How to treat coxarthrosis effectively? – Unique experience of specialists! Coxarthrosis (arthrosis of the hip joint). Causes, symptoms, diagnosis and treatment of arthrosis Traditional medicine recipes

Coxarthrosis of the hip joint 1st degree and its treatment includes several methods that must be used in combination. Whereas the lack of treatment leads to the need for surgical intervention and disability.

Why does coxarthrosis occur and how does it manifest?

Knowing the factors that cause coxarthrosis of the hip joint, you can, if not avoid it, then at least delay it. This can be achieved by adjusting your habits and lifestyle. Most often, changes in the hip joint occur when the following points are present:

1. Sedentary lifestyle.
2. Unbalanced diet, deficiency of calcium, magnesium and other microelements.
3. Excess weight.

Despite timely treatment, coxarthrosis will continue to develop if the causes that cause it are not eliminated. But there are also circumstances that cannot be changed by willpower:

• congenital hip dysplasia;
• dislocation and other joint injuries;
• rachiocampsis.

Often, grade 1 coxarthrosis goes unnoticed, since it manifests itself as rare, mild pain at the junction of the pelvic and femoral bones. Painful sensations occur after excessive stress or, conversely, a long stay without changing position. They pass after a short rest or warm-up, in case of low activity.

Coxarthrosis can be left-sided or right-sided, if one joint is damaged, or bilateral, if the joints of both legs are destroyed.

Even with the beginning of coxarthrosis, some changes are already visible on the X-ray image:

• the joint space decreases;
• Bone growths begin to form.

If you notice the symptoms of grade 1 coxarthrosis of the hip joint in time, then its transition to the second degree can be delayed for a long time. Do not think that only older people are susceptible to this disease. Osteoarthritis can occur in people of any age and gender.

What methods are used to treat grade 1 coxarthrosis?

Coxarthrosis, like any other joint disease, can be treated for quite a long time, using various methods and methods. The main thing, of course, remains conservative treatment. Traditional medicine is a good addition. There is no need for surgical treatment of grade 1-2 coxarthrosis.

Drug treatment

Treatment of grade 1 coxarthrosis consists primarily of relieving inflammation of the joint and restoring cartilage tissue. To do this, take the following medications:

1. Non-steroidal anti-inflammatory drugs (Ibuprofen, Indomethacin). May have a negative effect on mucous membranes; medical supervision is required.
2. Drugs that improve blood flow and nutrition of joint tissues (Pentoxifylline, Cinnarizine).
3. Muscle relaxants that relieve muscle spasms (Tizanidine, Tolperisone).
4. Chondroprotectors (Chondroitin, Artra) restore cartilage tissue. Long-term use is required, 3-4 courses.

The pain syndrome at stage 1 is mild, but if pain occurs, you can take Paracetamol or Analgin.

Do not neglect medications in the form of ointments and gels. Inflammation and pain are well relieved by Finalgel and Diclofenac.

Important! They should be applied to intact skin, without wounds or abrasions.

To achieve an effect, the use of ointments must also be long-term and regular. But you should not use them as the main method of treatment, since ointments only relieve symptoms and do not have the proper therapeutic effect.

Physiotherapy and massage

For the treatment of coxarthrosis, various methods of physiotherapy are prescribed:

• electromagnetic therapy;
• magnetic therapy;
• electrophoresis of drugs;
• electrophoresis of zinc, sulfur;
• laser therapy;
• ultrasound.

The use of physiotherapy methods is possible only during a period when there is no exacerbation.

A course of massage is also useful for a sore joint. Movements should be smooth, without force. They relieve tension and improve blood circulation in the joint.

Physiotherapy

With coxarthrosis, you should not completely limit physical activity. Moderate load on the joints prevents their destruction and strengthens the muscles. However, you should carefully choose exercises, since not all of them are suitable for people with a sore hip joint.

Fact! It is better to avoid running and jumping with coxarthrosis to avoid additional trauma to the joint.

To perform a set of exercises correctly, you should remember several rules:

1. Movements should be performed slowly, without jerking.
2. If any movement causes pain, it should be skipped or postponed.
3. If fatigue occurs, you need to take a break and restore your breathing.

It is better to perform the exercises several times a day for a quarter of an hour.

The standard complex contains the following exercises that need to be adapted for a specific patient:

1. Lie on your stomach, raise your legs one at a time and hold at the top point for a few seconds. This way you can strengthen the muscles of the hip area and buttocks. Repeat several times. Increase the number of approaches daily.
2. Lie on your stomach, bend your healthy leg at the knee, then lift it and hold it. If coxarthrosis is bilateral, then start with the leg that is less susceptible to destruction. Repeat 5-7 times.
3. Lie on your back. Bend and straighten your knees, sliding your feet along the floor.
4. Lying on your back, straighten your legs. Turn them inward without lifting them from the floor or bending your knees.
5. Lying on your back, spread your legs apart without lifting your heels from the floor. Return to previous position. Do several repetitions.
6. If the “Bicycle” exercise does not cause pain, then you can perform it for 10 seconds.
7. Lie on your side so that your sore leg is on top. Bend your arm at the elbow and place your head on it. Raise your leg as much as possible, move it to the side, return it to its original place, and relax. Repeat 5-8 times. For bilateral coxarthrosis, you should turn to the other side and do the exercise again.

After completing the entire set of exercises, you need to be at rest for some time. Then you can continue doing the exercises in an upright position, standing near a chair and holding onto its back:

1. Squat down smoothly without bending your knees completely. Repeat 5-7 times, increase the number of repetitions daily.
2. Smoothly shift your center of gravity to your toes and stretch. Slowly return to full foot. Repeat 10 times.
3. Lift your sore leg off the floor and make several smooth swings back and forth.

Performing this gymnastic complex will keep the hip joint in good condition and support the periarticular muscles.

Traditional methods of treatment

Almost every patient with destruction of this joint asks the question: how to treat coxarthrosis of the hip joint using traditional methods? There are a lot of methods, they are aimed primarily at relieving symptoms and improving blood circulation in the joint. The most popular ointments and rubs are:

1. Grind mint and eucalyptus leaves in a 1:1 ratio, add the same amount of aloe juice. Apply to the affected joint two to three times a day.
2. Grind 8 tablespoons of celandine leaves and stems, pour in 1 liter of vegetable oil, preferably olive oil, and leave in a warm place for 14 days. Apply to the affected joint three times a day, you can insulate it.
3. Grind 50g of nettle leaves and unripe juniper berries, add 30g of pork fat, mix thoroughly. Apply to the joint morning and evening.
4. Take honey, iodine, glycerin and medical alcohol in equal proportions. Mix. Apply to the sore spot no more than 3 times a day.

Also in folk medicine, tinctures are used for oral administration.

Important! The compositions can be taken orally only if there are no allergic reactions to their components.

Most often, coxarthrosis is treated with the following infusions and decoctions:

1. Cut half of one lemon into slices, pour boiling water over it, leave for one hour. Add 1 tsp. honey and drink half a glass a day.
2. Pour 50g of dry leaves of elecampane and cinquefoil into half a liter of ethyl alcohol or vodka and leave for 1 month. Pass through a sieve and drink 30 drops 3 times a day before meals.
3. Prepare a mixture of dried linden flowers, nettle leaves, burdock and parsley roots, and willow bark. Pour a glass of freshly boiled water and leave for a third of an hour. Drink the decoction throughout the day.

No matter how effective traditional methods are in relieving the symptoms of the disease, you cannot do without medications prescribed by your doctor. Hoping for help only from medicinal herbs and exercises, you can aggravate the situation so much that coxarthrosis of the first degree passes into the second, and then into the third. Then, perhaps, only surgery will bring relief. Therefore, it is better to immediately highlight the expense item for NSAIDs and chondroprotectors.

The reasons for the development of this disease can be very different, let’s look at the most common ones:

Poor circulation in the area of ​​the affected joint. Due to a variety of reasons, a person experiences a malfunction of the circulatory system - a deterioration in venous outflow and arterial inflow. As a result of all these processes, metabolic products accumulate in the tissues surrounding the hip joint, which contribute to the production of enzymes that destroy cartilage.

Injuries. The development of coxarthrosis is facilitated by chronic microtraumas that contribute to thinning and damage to cartilage.

Excessive load on the joint. The development of degenerative processes is facilitated by constant heavy physical activity, often in combination with predisposing factors.

Obesity. Large body weight overloads the joint, thereby causing an inflammatory process, and subsequently deformation of the joint itself.

Genetic predisposition. The disease is not directly inherited; the structural features of cartilage, bone tissue and joints are transmitted. Therefore, with a number of unfavorable factors, this reason can affect the development of coxarthrosis more than with others.

Hormonal background. Frequent changes in hormone levels can affect metabolic processes in the human body, thereby contributing to the development of inflammation of joint tissues.

A sedentary lifestyle is one of the main reasons for the development of hip joint pathologies.

Other diseases (necrosis of the femoral head, severe infections). If treated incorrectly or medical care not provided on time, a number of diseases can further affect the development of coxarthrosis, as a complication or concomitant disease.

Congenital pathologies (dysplasia, congenital hip dislocation).

What is coxarthrosis? Arthrosis of the hip joint, as mentioned earlier, is divided into several stages depending on its development and the degree of damage to the articular joint.

