Treatment of hip arthritis

Coxarthrosis is a degenerative joint disease that deforms the hip joint.This is a chronic disease characterized by degenerative tissue changes, cartilage damage. Symptomatically, coxarthrosis is defined by chronic pain and deformity of the hip joint and impaired mobility. Pathological changes are based on cartilage damage and subsequent inflammatory response. With paresis, the bone tissue is altered. Injury occurs locally, but other joints may also be involved. The patient population is mainly elderly. Possible risk factors are genetic predisposition, large body weight, and trauma. Endocrine disorders and metabolic imbalances are found in people with this problem. But the main focus in treatment is on restoring cartilage structure and function. Treatment of coxarthrosis is a long process, including anti-inflammatory therapy, the use of chondroitin and glucosamine preparations for joint nutrition, exercise, and physical therapy. Herbal treatment is recommended to maintain joints at home. Proper diet and regular exercise are essential.

Symptoms of coxarthrosis

With coxarthrosis, articular cartilage is primarily subjected to deforming changes. There are 3 stages of disease development. In the early stages, there are no morphological changes in the tissues of the joint. Only the possibility exists that its function is affected. A person feels periodic pain in the joint area after exertion, running, hiking. After rest, the pain syndrome disappears. In the second stage, the bones begin to deform. The naturalness of the movements is drastically reduced. The pain is severe and usually occurs at rest. The third stage is characterized by chronic pain syndrome. The pain bothers the patient day and night. Walking without a cane is very difficult, the patient is forced to lean forward. Multiple growths appear on the joints.

The main symptoms of joint disease include:

• morning stiffness;
• athritis;
• difficulty in traveling more than 1 km;
• Pain increases with prolonged sitting or standing.

Pediatricians call coxarthrosis one of the most common types of joint disease. The risk group includes people with obesity, hard physical labor, the elderly. Lack of treatment leads to complete destruction of the hip joint, accompanied by unnatural mobility or complete immobility, as well as severely impaired lower extremity functions.

Drug treatment

Treatment for coxarthrosis begins with limiting exercise. This is a long process that combines many therapies: oral anti-inflammatory and pain relievers, intra-articular injections, physical therapy and exercise.

Features of treatment of coxarthrosis grade 1, 2, 3:

• at the initial stage, NSAIDs are prescribed to suppress the inflammatory process, drugs that normalize metabolism, analgesics are also needed, folk remedies are used in complex therapy;
• in the second stage of coxarthrosis, intra-articular injections based on hyaluronic acid are added to drug therapy, laser therapy, electrical stimulation is performed;
• stage three is treated by conservative and surgical methods, when it cannot be cured without surgery, joint restoration is carried out.

Medicines play the biggest role. Without supportive and anti-inflammatory agents, dystrophic changes cannot be avoided and constant pain cannot be eliminated. Doctors prescribe pharmacological agents of various activities to alleviate the patient's condition during exacerbations.

• Medicines play the biggest role. Without supportive and anti-inflammatory agents, dystrophic changes cannot be avoided and constant pain cannot be eliminated. Doctors prescribe pharmacological agents of various activities to alleviate the patient's condition during exacerbations.
• Muscle relaxants. Decreased skeletal muscle tone. The muscles relax, so the pain syndrome is reduced, the patient is rested after the pain. These drugs are contraindicated in patients with cardiac arrhythmias.
• Chondroprotectors. Therapeutic preparations containing collagen. They nourish and repair damaged cartilage. They supply collagen to the joints from the outside and stimulate the body to produce collagen. Chondroprotective drugs are taken for a long time. Under the influence of these funds, the metabolism in the tissues improves, the destroyed cartilages gradually grow. In complex treatment, these drugs are certainly beneficial, especially in the early stages of the disease. In chronic joint disease, they delay disability.

To prevent the destruction of cartilage tissue and provide the joints with "lubrication", injections are made with preparations based on hyaluronic acid and synthetic substances, whose composition is similar to synovial fluid. They are highly compatible with the tissues of the human body. They effectively block cartilage destruction, have analgesic and chondroprotective effects. Synthetic substances contain silver ions, which have an additional bacteriostatic effect.

Artificial parts

Laparoscopy is a surgical method to treat the hip joint. When, as a result of coxarthrosis and dysplasia, irreversible consequences occur in the cartilage tissues, they resort to joint replacement. As a result of the operation, it is possible not only to reduce the constant pain syndrome, but also to restore the function and mobility of the joints. Artificial joints are made of metal-polyethylene and ceramic. The fixation of the backbone takes place in a cemented and non-cemented manner. Endoprosthes take root well and can serve for decades. But in some cases, the restoration wears out quickly, requiring a second surgery.

Physiotherapy treatment

Treatment of hip arthritis is carried out with complex measures, including the support of physiotherapy. This direction is associated with physical recovery, supporting the body during recovery and remission, and prevention of exacerbations. Physiotherapy is practiced by chiropractors, traumatologists, rheumatologists, masseurs, and exercise therapy instructors.

The following methods are recognized as effective for the treatment of coxarthrosis:

• therapeutic ultrasound;
• laser therapy;
• heat sensitivity;
• Massage;
• manual therapy.

With ultrasound therapy, high-frequency waves penetrate the tissues and act like vibrating massage. They improve biochemical processes, prevent stagnation, and promote better drug absorption. Ultrasound reduces inflammation.

Laser treatment widens blood vessels, stimulates lymph flow, inhibits inflammation, and heals tissues. This technique improves tissue nutrition, helping to preserve the structure and function of organs.

During induction, high frequency waves affect the body. This method is effective in cases of inflammation and pathologies of the musculoskeletal system. Stimulates the immune system, relieves pain and has a regenerative effect.

