Modern methods of treatment of coxarthrosis

Coxarthrosis or deforming arthrosis is a disease that has a destructive-dystrophic nature, that is, its development leads to a disruption of normal functioning, and subsequently to the destruction of structural elements of the hip the joint. The question of the appointment of surgical methods of treatment doctors decide, depending on the degree of development of bone and cartilage tissue damage. The methods of treatment of the disease are selected individually, but the statistics show that in most cases coxarthrosis I and II degree is treated conservatively, and with III, an operation is prescribed.

Doctors believe that only a complex, individually selected, timely (not later than the second degree) treatment can give the patient a chance to do without surgery.

Coxarthrosis therapy should be aimed at the following tasks:

• to stop pain syndrome;
• restore the trophism of cartilaginous tissue and accelerate its regeneration;
• normalize blood circulation in the area of ​​the damaged joint;
• reduce the load on damaged bone tissue of the joint;
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• Increase the distance between the acetabulum and the femoral head;
• strengthen the muscles of the thigh and buttocks;
• to increase the motor activity of the joint.

Medication (conservative) treatment of the disease

Non-steroidal (non-hormonal) anti-inflammatory drugs

Drugs of this group are prescribed in the acute stage of the disease, when it is impossible to start another treatment because of the severe pain syndrome.Well eliminating the pain and removing the inflammatory process, non-steroid drugs do not treat the disease itself, and it continues to progress if not started treatment by other methods (exercise therapy, stretching, massage).Most often appointed diclofenac, indomethacin, meloxicam, nimulide.

The advantages of taking non-steroidal anti-inflammatory drugs (NSAIDs) include: pain relief, elimination of puffiness and removal of inflammation. Minuses are the oppression of the synthesis of proteoglycans (substances responsible for the natural regeneration of cartilaginous tissue) and negative effects on internal organs with prolonged admission. In order to reduce the negative impact of NSAIDs on the regeneration of cartilaginous tissue, a selective migalis has been developed that does not adversely affect the cartilage structure.

Chondroprotectors

Preparations of this group not so much eliminate the clinical manifestations of deforming arthrosis, how many contribute to regeneration of the cartilaginous tissue of the hip joint, stimulate the synthesis of synovial fluid and normalize it composition.However, the use of chondroprotectors for arthrosis is not a panacea, they act very slowly and are able to affect cartilage only at the first, maximum at the beginning of the second stage of the disease.

Among scientists, there are still disputes as to which remedies are more useful: monopreparations, which contain chondroitin sulfate or glucosamine, or polypuplets containing both of these substances. Unequivocally this question can not be answered, it is important that the medicamental remedy be produced qualitatively.

Among the modern drugs of this group are popular:

1. Arthra- one of the best combined preparations, produced in the US, is available in tablet form, each tablet contains 500 mg of chondroitin sulfate and glucosamine. Take one tablet twice a day.
2. Don- Italian monopreparation based on glucosamine, is available as a solution for intramuscular injection, powder or capsules for oral administration. It is used three times a week, with the contents of the ampoule diluted with a special solvent, one course includes 12 injections. When ingested, one packet of the drug (dosage 1500 mg) or 4-5 capsules (250 mg each) is used.
3. Structum- French monopreparation based on chondroitin sulfate, available in capsules of 250 or 500 mg. The daily intake dose is 1000 mg.
4. Teraflex- a polypreparate from Great Britain, contains 400 mg of chondroitin sulfate and 500 glucosamine, 2 tablets per day are taken.
5. Chondroitin AKOS- a Russian remedy based on chondroitin sulfate, is available in capsules of 250 mg, a daily dose of 4 capsules.
6. Chondrolon- Chondroitin sulfate-containing monopreparation, which is produced in Russia, is produced in ampoules containing 2100 mg of active ingredient. The course of treatment requires 20-25 ampoules.
7. Elbona- a mono-preparation with glucosamine produced in Russia, is available as a solution for intramuscular injections, it is used as an Italian preparation of Don.

Muscle relaxants

Means for the removal of muscle spasm, in orthopedics are used by midol and sirdalud.The advantages of this group include the removal of muscle spasm, pain and improved blood supply to the hip joint.Disadvantages are side effects (dizziness, retardation and light intoxication).

These remedies should be used cautiously if the patient's professional activity is related to cars, precise machines and manipulations requiring increased attention.

Vasodilator drugs

To expand the vessels in orthopedics apply nikoshpan, theonikol, tsinnarizin, trental.

The resources of this group have the following positive properties:

• normalize blood circulation;
• strengthen trophic joint;
• relax small vessels, removing their spasm;
• eliminate vascular pains that occur at night.

Before use, it is necessary to check the individual tolerability of each drug, for this in For 2-3 days you need to drink one tablet and, if it's okay, go for recommended dose.

Ointments and creams for the treatment of coxarthrosis

The effect of the action of ointments, creams and gels is in the very process of rubbing them into the skin over the affected joint. This increases blood circulation, muscles relax, soreness disappears. Therapeutic effect should not be expected.

Intra-articular injections

For the introduction into the capsule of the joint are used:

1. Glucocorticoids(diprospan, hydrocortisone, kenalog) - the introduction of these drugs is not curative, they are used primarily to remove the inflammatory process and to stop pain.
2. Hyaluronic acid- this is one of the latest developments in the treatment of coxarthrosis, the acid is injected directly into the intra-articular fissure and improves composition and properties of the synovial fluid, providing it with a higher viscosity, and correspondingly reduces the damage to the cartilage tissue at movement.

The difference between drug therapy in the second and third stages of the disease

If during the second stage of the disease the patient is assigned complex conservative therapy, the patient with a third the degree of coxarthrosis needs to be operated, the use of various drugs at this time will not give a positive effect.Anesthetics are prescribed for the third stage of deforming arthrosis.

Therapeutic exercises with coxarthrosis

In order for gymnastic exercises not to aggravate the condition of the patient, it is necessary to observe the rules:

• selection of exercises and monitoring of their implementation should be handled by a doctor;
• all movements during the execution of the complex must be cautious and smooth;
• It is impossible to make sharp vigorous attacks, they can injure joints;
• preference is given to exercises that strengthen the muscles without loading the joint;
• if during the exercise the patient feels pain, he should stop and rest, then start moving with a smaller amplitude;
• Ideal occupations for coxarthrosis are swimming (especially in seawater).

Folk methods of treatment in the second and third stages of coxarthrosis

Methods of traditional medicine can be used only at the beginning of the disease and only as an additional therapy after consulting a doctor. At the third stage, folk medicine is totally powerless.

For the treatment of coxarthrosis takes quite a long time, persistence and perseverance of the patient, properly selected a set of therapeutic measures, the choice of which should be entrusted to a specialist, self-medication in this case may lead to disability.