Each stage of DOA has its own specific symptomatic manifestations; accordingly, treatment is selected based on these characteristics. A disease in stage 1 is relatively easier to treat than in subsequent stages.

Coxarthrosis itself, degree 1, is a gradual destruction of the hip joint. It is for this reason that it is important to detect the disease in a timely manner and begin eliminating it without wasting time.

The formation of grade 1 deforming arthrosis of the hip joint can be influenced by several fundamental factors:

• age-related characteristics of the patient - because of this reason, the opportunity to prevent the formation of the disease is very often lost, and besides, it is quite difficult to fight the aging of the human body;
• hormonal imbalance due to taking hormonal drugs or due to disruption of the functionality of the endocrine system;
• trauma that can remind itself even after a single decade;
• disruption of metabolic processes in the body, which gradually lead to the accumulation of excess weight;
• increased loads on the area of ​​the articular joint, to a greater extent this includes people who are professionally involved in any kind of sport.

The reasons for the development of coxarthrosis are diverse, but they can be conditionally divided into several areas, based on the type of external and internal effects on the hip joint.

• Physical inactivity or sedentary lifestyle.
• Joint injury, bruise or fracture.
• Excessive physical activity in athletes or people who perform hard work due to their duties.
• Hip dysplasia.
• Scoliosis;
• Different leg lengths;
• Inflammations of various types.

Treatment of arthrosis 1st degree

The disease has four stages of development, each of which is characterized by a certain level of damage.

1. First stage of coxarthrosis.

The most inconspicuous. Pain manifests itself only after intense physical exercise or stress involving the hip joint.

Unpleasant sensations pass in a very short time, and the person does not attach any importance to them. However, it is this stage that becomes the basis for further destruction of cartilage.

A small percentage of people begin therapy at this stage. Diagnosis using X-rays will not yet show destructive processes, but it is already possible to detect a narrowing of the lumen.

The first stage does not provoke lameness, the person walks with a normal gait, movements are not constrained, but it is already necessary to be treated.

2. Second stage of coxarthrosis.

Characterized by the destruction of cartilage tissue. Pain increasingly bothers the patient even at rest; it can radiate to the groin area, knee, or lower back.

Doctors suggest treating with hormonal drugs. Atrophic changes in the muscles are noted - they gradually lose their strength, so a different gait, lameness, and morning stiffness syndrome appear.

The strength of the symptoms also depends on whether unilateral or bilateral coxarthrosis occurs. Accordingly, a person is worried about either one hip joint, or both at once.

It is becoming increasingly difficult to cure the disease.

3. Third stage.

Coxarthrosis of the hip joint, first degree

1st degree is the mildest form of the disease, which may not bother the patient for a very long time, but if the disease is not oriented and treated in time, it will develop to more severe forms.

At the first stage of the disease, periodic pain is noted in the area of ​​the affected hip joint after prolonged and intense physical activity. With bilateral joint damage, pain manifests itself in both joints, with unilateral damage - in one. This stage is not characterized by the appearance of lameness and severe muscle rigidity. The pain syndrome goes away immediately after the end of physical activity and is not permanent. On an x-ray you can see a slight narrowing of the gap located between the joints.

Coxarthrosis of the hip joint, second degree

Grade 2 is characterized by more significant damage to the joint - destruction of cartilage tissue. At this degree, all symptoms intensify.

As we have already said, coxarthrosis can develop for a long time with virtually no manifestations, and the only symptom that should alert the patient will be periodic pain in the pelvis and thigh, which can appear not only after physical activity, but also spontaneously during rest.

When treating coxarthrosis as it develops, the following methods are used:

• coxarthrosis 1st degree. In most cases, it is treated at home with the help of tablets prescribed by a doctor: analgesics, non-hormonal drugs, drugs to normalize metabolic processes in cartilage and relieve pain. It is possible to use folk remedies.
• coxarthrosis 2nd degree. The above methods include laser and magnetic therapy, ultrasound irradiation of the joint, and electrophoresis.
• coxarthrosis 3rd degree. It is treated by conservative and surgical methods. If there is no improvement from the anti-inflammatory drugs, analgesics, intra-articular injections and physiotherapy used, an operation to replace the joint with a prosthesis is prescribed.

This is the very initial stage of the disease. It is characterized by periodic pain in the hip joint: they appear during physical activity and usually disappear when the person rests or is in a relaxed state.

He actually does not pay attention to the discomfort, since the mobility of the limb is good, there are no restrictions in bending the leg, and the gait is not impaired. The changes are still completely reversible when the patient has grade 1 arthrosis (of the hip joint).

Treatment can prevent further deformation of the organ and preserve all its functions.

At this stage, making a correct diagnosis is very problematic. Upon examination, the patient usually complains of minor pain: his muscles have not yet weakened, the limb bends quite easily.

If you take an x-ray, you can detect small growths of bone tissue located inside the surface of the joint or on its outer edge.

At the same time, its gap is narrowed unevenly, and the head and neck of the bone are not modified.

Symptoms of grade 1 arthrosis are characterized by less intensity. The main manifestation at this level will be pain.

It is characterized by its appearance after prolonged walking or performing various exercises. It can spread to the thigh.

With grade 1, pain is most often formed in the area of ​​the joint itself. Further progression of the destruction of cartilage tissue leads to pain radiating to the groin area and thigh.

With grades 2 and 3 compared to grade 1, the pain extends to the knee.

Treatment of grade 1 deforming arthrosis is conservative. It is aimed at the following points:

Conservative therapy includes:

• drug treatment;
• diet;
• reducing the load on the joint using a cane;
• recommendations for playing sports and therapeutic exercises.

If you have any symptoms, you should consult a doctor immediately. You should not self-medicate.

Since the constant load on the joint leads to its destruction, up to endoprosthetics. Stage 1 arthrosis of the hip joint can be treated if the therapy is long-term and comprehensive.

Signs

At the primary stage of its development, deforming osteoarthritis of the hip joint practically does not manifest itself in any way, especially if the patient leads an optimal and measured lifestyle, while limiting the body from excessive stress, including physical stress.

Osteoarthritis of the hip joint, the symptoms and treatment of which can vary from patient to patient, also has a number of common characteristics. Among these symptoms, pain dominates: it can manifest itself both during physical activity and in a state of complete rest.

It is localized not only in the thigh itself, but also in the groin area, knee, and foot. The patient sometimes complains of joint stiffness, stiffness of movement, and lameness.

He may experience atrophy of the thigh muscles, noticeable shortening of the limb, crunching while walking, and general malaise.

But pain, naturally, is the main problem of a person who has been diagnosed with arthrosis. It can change as the disease progresses, changing its location, intensity and duration.

Usually at the initial stage it is short-term and barely noticeable: it seems that the joint is being pulled, and there is discomfort in this area. Often the syndrome begins to appear after running or walking, so a person considers it a sign of fatigue or excessive physical stress.

Doctors are consulted only when the pain is not relieved even with the help of strong analgesics.

The key sign of the development of the disease is pain and stiffness of the joint during intense or sudden movements: when lifting weights, squats, unsuccessful turns of the body, fast walking and running. During rest, the pain subsides.

Then these symptoms are joined by:

• weakness in the leg, feeling of numbness;
• the sore leg is limited in movement;
• the pain begins to radiate to the groin, lower thigh;
• over time, the diseased joint begins to crunch when moving;
• there is a slight limp.

Without timely treatment, the disease will progress and cause the following complications:

• pain in the leg becomes chronic and does not go away at night;
• the center of gravity shifts, posture worsens, osteochondrosis develops;
• the sore leg shortens imperceptibly;
• a person cannot walk without support.

In an advanced state, the pain spreads to the entire hip area to the knee. In some cases, the knee pain can be much more severe, making it difficult to make a correct diagnosis. Treatment is prescribed for the knee joint, while the condition of the hip joint is rapidly deteriorating.

Symptoms of coxarthrosis of the hip joint

Symptoms at different stages of development of coxarthrosis differ slightly. However, there are a number of general signs by which you can determine the onset of the development of the disease and take all necessary measures to restore health.

Often, patients turn to doctors in the later stages of the pathology, which significantly reduces the chances of a full recovery.

General symptoms:

severe pain in the area of ​​the affected joint is the main symptom joint damage; at the first stage, the pain manifests itself during movement, at subsequent stages it is constant;

stiffness (restrictions in movement) – in the early stages, this condition is observed after waking up or heavy physical exertion;

change in leg length is a sign of an advanced form of the disease accompanied by pelvic deformation;

muscle atrophy is the most severe symptom that manifests itself in the later stages of coxarthrosis; in the early stages there is a slight weakening of the muscles;

lameness, a clear change in gait - a sign of deformation of the skeletal system;

pronounced crunching in the joint area, which may indicate a pathological lesion.

Diagnosis of diseases of the musculoskeletal system

At the first stage, the diagnosis of coxarthrosis includes a survey, collection of anamnesis of life and disease, patient complaints, examination of the joint and functional tests.

In a clinical blood test for coxarthrosis, a slight increase in ESR (erythrocyte sedimentation rate) is noted - up to 30 or higher mm/h.