Massage is hardware and machine. Contrary to popular belief, during massage, not only the surface layer of the skin and muscles are exposed. During the masseuse's work, reflex and humoral regulation mechanisms of internal organs are activated. The combination of many massage techniques, the patient receives antispasmodic, blood-tonic, lymphatic drainage and analgesic effects.

Chiropractors work on a person's bones and joints. It relieves tension from some areas, soothes others, eliminates pain, restores functional viability of joints. First, the doctor applies diagnostic techniques, in which he determines the condition and capabilities of the muscles, ligaments, joints. Then he turned to treatment. Manual techniques are not used in exacerbations and complications.

The role of spa treatment

Nursing home treatment is of great importance for coxarthrosis. Treatment and prevention facilities to support people with musculoskeletal diseases mainly use natural factors.

• Climate therapy. These are topographical features, which are a combination of weather elements, sea water, sun, and air. Climate therapy helps to restore, prevents the development of exacerbations, improves the course of biological and physiological processes in the body. Ideal conditions for the treatment of rheumatic diseases are created in places with high air temperatures and a lot of solar radiation.
• Healing mud. Different in origin. These are peat, sulfide-alluvium, resin, hydrothermal. They are characterized by high heat capacity. They contain mineral, organic, bioactive ingredients that can penetrate the skin and have beneficial effects on joints. They improve metabolism, reduce inflammation and normalize blood circulation.
• Mineral water. It contains trace elements, soluble salts, biologically active substances. For diseases of the musculoskeletal system, mineral water baths are indicated. The treatments increase mobility, tone, activate blood circulation, improve metabolism.
• Phytotherapy. A method based on the use of medicinal herbs. Infusions and decoctions contain a large amount of active ingredients that not only effectively support the patient's body, but also have a pronounced healing effect.

Treatment with natural factors in the nursing home combined with physical therapy methods, exercise therapy, nutritional diet, adherence to the lifestyle. Spa programs are developed for all stages of joint disease.

Physical activity

In the recommendations for people with arthrosis, doctors recommend limiting the load on the legs. It is advisable to stop squatting and squatting and do more careful physical tasks indoors and out in the garden. Do not strain the joint if you already feel pain (reduce the load on the body). Especially it is worth not including running, jumping. However, you can not do without gymnastics.

For the joint to work, it is recommended to perform special exercises. A person with joint disease is completely unsuitable for "young" gymnastics - with a fast pace, an increasing load, with a high intensity throughout the entire training session. When suffering from joint pain, the exercise must be done extremely slowly, rhythmically, evenly, until discomfort or pain appears. If there is pain - it is worth to rest.

Gymnastics allows you to normalize the condition of the muscles, improve blood circulation in the joints, provide adequate nutrition and remove products that cause decay and inflammation. Exercise helps the drug to quickly enter the painful joint and begin to work. The most difficult task of physical therapy exercises is to dose the load correctly. Too short a workout will not achieve the healing effect. And excessive loads will further harm the joints. Authoritative recommendations can only be given by the attending physician. They will depend on the patient's condition and the nature of the course of the disease in each case.

Nutrition for coxarthrosis

There are many causes of cartilage destruction. Nutrition is of great importance in the treatment of grade 1, 2, and 3 hip osteoarthritis. Today the market is flooded with foods rich in preservatives. Tempting cold cuts, smoked meats, sausages, ostentatious on the shelves, contain a large number of specific ingredients. Meat is treated with enzymes, active ingredients that help speed up the production process and quickly obtain an attractive product. Preservatives increase the shelf life of any product: ready-made or raw, cannot be used widely among manufacturers.

When eating foods stuffed with preservatives, a person will experience an excess of salt, which will retain moisture. Salt is retained and accumulated in cartilage tissue, and joints malfunction. Such arthritis is inherently a simple inflammation that is beneficial for treatment. And coxarthrosis, which arises against the background of metabolic disorders, impaired metabolism, eating a lot of junk food, requires adherence to the diet. It is not necessary to strictly limit yourself to food intake or to give up an entire list of healthy foods. Just following some simple rules is enough:

• refuse any ready-made smoked meats from the store;
• exclude the consumption of concentrated broth;
• according to the cooking method, give preference to cooking and stewing;
• completely eliminate the consumption of salt, do not buy salted fish, sausages, canned goods;
• consume no more than 10-15 g of animal fat per day, prepare meals with the addition of various vegetable oils;
• monitor the calorie content of food, giving up the so-called carbohydrates, sugars, "fast food" confectionery;
• exclude mayonnaise from the diet, season salads and sauces with low-fat sour cream;
• exclude the consumption of alcoholic beverages;
• Limit eating fatty fish, caviar.

Instead of smoked meat, buy natural, chicken raised on the farms of domestic producers. It is better to cook the first dishes in vegetable broth, not boiling vitamin-rich foods for several hours. Today's popular bouillon pellets are almost 100% chemical. This is harm in its purest form.

You should not give up boiled meat completely. But it's better to take the prepared lean part and put it in portions on a plate, then pour in the vegetable broth. Completely rejecting meat is a torture.

An old recipe for preserving bone and joint strength is jelly-cooked meat. A few decades ago, when little was known about artificial preservatives, this was justifiable. Now, such a product can only raise cholesterol.

Fresh fish without any preservatives. But modern manufacturers have also learned this. Today, we can only talk about the benefits of fish if it comes to the counter directly from a fisherman who fished or was purchased alive.

Only by changing the principles of nutrition can a person reduce the pain of deforming joint disease. The diet should include a large amount of fresh vegetables, berries, herbs, fruits. Low-fat dairy products, lean meats, and chicken are useful. Rice, radish, potato, watermelon help to remove salt from the body. Once a week, it is recommended to arrange fasting days with kefir, cheese, fruit, herbal decoction.