Treatment of hip osteoarthritis

Hip arthritis is one of the most serious financial-assisted malnutrition diseases of the musculoskeletal system. The disease quickly leads to a reduction in sports activities, often changing the nature of people's sports, resulting in inability to exercise independently and disability. Decades ago, hip joint disease was considered as one of the "aged diseases", but since the beginning of this century, a high incidence of young and middle-aged patients has been recorded, which is related to various reasons.

Statistics

Osteoarthritis is the most common pathology of the musculoskeletal system, which occurs in 70% of adults. Hip joint disease -25% of orthopedic patients. Up to 30% of patients diagnosed with hip joint disease are contraindicated, have disabilities and require joint replacement surgery.

The disease occurs between 20-25 years old and the average age of onset is 37-39 years old. It develops with age. This is related to the coexisting pathological conditions of the musculoskeletal system and bone loss. In middle-aged patients, the prevalence of hip arthritis is 11%, and in people over 85 years of age-35%. In children and adolescents, hip joint disease is the result of congenital dysplasia of the joints, which accounts for 1% of newborns.

Reasons for development

The reasons leading to the development of hip joint arthritis have different meanings, depending on the age and general health of each patient:

• Congenital disease of the normal anatomical shape of the joint-femoral neck deformity, congenital hip dislocation;
Due to the process of malnutrition (age-related) in the joints, the femoral head is deformed.
• Trauma—fracture, dislocation, non-physiological movement, including exercise, joint load;

• Infectious and inflammatory diseases-tuberculosis, osteomyelitis, etc. ;
• Rheumatoid arthritis and other systemic diseases (allergies, metabolism);
• If the exact cause of the disease has not been determined, but it develops spontaneously, the term "idiopathic hip joint disease" is used.

Symptoms of hip arthritis

Pain is the main symptom. Their severity and the occurrence of other comorbidities depend on many factors, especially weight, lifestyle and age. In the initial stage, patients will find moderate intermittent pain in the hip joint. This pain mainly occurs during physical exertion and occurs on its own. Then, the pain starts with a light load and does not disappear until resting, and "shoots" at the knee joint. The mobility of the joint or both joints is restricted.

The patient was forced to restrict physical activity, lazy, and appeared "duck gait". In the final stage, constant pain was observed, the mobility of the hip joint was severely restricted, and only crutches or crutches could be used to walk, and patients who needed 24/7 assistance were disabled.

Development

As the disease progresses, the hip joint gradually collapses and completely loses its function.

The articular cartilage becomes thinner and the joint space becomes slightly narrower. The bone tissue beneath the cartilage becomes denser. At this stage, pain will occur after exercise.

In the second stage, cartilage destruction continues to develop. Marginal osteophytes appear-bone growth. The joint space becomes narrow. Pain occurs when walking, which limits the mobility (contraction) of the joints.

In the final stage of hip joint disease, the bones grow extensively, the femoral head is flattened and subluxed, and the joint space actually disappears. Sustained severe pain and obvious limitation of joint range of motion.

Arthritis diagnosis

If you feel pain in the groin area, limited joint movement and other symptoms mentioned above, you can consult a therapist, but the leading medical expert in the diagnosis and treatment of hip arthritis is an orthopedic surgeon.

The main method of diagnosing hip arthritis is radiography. This is a useful method that allows you to accurately assess the structural changes in the affected joint. Due to its cost-effectiveness and affordability, combined radiography is still very widely used. X-ray computed tomography is a more informative (but expensive) method. Magnetic resonance imaging (MRI) of the joints can also be used. It is used to detect arthritis in the pre-X-ray stage (when the X-ray is still unchanged), and to make differential diagnosis.

Treatment of hip joint stenosis

In the early stages of hip disease, as the disease progresses, conservative methods of physical therapy (including exercise therapy, massage therapy, and physical therapy, especially water and mud therapy) are the first choice for physical therapy. Among physical therapy techniques that have been proven to be good, magnetic therapy can also be different.

Magnetic therapy for arthritis has many uses. Under the influence of the magnetic field in the body, the regeneration process including bone tissue is activated and blood circulation is improved. The latter point is particularly important, because in osteoarthritis, the blood supply of the joints is insufficient, so there is a lack of nutrients to maintain the normal state of cartilage and bone tissue, which will aggravate the pathological changes of the joints. Improving the blood circulation in the hip joint area helps restore the flow of essential nutrients to the joints and activates the metabolism of bone and cartilage tissues. This is the basis for the positive effect of magnetic therapy in hip joint disease.

Moreover, due to the enhancement of metabolic processes and the release of certain biologically active substances, the anti-inflammatory and analgesic effects of magnetic therapy can be observed.

Recommended diet therapy to normalize metabolism and reduce weight. Combined with a reasonable diet, you can use auxiliary preparations (drugs and biologically active drug additives) that affect the metabolism and recovery process in the musculoskeletal system-based on glucosamine and chondroitin (chondrogenic agents), minerals and vitamins, standardized plant extractsThings.

Preparations with anesthesia and anti-inflammatory effects, namely NSAIDs, GCS, muscle relaxants and some other preparations, can be used in all stages of arthritis to eliminate pain and inflammation. Under the supervision and prescription of a doctor, the dosage should be strictly controlled.

In the second or third stage of the disease, it is recommended to continue conservative treatment or surgery according to the symptoms and the patient's condition. Currently, using various surgical methods, the best results can be obtained through total joint replacement-replacement of the hip joint (full recovery of joint function and human mobility).

In terms of surgery and conservative treatment, medications, dietary treatments and lifestyle changes, physical therapy and hydrotherapy are also recommended. Physiotherapy techniques in complex treatment can reduce the amount of drugs and reduce the burden on the body, help to recover faster after the operation, and improve the overall condition of the patient. In particular, magnetic therapy has shown good efficacy and tolerance even in frail elderly patients and people with chronic diseases of the nervous and cardiovascular systems.

Prevent hip joint arthritis

As a preventive measure, early detection of hip joint abnormalities is very important. If you notice symptoms (pain, inconvenience) in the hip area, you need to see a doctor-first you can see a therapist and then an orthopedic surgeon. The therapist can prescribe initial pain relief methods, recommend the use of chondroprotective agents, and orthopedic surgeons will prescribe special treatments.

Lack of overweight and normal physical activity, under normal circumstances, unable to correct working conditions and lifestyle, and timely treatment of diseases that may be one of the causes of concurrent arthritis (inflammation, joint infectious diseases, congenital joint anatomical defects, Degenerative diseases) malnutrition diseases).