A biochemical blood test showed a significantly increased level of inflammatory markers: c-reactive protein, globulins, immunoglobulins and seromucoid. This analysis provides significant assistance in the differential diagnosis of joint damage: arthritis or arthrosis?

The basis of all diagnostic measures is instrumental methods.

The main method for identifying joint damage is x-ray, which shows:

the presence of osteophytes - bone growths along the edges of the articular cartilage;

narrowing of the gap between the joints;

areas of ossification of articular cartilage;

osteoporosis (loss of bone tissue);

compaction of bone tissue under cartilage.

The disadvantage of performing an X-ray examination is that only the bones are visible, the soft tissues of the joint (cartilage, joint capsule) are not visible in the pictures.

An equally informative diagnostic method is magnetic resonance or computed tomography, which allows one to recognize the disease at the earliest stages of its development.

On topic:Hip pain

How to treat

For a pathology such as coxarthrosis, treatment is quite complex and lengthy, consisting of many stages. The main condition for effective treatment is the earliest possible start of therapeutic measures, regardless of the stage of the disease.

To treat the initial stage of development of pathology, it is enough to correct lifestyle, nutrition, and eliminate problems with blood circulation and metabolism. More severe forms of the disease require maximum efforts aimed at recovery.

Drug treatment for destructive changes in the hip joint

Drug therapy mainly consists of symptomatic treatment. The main actions required from medications are eliminating pain, relieving swelling and inflammation, improving blood circulation, nourishing cartilage tissue and relaxing muscles.

After a diagnosis of dysplastic coxarthrosis, many patients wonder how to treat grade 1 coxarthrosis of the hip joint. Primary dysplastic coxarthrosis is treated in several ways.

In later stages of development of hip joint disease, treatment is carried out in the form of surgery, and in the initial stages, surgical intervention can lead to great stress on the body.

When a patient is diagnosed with arthrosis of the hip joint of 1st degree, the treatment and therapeutic measures used are aimed at solving the following problems:

• reduction in the manifestations of pain;
• prevention of subsequent development of the disease dysplastic coxarthrosis;
• improving the activity and functionality of the articular joint.

If a disease such as grade 1 osteoarthritis of the hip joint is detected, treatment is carried out as follows. First of all, specialists resort to the use of drug treatment. The most popular drugs include the following groups of drugs:

Treatment of diseases, even if it is coxarthrosis of the hip joint of the 2nd degree, is still quite successful. Moreover, it can be treated using conservative methods, without resorting to surgery.

Treatment involves:

1. A gentle regime of physical activity.
2. The load on the affected joint is minimized.
3. Intense walking and sports are excluded.
4. A complex of physical education is required, gymnastics for coxarthrosis.
5. Physiotherapeutic procedures are prescribed.

Treatment is also carried out using various medications; first of all, coxarthrosis can be treated with chondroprotectors, as well as anti-inflammatory non-steroidal drugs.

To relieve pain, treatment uses painkillers.

Eve of the first stage of the disease, such treatment is completely adequate and can relieve the patient of the problem.

Surgical treatment is prescribed only in extreme cases, with grades 1 and 2 of the disease. Today, medicine can offer therapeutic agents that minimize the need for surgery.

Let us note the main methods and drugs used in the treatment of coxarthrosis:

• Anti-inflammatory drugs - diclofenac, movalis.
• Vasodilators - trental, cinaresin.
• Preparations for muscle relaxation - mydocalm.
• Steroid drugs - hydrocotisone.

As for other methods and directions, treatment often uses various ointments for joint pain, lotions and compresses. Only their use must be comprehensive; as the main treatment, they cannot be completely effective.

Physiotherapy is definitely indicated, for example magnetic therapy for joints, as well as:

1. UHF therapy,
2. laser therapy,
3. ultrasound,
4. light treatment,
5. Electrical therapy.

As for the last, third degree of coxarthrosis, here conservative treatment is no longer able to help, and only surgical intervention is necessary.

When self-treating, you must follow the therapeutic recommendations:

• follow a diet;
• drink 2 or more liters of liquid;
• get rid of excess weight;
• reduce the load on the joint, for example using a cane;
• use exercise therapy;
• avoid static poses (long standing and sitting).

Using exercises to treat coxarthrosis of the hip joint is the easiest way, provided that an individual course of exercise therapy is developed and prescribed by the attending physician. For the course to be beneficial, the exercises from it must be performed correctly:

• perform exercises without sudden movements;
• eliminate axial loads;
• If pain occurs, stop doing exercises;
• do gymnastics every day;
• after completing all the exercises, it is advisable to take a bath and get a massage;
• Swimming has a beneficial effect on the hip joint and reduces pain.

Physical activity is prohibited if:

• malignant tumors, hemorrhages;
• pre-infarction, pre-stroke conditions;
• fractures of tubular bones.

The following methods are used in non-drug therapy:

In the arsenal of traditional medicine there are many recipes for lotions, compresses, tinctures, and decoctions for treating joints. They can be used for:

1. oral administration (restore cartilage tissue and relieve inflammation);
2. external use (warm, distract, relieve inflammation);
3. physical education classes that combine stretching with dynamic and static exercises.

A well-known specialist in the field of joint treatment (S. M. Bubnovsky) recommends a combination of gymnastics with cold procedures for the treatment of hip joints. Gymnastics should be performed in the evening to better stretch overworked muscles and increase blood flow to the joint, thereby improving its nutrition.

Traditional therapy sessions should be carried out daily, only in this case you will slowly begin to forget about arthrosis of the hip joint. Treatment at home is not complete without the use of celandine oil.

You can prepare it yourself: pour eight tablespoons of the herb with olive oil and leave in a dark place for about three weeks. The mixture must be rubbed into painful areas of the body, after which the treated area is wrapped in a warm cloth.

Oils based on eucalyptus and cloves also help with arthrosis.

After taking a bath, draw a healing grid on the sore spot using pork fat and iodine. Warm it and leave it until the morning.

After a bath, you can also make a compress from horseradish pulp mixed with honey. You need to keep it for at least two hours.

The sore spot must be warmed with a mixture of tea tree and fir oils.

It is aimed at eliminating symptoms. The use of medications is necessary to relieve pain, relieve swelling (if any) and inflammation, nourish cartilage tissue and relax muscles.

There is no universal treatment plan for coxarthrosis of the hip joint; the doctor prescribes an individual course for each patient.

Let's start with nonsteroidal anti-inflammatory drugs (NSAIDs). In the treatment of stage 1 hip coxarthrosis, NSAIDs are considered “basic” drugs, which are prescribed in average therapeutic dosages. The most commonly prescribed drugs are:

• Ketoprofen;
• Piroxicam;
• Diclofenac;
• Meloxicam;
• Indomethocin;
• Brufen.

If there is no effect from taking them in the first two weeks, it is not recommended to cancel treatment. Nonsteroidal drugs will have the desired pharmacological effect after long-term use, and they are well tolerated by patients.

In parallel, enveloping drugs such as Almagel are used. NSAIDs are not recommended to be prescribed to patients with diseases of the gastrointestinal tract, liver, or pancreas.

Long-term treatment with anti-inflammatory drugs may lead to side effects. But using several anti-inflammatory drugs at the same time is extremely undesirable. Doctors do not recommend doing this.

For long-term treatment, the best remedy for pain relief is Movalis. It “works” more gently than NSAIDs. To improve blood circulation in the damaged area, antispasmodics and vascular medications are prescribed.

Vasodilator medications:

To begin treatment, you need to accurately determine the true cause of the pain. A necessary and sufficient tool in most cases is a radiograph.

An x-ray will show how severely the femur is deformed, whether the head is displaced, and the condition of the cartilage. Based on these signs, the doctor will determine the stage of the disease.

At the third stage, extensive bone growths are observed.

Whatever treatment is prescribed, the main goal is to speed up the restoration of cartilage, which requires improving its nutrition and activating blood circulation. The main methods of treating coxarthrosis are as follows:

It is believed that it is impossible to completely cure coxarthrosis, but if intensive treatment is started in time, the development of the disease can be seriously slowed down: not only reduce pain, but also remove restrictions on mobility.

If the stage is not advanced and there are no serious chronic diseases, then timely treatment can bring very good results. To prevent the disease, after treatment and to protect against relapse, you should adhere to the following rules:

• carry out regular physical activity: light sports, swimming, dancing, long walks, cycling, skiing.
• do simple stretching exercises, some gentle yoga asanas;
• avoid situations in which joints and ligaments are overloaded;
• do not overcool the joints;
• weight loss with obvious excess;
• proper sleep and rest;
• in case of disease development and exacerbations, do not give up using a cane or crutches.

Drug treatment

Treatment of coxarthrosis of the hip joint is impossible without medications. Their use not only relieves symptoms, but also has a healing effect on the disease itself.

In modern medicine, a variety of medications are used to relieve pain, eliminate inflammation, and alleviate the condition during exacerbations.

Folk remedies

Arthrosis of the hip joint, the degree of which affects the type of treatment chosen, also involves taking chondroprotectors. These are drugs that slow down the degeneration of cartilage tissue and activate its complete restoration.

Among them, “Dona”, “Artroglycan”, “Teraflex” and others stand out. These remedies give stunning results - they quickly stop the progression of the disease.

And even after their cancellation, active tissue growth continues for some time.

