, which can include several types of reception of the load: dynamic, exercises for flexibility and resistance. When performing them, do not overload, jerks and sudden movements.

Recommended exercises in the prevention of osteoporosis:

• In the lying position, the legs are made by circular movements (bicycle);
• In the position on all fours, synchronously raise the left leg and right arm, after which the right leg and the left arm.

  In the upper position, stay for up to 8 seconds.

• Lying on his side raise his leg as much as possible and fix in this position for 10 seconds, after turning over on the other side and repeat the exercise.

Most of the cases of osteoporosis are causednon-compliance with preventive measures, protecting bone tissue from pathological changes.

Since the development of pathology threatens the total loss of mobility by a person, strict adherence to such measures is necessary, and if there is a suspicion of a disease that has begun, it is necessary to undergo diagnostics.

If the diagnosis is confirmed, the doctor will appointcomplex treatment, which is the key to successful treatment at any age.

How to forget about joint and spinal pain?

• Does pain limit your movements and full life?
• Are you worried about discomfort, crunching and systematic pain?
• Perhaps you have tried a bunch of medicines, creams and ointments?

A source: http://zdorovya-spine.ru/bolezni/osteoporoz/tazobedrennogo-sustava.html