If arthrosis leads to inflammation of the tendons and muscles, as well as very severe accompanying pain, the patient is prescribed hormonal medications: Kenalog or Hydrocortisone.

They are often introduced into the human body by injection. Therapy is not complete without local treatment.

For these purposes, various compresses, creams and ointments are prescribed, which are applied to the area of ​​the body where discomfort is felt. Unfortunately, they are less effective, since the active components contained in them need to overcome the barrier of fat, tissue and skin.

But they have a warming effect, which promotes better blood circulation.

Gymnastics for arthrosis of the hip joints can be accompanied by taking various natural remedies. Traditional medicine offers many recipes for healing potions and decoctions that will help with arthrosis:

1. Lemon water. You will need three lemons, a head of garlic and 250 grams of celery. We pass all the ingredients through a meat grinder and fill a three-liter jar with boiling water. We insist for a day. We take the drink in the morning on an empty stomach: 100 ml half an hour before meals. The course usually lasts about 3 months.
2. Healing jellied meat. A kilogram of beef hooves is poured with two liters of water and boiled over a fire for about 4 hours. The result is jellied meat, which is very useful for arthrosis. Two hundred grams of this dish should be eaten 30 minutes before the main meal - daily as a snack.
3. Herbal decoction. To prepare it, take 200 grams of white footweed root. We twist the grass through a meat grinder and fill it with pork fat (400 g). Cook for about ten minutes over low heat, cool and rub into the sore joint overnight.

Alternative treatment for arthrosis of the hip joint is carried out only after the approval of the attending physician.

Treatment with folk methods for grade 1 deforming arthrosis of the hip joint is aimed at restoring blood circulation. Tinctures, decoctions and ointments are used, which can be drunk and applied to the skin of the affected area.

Prevention of coxarthrosis

The main and most important method of preventing coxarthrosis of the hip and other joints is early diagnosis, as well as measures such as:

swimming;

physiotherapy;

skiing, with poles;

Spa treatment;

self-massage using ointments;

specialized massage;

weight control;

regular use of chondroprotectors.

Physical activity in the treatment of coxarthrosis should be aimed at the following properties:

restoration of joint functionality;

strengthening the muscular system;

improving blood supply to the joint and the area around it;

increasing lumbar stability;

prevention of severe complications.

Prevention and self-medication are two very different things, so before you begin any measures aimed at restoring joints, you need to consult with specialists.

First of all, preventive measures involve maintaining a proper diet, physical activity of the patient and control over excess weight.

Nutrition for coxarthrosis of the hip joint

Since the development of the disease depends directly on metabolism, nutrition for coxarthrosis should be aimed at eliminating all possible factors causing this pathology.

Diet

A balanced diet and the correct approach to food distribution are the most important factors influencing the restoration of the patient’s health. Meals for coxarthrosis of the joints should be divided, up to 5-6 times a day, the portions should be small but nutritious.

By properly establishing a meal schedule, you can achieve the following results:

restoration of cartilage tissue;

formation of new tissues.

A diet for coxarthrosis should exclude the following foods:

fatty meat broths;

meat and fish semi-finished products;

large amounts of salt (more than 1 tablespoon per day);

food products with a high content of preservatives (chips, canned food, sausages, caviar, sauces, some types of cheeses, nuts).

Healthy foods for coxarthrosis

Fermented milk products are quite useful for restoring joints, since the human body easily absorbs milk protein, which is necessary for tissue regeneration.

In addition, dairy products, namely cottage cheese (low fat) and cheese, are rich in calcium, which strengthens the skeletal system.

Some of the required protein can be obtained from certain types of meat and fish products; a very important aspect is that these products should be low-fat.

In addition to animal protein, your daily diet must include vegetable protein, which is found in lentils and buckwheat.

To restore bone tissue and cartilage, an element such as collagen is needed. It is found in jellied fish or aspic.

As for desserts, the ideal option for restoring normal joint function is fruit jelly, rich in vitamin complexes and gelatin. Foods rich in phosphorus and phospholipids also have a positive effect on the restoration of joints and cartilage.

A separate role in proper nutrition in the treatment of joint coxarthrosis is played by carbohydrates, which provide the body with the necessary energy supply. Energy potential is the basis of all human life processes.

It is better to give preference to complex carbohydrates - polysaccharides and monosaccharides. As a result, it is better to replace regular sugar with natural honey.

No less useful and necessary for recovery are cereals, which are also rich in complex carbohydrates and essential elements that nourish the brain.

Are fats healthy?

When considering all the advantages and disadvantages of consuming fats, it is best to use vegetable fats for nutrition during coxarthrosis.

Nutrition should be organized in such a way as to influence the following factors:

reduction in total body weight;

normalization of metabolic processes.

Diet for destructive changes in the hip joint is one of the important steps towards a speedy recovery.

Knowledge about the characteristic symptoms of the pathology and the main causes will help you choose a course of effective therapy.

Schematic representation - anatomy of the hip joint.

Coxarthrosis of the hip joint of 1st degree most often affects one leg. is very rare. Typically, this clinical picture is observed in patients with congenital defects in the structure of the hip joints ().

Provoking factors and causes of occurrence

Causes of coxarthrosis:

1. Previously suffered joint lesions. These are fractures, bruises, microtraumas that lead to thinning of cartilage tissue.
2. Serious circulatory disorders in the area of ​​the affected joint. A malfunction in the circulatory system leads to the accumulation of special substances in the joint, which increase the production of enzymes that negatively affect the condition of cartilage.
3. Excess weight. With a large body weight, the joint is subjected to severe stress, which causes inflammation and acute coxarthrosis of the hip joint of the 1st degree.
4. Frequent physical overexertion joints, which significantly increase the risk of inflammation.
5. Congenital pathologies: dysplasia in various forms, .
6. The influence of already developing diseases. This is necrosis or progressive infections.
7. Serious endocrine disorders, hormonal disruptions, which negatively affect metabolism, also contribute to tissues.
8. Strong hypothermia.
9. Lack of regular physical activity.
10. Genetic predisposition To .

The laws of physics have not been canceled: the greater the weight, the more the articular surface wears out.

Human nutrition plays a significant role in the development of coxarthrosis. If the diet is poor and poorly balanced, the cartilage tissue does not receive beneficial microelements, is weakened, and there is a risk of developing an inflammatory process. Thus, there are two reasons: mechanical (trauma and microtrauma) and biological, when the process of normal physiological tissue regeneration is disrupted.

No disease can be cured without changing your diet.

Susceptibility to the disease increases sharply with age. 30% of the population suffer from coxarthrosis in old age. Remember: grandparents always limp - this happens precisely for this reason.

Degrees of progression and symptoms of the disease

The main degrees of coxarthrosis in adults:

If stage 1 is diagnosed, this is great luck: the disease can be stopped.

Diagnostics

During the initial visit to the doctor, the diseased joint is examined, anamnesis, symptoms, and information about the presence of chronic pathologies are collected.

Mandatory diagnostic measures:

1. Clinical blood tests (general analysis, biochemical analysis, blood ESR, etc.).
2. Radiography will help identify the presence of areas of cartilage ossification and determine the degree of narrowing of the joint space.
3. or CT scans are the most informative studies: you can even diagnose grade 1 coxarthrosis of the hip joint, which is just beginning to develop.
4. may be required if there is a suspicion of an infectious, purulent focus in the joint or the presence of fluid in it.

Take an x-ray once every month and a half to see the dynamics.

Coxarthrosis of the hip joint of the 1st degree progresses quickly and after a few months can go into advanced stages - when drug therapy is no longer effective, surgery may be required. To prevent this from happening, immediately consult a doctor at the first signs of illness.

Treatment of coxarthrosis 1st degree

Treatment is selected by the doctor individually, taking into account the cause of the disease, symptoms, age, and the presence of concomitant pathologies. Traditional drug therapy for coxarthrosis:

Surgery

Surgery for this pathology is indicated if treatment with medications has not produced the expected improvements, and the disease continues to progress. Typically, surgical intervention is practiced in advanced stages of the disease.

Physiotherapy

It is prescribed to all patients as one of the most effective treatment methods with positive dynamics in the course of the disease.

It is undesirable to carry out therapeutic exercises in the following conditions:

• acute inflammatory processes in internal organs;
• increased body temperature;
• hypertension in the acute phase;
• acute heart failure;
• period after recent surgery;
• weakened immune system;
• period of menstruation in women.

Classic course of exercise therapy for coxarthrosis:

1. Lying on your back, bend your leg at the knee and slowly pull it towards your stomach. Repeat the same with the other leg.
2. Lying on your back, raise both legs up in a straight position. Perform using the “scissors” type.
3. Turn over on your side, raise your leg in a straight position 10-15 times. After this, roll over again and do the same with the other leg.
4. Get on all fours, lift your leg up. Bend and unbend it several times. You can do some kind of lunges with your leg backwards.
5. Lie on your stomach, try to touch your heel to your buttock.
6. Lying on your back, perform circular rotations with each leg.
7. Sit down, put your legs straight together. Stretch your toes towards and away from you.
8. Lean against the back of a chair and place a small weight on your foot. Slowly raise your leg straight.

Physiotherapy and massage treatment

Physiotherapeutic treatment is effective precisely at the first stage of the disease, when the cartilage is not yet severely damaged and can recover without surgery.

After a course of physiotherapy, the patient’s metabolism and blood circulation are normalized, mobility in the diseased joint is improved, pain and swelling are reduced, and the inflammatory process is stopped.

Physiotherapy is good when used regularly.

The following types of physiotherapy are most often prescribed:

• mud therapy;
• ultrasound treatment.

Physiotherapy procedures have contraindications (pregnancy, allergies, high fever, ARVI, etc.), so you should consult a doctor before using them.

Thigh massage is a great way to improve blood circulation.

It can be used at all stages of coxarthrosis, but the greatest effect can be achieved in the initial stages of the disease.

When performed professionally, massage relieves spasms and muscle tension, improves blood circulation, and eliminates swelling. For a greater therapeutic effect, it is recommended to combine massage with gymnastics and a visit to the pool.

Diet principles

The progression of coxarthrosis is associated with metabolic disorders, therefore, when identifying pathology, it is necessary to exclude all factors that provoke the inflammatory process.

This is what the ratio of foods in your diet should look like.

The following foods are prohibited for coxarthrosis:

• fried foods;
• fatty meat broths;
• products with a high content of unhealthy fats (sour cream, mayonnaise);
• semi-finished products, fast food;
• smoking, alcoholic drinks are strictly prohibited;
• coffee;
• red fish;
• chips, crackers;
• salt;
• fresh bakery;
• chocolate;
• fatty cheeses.

Healthy foods:

1. Dried fruits.
2. Jelly desserts, fruits.
3. Fruit juices.
4. Decoctions of dried fruits, green tea, compotes.
5. Low-fat fermented milk products: cottage cheese, kefir.
6. Lentils.
7. Cereals (buckwheat is especially useful).
8. Boiled fish and meat.
9. Greenery.
10. Nuts.
11. Jellies, jellied fish, jellied meats.

With the help of a properly combined product, inflammation is stopped, metabolism is normalized, and cartilage tissue is restored.

Traditional treatment

The most effective for coxarthrosis:

1. Mix honey, vodka, iodine, glycerin in equal quantities. Leave for 24 hours and use to lubricate the sore joint.
2. Apply honey to fresh cabbage leaves. Apply to the joint and secure with film. Leave it on all night.
3. Chop the boiled potatoes and apply them warm to the joint. Leave for a couple of hours.
4. Blend garlic, celery root, and a couple of lemons in a blender. Mix everything and place in a jar. Pour boiling water over it. Infuse throughout the day, take a spoon before meals.
5. Grind the turnips, add two tablespoons of alcohol, 100 g of honey. Use as an ointment for a sore joint.

Traditional recipes relieve pain and reduce inflammation, but they cannot eliminate the root cause of the pathology. That is why such therapy can only be used as an auxiliary treatment measure.

Coxarthrosis of degrees 1 and 2 of the hip joint can develop in just 3-5 months. The patient’s condition will rapidly deteriorate, which will negatively affect not only the patient’s quality of life, but also his psycho-emotional system.

Medical recommendations will help reduce the risk of pathology progression:

• avoid hypothermia;
• swimming, running or gymnastics;
• undergo preventive tests for hormone levels annually;
• timely stop diseases and infectious processes that cause coxarthrosis;
• protect yourself from joint injuries;
• have a well-balanced diet;
• monitor your weight and prevent obesity;
• practice thigh massage regularly;
• annually undergo preventive treatment with calcium, chondroprotectors and (only after the doctor’s permission);
• to refuse from bad habits.

Treatment of stage 1 coxarthrosis of the hip joint involves compliance with all medical prescriptions. It is strictly forbidden for a patient to practice uncontrolled therapy at home: this threatens not only with triggering the underlying disease, but also with the development of dangerous complications in other systems of the body.

This is arthrosis of the hip joint. It develops gradually over several years, is prone to progression, and can be either unilateral or bilateral. Accompanied by pain and limitation of movements in the joint. In later stages, atrophy of the thigh muscles and shortening of the limb are observed. The diagnosis is made based on clinical symptoms and radiographic results. In the early stages of coxarthrosis, treatment is conservative. In case of joint destruction, especially in young and middle-aged patients, surgery (endoprosthetics) is indicated.

General information

Coxarthrosis (osteoarthrosis or deforming arthrosis of the hip joint) is a degenerative disease. Typically develops at age 40 or older. It can be a consequence of various injuries and diseases of the joint. Sometimes it occurs for no apparent reason. Coxarthrosis is characterized by a gradual progressive course. In the early stages, conservative treatment methods are used. In the later stages, the function of the joint can only be restored through surgery.

Risk factors

Factors that increase the likelihood of developing coxarthrosis include:

• Constant increased load on the joint. Most often observed in athletes and overweight people.
• Circulatory disorders, hormonal changes, metabolic disorders.
• Pathology of the spine (kyphosis, scoliosis) or feet (flat feet).
• Elderly and senile age.
• Sedentary lifestyle.

Coxarthrosis itself is not inherited. However, certain features (metabolic disorders, structural features of the skeleton and weakness of cartilage tissue) can be inherited by the child from the parents. Therefore, if you have blood relatives suffering from coxarthrosis, the likelihood of the disease increasing slightly.

Pathanatomy

The hip joint is formed by two bones: the ilium and the femur. The head of the femur articulates with the acetabulum of the ilium, forming a kind of “hinge”. During movement, the acetabulum remains motionless, and the head of the femur moves in various directions, allowing flexion, extension, abduction, adduction and rotation of the hip.

During movements, the articular surfaces of the bones slide smoothly against each other, thanks to the smooth, elastic and durable hyaline cartilage covering the cavity of the acetabulum and the head of the femur. In addition, hyaline cartilage performs a shock-absorbing function and is involved in the redistribution of load during movements and walking.

The joint cavity contains a small amount of joint fluid, which acts as a lubricant and provides nutrition to the hyaline cartilage. The joint is surrounded by a dense and durable capsule. Above the capsule are large femoral and gluteal muscles, which provide movement in the joint and, along with hyaline cartilage, are also shock absorbers that protect the joint from injury during unsuccessful movements.

With coxarthrosis, the joint fluid becomes thicker and more viscous. The surface of the hyaline cartilage dries out, loses its smoothness, and becomes covered with cracks. Due to the resulting roughness, the cartilages are constantly injured against each other during movements, which causes their thinning and aggravates pathological changes in the joint. As coxarthrosis progresses, the bones begin to deform, “adapting” to the increased pressure. Metabolism in the joint area deteriorates. In the later stages of coxarthrosis, pronounced atrophy of the muscles of the diseased limb is observed.

Symptoms of coxarthrosis

The main symptoms of the disease include pain in the joint, groin, hip and knee joints. Also, with coxarthrosis, stiffness of movements and joint stiffness, gait disturbances, lameness, atrophy of the thigh muscles and shortening of the limb on the affected side are observed. A characteristic sign of coxarthrosis is limitation of abduction (for example, the patient experiences difficulty when trying to sit “astride” on a chair). The presence of certain signs and their severity depends on the stage of coxarthrosis. The first and most consistent symptom is pain.

At coxarthrosis 1st degree patients complain of periodic pain that occurs after physical activity (running or long walking). The pain is localized in the joint area, less often in the hip or knee area. After rest it usually disappears. Gait with coxarthrosis of the 1st degree is not impaired, movements are preserved in full, there is no muscle atrophy.

An x-ray of a patient suffering from grade 1 coxarthrosis reveals mild changes: moderate uneven narrowing of the joint space, as well as bone growths around the outer or inner edge of the acetabulum in the absence of changes in the head and neck of the femur.

At coxarthrosis 2nd degree the pain becomes more intense, often appears at rest, and radiates to the thigh and groin area. After significant physical exertion, a patient with coxarthrosis begins to limp. The range of motion in the joint decreases: abduction and internal rotation of the hip are limited.

X-ray photographs of grade 2 coxarthrosis reveal a significant uneven narrowing of the joint space (more than half the normal height). The head of the femur moves slightly upward, becomes deformed and increases in size, and its contours become uneven. Bone growths with this degree of coxarthrosis appear not only on the inner, but also on the outer edge of the acetabulum and extend beyond the cartilaginous lip.

At coxarthrosis 3 degrees the pain becomes constant, bothering patients not only during the day, but also at night. Walking is difficult; when moving, a patient with coxarthrosis is forced to use a cane. The range of motion in the joint is sharply limited, the muscles of the buttock, thigh and lower leg are atrophied. Weakness of the hip abductor muscles causes deviation of the pelvis in the frontal plane and shortening of the limb on the affected side. In order to compensate for the resulting shortening, a patient suffering from coxarthrosis tilts his torso to the painful side when walking. Because of this, the center of gravity shifts, and the load on the affected joint increases sharply.

Radiographs of grade 3 coxarthrosis reveal a sharp narrowing of the joint space, a pronounced expansion of the femoral head and multiple bone growths.

Diagnostics

The diagnosis of coxarthrosis is made on the basis of clinical signs and data from additional studies, the main of which is radiography. In many cases, x-rays make it possible to establish not only the degree of coxarthrosis, but also the cause of its occurrence. For example, an increase in the neck-diaphyseal angle, bevel and flattening of the acetabulum indicate dysplasia, and changes in the shape of the proximal part of the femur indicate that coxarthrosis is a consequence of Perthes disease or juvenile epiphysiolysis. X-rays of patients with coxarthrosis may also reveal changes indicating trauma.

CT and MRI can be used as other methods of instrumental diagnosis of coxarthrosis. Computed tomography makes it possible to study in detail pathological changes in bone structures, and magnetic resonance imaging provides the opportunity to evaluate disorders of soft tissues.

Differential diagnosis

First of all, coxarthrosis should be differentiated from gonarthrosis (osteoarthrosis of the knee joint) and osteochondrosis of the spine. Muscle atrophy, which occurs in stages 2 and 3 of coxarthrosis, can cause pain in the knee joint, which is often more pronounced than pain in the affected area. Therefore, if a patient complains of pain in the knee, a clinical (examination, palpation, determination of range of motion) examination of the hip joint should be performed, and if coxarthrosis is suspected, the patient should be referred for radiography.

A diet for coxarthrosis does not have an independent therapeutic effect and is used only as a means of weight loss. Reducing body weight allows you to reduce the load on the hip joints and, as a result, alleviate the course of coxarthrosis. In order to reduce the load on the joint, the doctor, depending on the degree of coxarthrosis, may recommend that the patient walk with a cane or crutches.

In the later stages (with coxarthrosis of the 3rd degree), the only effective method of treatment is surgery - replacing the destroyed joint with an endoprosthesis. Depending on the nature of the lesion, either a unipolar (replacing only the femoral head) or a bipolar (replacing both the femoral head and acetabulum) prosthesis can be used.

Endoprosthesis replacement surgery for coxarthrosis is carried out as planned, after a full examination, under general anesthesia. In the postoperative period, antibiotic therapy is carried out. The sutures are removed on days 10-12, after which the patient is discharged for outpatient treatment. After endoprosthetics, rehabilitation measures are required.

In 95% of cases, joint replacement surgery for coxarthrosis ensures complete restoration of limb function. Patients can work, move actively and even play sports. The average service life of a prosthesis, if all recommendations are followed, is 15-20 years. After this, a repeat operation is necessary to replace the worn endoprosthesis.

Among all diseases of the musculoskeletal system occurring in patients over 40 years of age, arthrosis of the hip joint occupies a leading place. Coxarthrosis is its more severe, aggravated form. Medicine defines the disease as degenerative-dystrophic, gradually corroding joint tissue. The basis is a violation of metabolic processes. The problem is that it lasts a long time and does not manifest itself in any way at first, when it is still possible to do without surgical intervention. Treatment for arthrosis is quite long.

1. Stages of development of coxarthrosis
2. Treatment in the early stages
3. Prevention measures

An advanced form of coxarthrosis of the hip joint leads to the fact that a person is practically bedridden and cannot move without assistance. Therefore, it is so important to distinguish the symptoms of the disease in the early stages and begin treatment as soon as possible.

Degrees of arthrosis

The disease has four stages of development, each of which is characterized by a certain level of damage.

1. First stage of coxarthrosis.

The most inconspicuous. Pain manifests itself only after intense physical exercise or stress involving the hip joint. Unpleasant sensations pass in a very short time, and the person does not attach any importance to them. However, it is this stage that becomes the basis for further destruction of cartilage. A small percentage of people begin therapy at this stage. Diagnosis using X-rays will not yet show destructive processes, but it is already possible to detect a narrowing of the lumen. The first stage does not provoke lameness, the person walks with a normal gait, movements are not constrained, but it is already necessary to be treated.

2. Second stage of coxarthrosis.

Characterized by the destruction of cartilage tissue. Pain increasingly bothers the patient even at rest; it can radiate to the groin area, knee, or lower back. Doctors suggest treating with hormonal drugs. Atrophic changes in the muscles are noted - they gradually lose their strength, so a different gait, lameness, and morning stiffness syndrome appear. The strength of the symptoms also depends on whether unilateral or bilateral coxarthrosis occurs. Accordingly, a person is worried about either one hip joint, or both at once. It is becoming increasingly difficult to cure the disease.

3. Third stage.

Severe pain occurs, even with rest, but with careless movement. The gap between the joints is practically invisible on an x-ray, there is a tendency for the bones to fuse, and the person becomes disabled. Treatment is inpatient, surgery is required.

4. Fourth stage.

Characterized by complete fusion of bones with each other, the person is immobilized. This is the most severe, extreme degree of the disease, which cannot be cured.

Methods of therapy

1. Treatment of coxarthrosis at the first stage.

It is carried out on an outpatient basis, comprehensively. Some measures from the list are used by people for preventive purposes if it is known that there is a risk of disease due to age or other factors. Since at the stage of first degree coxarthrosis a person does not yet feel significant discomfort, it is very difficult to convince oneself that treatment is really necessary to prevent further destruction of cartilage tissue.

At the very beginning of the procedures, the patient needs to adjust his lifestyle:

• do not lift heavy objects;
• limit the duration of walking;
• exclude running, squats;
• follow a certain diet.

The next step in the fight against grade 1 coxarthrosis of the hip joint will be physical therapy. It should be carried out under the guidance of an experienced trainer with a strictly selected individual program that will take into account all the nuances of the disease in this case, as well as age. A lower back massage is helpful. This will relax the muscles, increase blood circulation, metabolic processes and regeneration of body cells. It is done when the patient has no pain symptoms in the joint area.

Already at this stage, the person will be offered to undergo a course of physiotherapy treatment. It includes:

• magnetic therapy;
• electrophoresis with novocaine;
• laser therapy;
• paraffin therapy;
• mud therapy;
• ultrasound therapy.

Usually, after undergoing the prescribed number of physiotherapeutic procedures, a person feels much better, and the doctor notes that destructive processes have stopped or are significantly inhibited.

If the doctor sees the need for drug treatment at the first stage, he prescribes:

• chondroprotectors, such as Dona, Artra and others;
• muscle relaxants against muscle spasms: Mydocalm, Sirdalud;
• means for restoring the regeneration of body tissues (in the form of intramuscular injections and tablets);
• anti-inflammatory drugs for external and internal use. The most famous and widely used is Diclofenac;
• to improve local microcirculation, Cinnarizine and Pentoxifylline are prescribed;
• swelling is relieved with non-hormonal anti-inflammatory drugs (Meloxicam).

One of the newest revolutionary methods of treating coxarthrosis is plasma lifting. It helps restore bone and cartilage tissue in the body. There are a number of techniques that allow you to treat grade 1 coxarthrosis at home. These include:

• Applying cabbage leaves smeared with honey.
• Rubbing. To do this, take alcohol, honey, iodine and glycerin in equal doses and leave for 3 hours. Then soak a cotton cloth with the medicine and wipe the joint with massage movements that should go from bottom to top.
• Grind three lemons, 120 g garlic, 250 g celery in a blender. Place the mixture in a three-liter jar, pour boiling water to the top, and cover. The medicine should stand overnight, after which it is taken for a month, 70 grams half an hour before meals in the morning on an empty stomach.

Physical education classes show high effectiveness. A person can perform them at home and thus be treated, but must remember that the movements must be smooth and not cause pain. You can perform almost all exercises to warm up the joints of the legs and hips, the only caution concerns squats. Sometimes they put a lot of stress on the cartilage tissue, especially if done incorrectly.

2. Treatment of coxarthrosis of the 2nd degree.

At this stage, the patient will need to be treated continuously and undergo maintenance therapy every 6 months. Only with this regimen will it be possible to avoid surgery or postpone it for as long as possible. All actions are aimed at preserving the remains of the damaged joint and preventing the bones from deteriorating even more.

As for the treatment of deforming arthrosis of the second, deeper degree, it takes place, as is customary, in a hospital. Involves taking the same drugs, but with a different dosage; preference is given to the intramuscular or intravenous route of administration. In some cases, hormonal therapy is prescribed.

In addition, doctors advise adhering to the following recommendations in the fight against coxarthrosis of the hip joint of the 2nd degree:

• Lead a healthy lifestyle, drink enough high-quality water, optimize your diet, enrich it with foods that help joint tissue (sunflower seeds, sesame seeds, vegetable oils).
• Pay attention to weight. Extra pounds create additional stress. This is enemy number 2 (after physical inactivity). To do this, you can go on a diet.
• Manual therapy and massage make a huge contribution to the success of treatment.
• The patient will have to always remember about the disease of the joint and try not to overload it again.
• Gymnastics with a set of exercises on the joints will prevent the fusion of bone tissue and slow down destructive processes.
• For stage 2 coxarthrosis, taking chondroprotectors is very effective.
• Swimming is a great way to relax the entire musculoskeletal system, relieve joints, without depriving them of movement.

It is easy to treat coxarthrosis at home, in parallel with drug therapy. Yes, this is a longer type of treatment, but with a disciplined approach it is sure to give good results.

• At home they use all sorts of ointments/tinctures/applications and rubbings prepared with bee products. Wraps with larkspur and elecampane leaves are good. Coxarthrosis of the second degree still responds to traditional medicine.
• Another option is to do the wrap at night. To do this, take 1 egg white, beat it well and mix it with a tablespoon of flour. Apply to the affected area, insulate it, and wash off in the morning with warm water.
• Marsh cinquefoil is a plant with excellent healing properties for joints. Ointments are made from it, as well as tinctures that are taken orally. They are also sold ready-made in pharmacies.
• Baths are a pleasant procedure performed at home. Brewed nettle decoction is added to the font; pine extract has a beneficial effect on the body. It is useful to sting the joint area with fresh nettle to improve blood circulation, metabolic processes, and regeneration.

The question of performing an operation to replace a hip joint with an artificial one may arise if the joint is completely destroyed, there is an active tendency towards fusion of bone tissue, and the disease cannot be cured by other methods.

Prevention

In order to never encounter joint problems, you need to adhere to the simplest recommendations throughout your life:

1. lead an active lifestyle, avoid prolonged sitting or staying in the same position;

2. eliminate bad habits, alcohol - only in very moderate doses;

3. control weight, follow a diet;

4. often take walks in the fresh air;

5. do exercises every day for literally 10-15 minutes.

Treatment of coxarthrosis is a long process. The most important thing is not to miss the initial stages, not to ignore the symptoms and to start therapy on time, without which a person can become disabled.

Coxarthrosis is a pathology of the articular cartilage of the hip joint. In a healthy state, hyaline cartilage and articular (synovial) fluid ensure smooth functioning of the hip joint. When pathology occurs, the properties of the synovial fluid change, the lubrication of the cartilage decreases, and the sliding of the ilium and femur becomes tight. In this article we will consider the features of the course of the disease at different stages - first, second and third.

Coxarthrosis begins with changes in the articular cartilage, which becomes significantly thinner

How to avoid disability

As the disease progresses, the picture gradually worsens, and the articular cartilage becomes covered with microcracks. At the last stage, pieces of cartilage enter the altered synovial fluid, and the bone tissue itself begins to be injured.

To avoid disability, treatment should be aimed at performing the following tasks:

• relieve pain;
• improve nutrition of the cartilage tissue of the hip joint;
• activate blood circulation;
• reduce pressure on the articular head of the femur (reduce weight, stop lifting heavy objects);
• strengthen the muscles surrounding the sore joint;
• increase the mobility of the hip joint.

Who is susceptible to the disease

Symptoms of arthrosis of the hip joint can appear both in children (with dysplasia) and in adults (mainly after 40 years). Predisposition to the disease is more common in patients who have been overweight for a long time. Women get it more often than men.

Coxarthrosis of the 1st degree is most often found in athletes and people leading an overly active life - this is associated with injuries to the joint and its overload. It is noteworthy that people who are not at all interested in sports may also experience symptoms of coxarthrosis. A sedentary lifestyle and lack of physical activity (when even morning exercises are ignored) are almost always combined with excess weight, metabolic disorders and disruption of the hormonal system - and this is also the cause of coxarthrosis.

1st degree

Arthrosis of the hip joint is diagnosed in both children and adults

The main symptom of grade 1 coxarthrosis is periodically occurring mild pain in the hip joint, descending to the knee, especially after long walking or other physical activity. The pain goes away after a long rest.

With fluoroscopy, you can see small bone growths that are “hidden” deep in the joint and do not extend beyond its limits. There is an uneven narrowing of the joint space, the head and neck of the femur are not changed.

In order to cure and preserve the joint, it is important to start treatment at this stage, which most patients do not do, hoping that it will “go away on its own.” However, time passes, and one day, due to excessive stress, severe exacerbations occur, which can tie a person to bed for many months.

Identified arthrosis at this stage can be almost completely eliminated. Sometimes treatment can only be done with gymnastics. In more serious cases, drug treatment of coxarthrosis is prescribed, which includes the use of the following groups of drugs:

1. NSAIDs (piroxicam, diclofenac, indomethacin, meloxicam, ketoprofen). Prescribed as anti-inflammatory drugs to reduce groin pain.
2. Chondroprotectors. Substances that nourish cartilage tissue are very useful at the initial stage of disease development and allow you to restore microdamage.
3. Muscle relaxants. They are prescribed to eliminate muscle spasms (sirdalud, mydocalm) in combination with chondroprotectors and traction of the hip joint. Treatment with these drugs must be carried out carefully, since muscle spasm is often a protective reaction of the body.
4. Ointments, creams. They are auxiliary means for the diagnosis of “first degree coxarthrosis”; they alleviate the patient’s condition, but do not cure coxarthrosis.

Hirudotherapy is very useful in stage 1 - treatment with “leech enzymes” is very similar to the effect of chondroprotectors and is aimed at improving blood circulation.

A diet for coxarthrosis of the hip joint is mandatory - to reduce excess weight, if any, as well as increase calcium in the body and improve metabolism.

2nd degree

To treat coxarthrosis, it is necessary to perform special exercises

Coxarthrosis of the hip joint of the 2nd degree has the following symptoms: the patient feels severe pain when walking and at rest in the groin area, after a long walk lameness begins; the muscles that are responsible for hip extension and abduction gradually atrophy. Other symptoms of second-degree coxarthrosis: clicking sounds in the joints, dystrophy of the gluteal muscles begins.

In case of coxarthrosis of the 2nd degree (arthrosis), bone growths are visible in the image, the head of the femur is enlarged in size, expanded, has uneven outlines, deformed bone tissue is observed, and cysts are often formed. The joint space is significantly and unevenly narrowed.

Coxarthrosis of the 2nd degree can also be treated with conservative methods. Drug treatment includes the same drugs as in the treatment of stage 1 coxarthrosis, but with a higher dosage due to the complications that have arisen.

In addition to drug treatment, the patient is prescribed the following procedures:

• manual therapy;
• hardware traction;
• massotherapy;
• physiotherapy.

The exercise therapy complex (therapeutic gymnastics) includes more gentle exercises than in the case of exercise therapy for first-degree coxarthrosis. Achieving results and improving the patient’s condition can only be done by strengthening the muscles, “pumping the blood vessels,” and activating blood flow in the area of ​​the affected hip joint.

Much attention should be paid not only to treatment - it is important to balance nutrition for coxarthrosis of the hip joint. Particular attention should be paid to the following products:

• seafood;
• dairy products;
• nuts;
• fruits and vegetables;
• herbs (especially dill, garlic, parsley);
• oatmeal;
• lean meat.

3rd degree

Treatment at stage 2 of coxarthrosis is effective using conservative methods

Coxarthrosis of the 3rd degree is characterized, first of all, by the fact that pain begins to bother the patient even at night. It is during this period that disability is usually assigned. The patient is forced to walk with a cane to reduce the load on the joint. Another symptom of grade 3 is the fact that the hip joint becomes stiff, the gluteal and femoral muscles atrophy, resulting in the formation of a shortened limb, and the pelvis tilts to the frontal plane with a shift in the center of gravity.

The third degree of arthrosis is characterized by a very strong thinning of the hyaline cartilage, a significant deterioration in the structure of the synovial fluid. Coxarthrosis of the 3rd degree is diagnosed when extensive bone growths, severe narrowing of the joint space and widening of the femoral neck are visible on x-rays.

At the first stage, sometimes coxarthrosis can be treated without pills. In the second stage, you must take medications, but they are not so strong. But coxarthrosis of the 3rd degree is treated with the help of strong medications - non-steroidal anti-inflammatory drugs, steroid, corticosteroid and glucocorticosteroid drugs.

Physiotherapy, unfortunately, cannot treat advanced forms of arthrosis. It will only help reduce the symptoms. Laser, shock wave, magnetic therapy and electrophoresis are mainly used.

It is important to remember that during the period of exacerbation of the disease, treatment cannot be combined with gymnastics. Exercise therapy needs to be suspended. The doctor will tell you when it will be possible to resume exercises, select the most optimal movements for the patient and prescribe a regimen for their sequence and repetition. Nutrition for grade 3 coxarthrosis follows the same rules as diets for grades 1 and 2.

If conservative treatment of coxarthrosis fails, an operation is needed, during which the affected bone is replaced with an artificial analogue. With proper rehabilitation after surgery, it is possible to quickly return the patient to the full range of movements.

Disability is granted according to indications if the patient cannot move without assistance (crutches), much less work.

Arthrosis of the hip joint (coxarthrosis) is a degenerative-dystrophic disease in which the surface of the femoral head is lined and hyaline cartilage is destroyed. The disease occurs most often in women over 40 years of age and in older men. Such early damage to the hip joint in women is explained by anatomical features.

In the early stages, coxarthorosis can be treated quite effectively with medications and folk remedies. Arthrosis of the 3rd degree is almost impossible to cure with medication. That is why, at the first signs of the disease, it is necessary to consult an orthopedic doctor who will prescribe individual treatment.

Causes of arthrosis of the hip joint

Coxarthrosis is divided into two categories:

1. Primary arthrosis occurs and develops for no apparent reason.
2. Secondary arthrosis is a disease that occurs against the background of previous joint injuries.

In any case, the picture of the disease is always the same. At the initial stage, the articular cartilage becomes thinner, changes and ceases to absorb loads. Its dissection is compensated by bone growths, which leads to deformation of bones and joints.

To the main causes of arthrosis hip joint may include:

• inflammatory processes;
• injuries;
• advanced age;
• harsh working conditions and constant physical stress on the joint;
• hormonal disorders;
• various neoplasms;
• poor circulation in the joint area;
• degeneration of the synovial membrane in the joint into cartilaginous tissue;
• diseases in which the joint is affected by bacteria (tuberculosis, gout, Perthes disease and others);
• disruption of metabolic processes in the body;
• necrosis of the femoral head;
• sedentary lifestyle;
• hip dysplasia, which most often occurs in newborns;
• curvature or wasting of the hip bones;
• genetic predisposition;
• excess weight, which puts more stress on the joint;
• prolonged exposure to stress and depression.

At the initial stage of the patient's disease The only concern is the feeling of discomfort and slight pain in the hip area. These signs are most often ignored, as a result of which coxarthrosis begins to progress.

The main symptoms of arthrosis of the hip joint

Ignoring the disease in the initial stages can lead to serious consequences. Therefore, it is recommended to know the symptoms of coxarthrosis so that you can identify the disease as early as possible and consult a doctor in time.

Signs and symptoms of arthrosis:

1. Crunching in the joint when moving.
2. Limited and stiff limb movements.
3. Gait disturbance and lameness.
4. Pain in the joint area, the nature of which depends on the degree of coxarthrosis.
5. Weakening of the thigh muscles, which is observed at stage 2 of the disease.
6. Impaired motor function, which occurs due to the fact that it is painful for the patient to move.
7. At stage 2, the femoral head is deformed and moves upward.
8. At stage 3, the femoral head expands, due to which the joint space narrows.

When diagnosing arthrosis, you can see on x-ray bone growths and atrophy of muscle tissue in the thigh area.

Arthrosis of the hip joint 1st degree: treatment

The initial stage of the disease is characterized by pain in the hip or joint, which occurs during physical activity and subsides after rest. There is no gait disturbance and joint mobility is not limited.

For coxarthrosis of 1st degree The following happens in the hip joint:

• the consistency of the liquid becomes viscous;
• the fluid loses its properties, due to which joint movements are limited;
• cartilage tissue begins to break down;
• microcracks form.

The first stage of arthrosis of the hip joint is quite easy to treat. First of all, specialists offer drugs that relieve swelling and pain. For this purpose it is prescribed:

• Diclofenac.
• Ketorol.
• Piroxipam.

Since these drugs have many side effects, long-term use is not recommended. And if after using them the pain does not go away, the doctor may prescribe Movalis, which has a similar effect, but fewer contraindications.

Treatment at the initial stage includes the use of muscle relaxants, which relax the muscles, thereby relieving spasms. After taking these drugs improves blood circulation and relieves pain.

The use of vasodilating drugs Trental and Cinnarizine is aimed at improving the functioning of the circulatory system. Thanks to them, blood begins to actively circulate, and the body activates restoration processes in cartilage tissue.

Degeneration of cartilage tissue and its restoration involves the use of chondroprotectors. Drugs such as Teraflex, Artroglycan, Dona and others stop the progression of the disease and are able to influence the body even for some time after their discontinuation.

Principles of treatment for stage 2 coxarthrosis

When treating arthrosis of the hip joint in the initial stages, it is necessary adhere to the following expert recommendations:

1. Provide the affected joint with gentle treatment.
2. Bring excess body weight to an optimal state.
3. Maintain a proper and healthy diet, which includes a mineral and vitamin complex that supports the musculoskeletal system.
4. Take chondoprotectors, which are especially effective in the initial stages of the disease.
5. Attend physical therapy procedures.
6. Do joint exercises that will not allow bones to “ossify” and muscles to atrophy.
7. Use manual therapy, which, together with massage, can help the patient get rid of the disease.

As soon as the first symptoms of arthrosis of the hip joint appear and the diagnosis is made by a specialist, diseased joints must be protected. To do this, you should eliminate excessive loads on them, limit the duration of runs, give your legs rest while working, and get rid of excess weight.

However, physical activity cannot be completely excluded, as this is fraught with muscle atrophy. It is very important to maintain a balance between stress on sore joints and rest.

Health-improving gymnastics

Complex treatment of coxarthrosis in the initial stages must necessarily include exercise therapy or yoga. With their help, “the blood accelerates through the veins,” the muscles of the corset are strengthened, and the mobility of the joints increases.

You should not be too zealous when doing exercise therapy. Physical therapy is not a sport. Too much physical activity can quickly destroy the thin layer of hyaline cartilage. As a result, acute pain will occur in the hip joint.

At home, a very effective exercise for the treatment of arthrosis is "a ride on the bicycle" which is performed while lying on your back. You can also include riding an exercise bike, cycling, swimming, and skiing in the exercise therapy complex.

Physiotherapy

When treating arthrosis of the hip joint in the initial stages, experts recommend physiotherapeutic procedures. They relieve inflammation, increase blood circulation and reduce pain. Such procedures include:

• laser therapy;
• electrophoresis;
• magnetic therapy;
• shock wave therapy.

Massaging the inner thighs, lower back, legs and buttocks is another important link in the treatment of coxarthrosis. With the help of massage in the problem area, blood flow increases, which helps deliver nutrients to the sore joints. Besides, muscle tone increases, pain is reduced and spasms are relieved.

Medical treatment of stage 2 coxarthrosis

Mirorelaxants, non-steroidal anti-inflammatory drugs and non-aggressive painkillers are added to the drugs used in the treatment of arthrosis of the 1st degree.

All medications are prescribed by the attending physician. They can be used both in the form of ointments, tablets, and injections directly into the affected area. Such injections are performed by specially trained medical personnel.

Osteoarthritis of the hip joint 3rd degree: treatment

The third stage of coxarthrosis is characterized by:

• excruciating pain;
• joint deformation;
• shortening of the lower limb;
• change in gait;
• atrophy of muscle tissue;
• restrictions in movements;
• destruction of hyaline cartilage tissue;
• spread of bone formations;
• severe narrowing of the joint space.

Stage 3 arthrosis is treated only surgically, since no medications can restore cartilage. During surgery, the diseased joint is replaced with an endoprosthesis, one part of which is implanted into the pelvic bone, and the other into the femur. Currently, these are gentle operations, after which patients undergo long-term rehabilitation and return to normal life.

Treatment of arthrosis of the hip joint with folk remedies

There are a large number of different decoctions and medicinal potions that can help in the early stages of coxarthrosis. Most recipes are based on the use of medicinal plants and herbs. In addition to them, treatment with poison and honey, medicinal baths, acupuncture, and clay therapy are good for arthrosis.

The most effective recipes treatment of arthrosis of the hip joint:

1. You can rub a herbal decoction, which is prepared from the white foot, into the sore joint. 200 g of raw material is twisted through a meat grinder and 400 g of pork fat is poured. The resulting mixture is simmered over low heat for 10 minutes. Use only chilled.
2. You can restore the cartilage tissue of the joint with the help of healing jellied meat. To prepare it, a kilogram of beef hooves is boiled in two liters of water for 4 hours. The result is jellied meat, 200 g of which should be eaten daily half an hour before the main course.
3. For three months, it is very useful to drink lemon water prepared with three lemons, 250 g of celery and a head of garlic. All ingredients are ground, poured with 3 liters of boiling water and left for 24 hours. You should take lemon water in the morning, 30 minutes before meals.
4. An alcohol tincture of cinquefoil, which is prepared from 60 g of raw materials and half a liter of vodka, is very useful for arthrosis. After the mixture has been infused for a month, it is taken 30 drops three times a day before meals.
5. For the treatment of the first degree of coxarthrosis, it is recommended to use lemon tincture. To prepare it, three unpeeled fruits are cut into cubes and poured with 3 liters of boiling water. Three tablespoons of honey are added to the resulting mixture. Everything is mixed, cooled and taken for a month, one glass a day.
6. Quite often, experts advise taking baths with honey, sea salt, pine branches or Jerusalem artichoke for arthrosis of the hip joint. It is best to take baths in the evenings, so that afterward you can draw a mesh on the sore joint with iodine and pork fat, insulate it and leave it until the morning. You can warm the sore spot after a bath with a mixture of fir and tea tree oils or a compress of honey and horseradish gruel. They should be kept on the joint for about two hours.
7. The use of celandine oil is very effective in the treatment of arthrosis. It is prepared from olive oil, which is poured into eight tablespoons of chopped herbs. In a dark place, the mixture is infused for 20 days, after which it is rubbed into painful areas. The part of the body treated with oil is wrapped in a warm cloth and left overnight. Instead of celandine, you can use cloves and eucalyptus.

When using folk remedies, you should remember that they are not the main treatment for coxarthrosis. With their help you can just improve the condition a little patient and relieve the main symptoms. Alternative medicine helps rather slowly, but for other human systems and organs they are completely harmless, which cannot be said about medications. However, before using such products, you must always consult a specialist.

Prevention of arthrosis

Prevent the development of coxarthrosis timely prevention will help, which should be carried out throughout life, and especially after 40 years of age. To do this you need:

• exercise;
• give up a sedentary lifestyle;
• get rid of excess weight;
• Healthy food;
• consult a doctor in a timely manner.

Treatment of arthrosis of the hip joint 1 and 2 degrees must be comprehensive and versatile. Only such therapy, carried out over several months, will help achieve positive results. A timely diagnosis and timely initiation of comprehensive treatment will save the hip joints from pain and the patient from disability.