Coksarrosis

What is this disease with such a complex name: Coksarrosis?.. This disease is a deforming osteoarthritis of the hip joint and, often, is also called osteoarthrosis of the hip joint.Currently, cookyrosis is a leader among diseases of the musculoskeletal system, which is degenerative-devophistic nature.There are many reasons for the appearance of Coxarthrosiss's disease and, in this sense, this ailment has been generalized in all age groups.

Cooksarrosis belongs to osteoarthritis that do not have an inflammatory nature, in which at the beginning there are changes in a degenerative-dystious nature in the cartilage of the hip joint, which aligns the surfaces of the joint bones, and in the posterior stages there are already direct bone changes.In the course of such a gradual development coxarthrosis course, there is a violation of the naturally normal functions of the articulation of the affected hip, which, ultimately, leads to a violation of the functions of the musculoskeletal apparatus of a sick person, in general.

For the most part, the osteoarthritis of the hip joint is suffered by people over forty years old.Of course, coxarthrosis, like other diseases, seems possible to treat successfully without surgical intervention, but only in its early stages.But in its subsequent stages, it is unlikely to be possible to dispense with surgery, and only one thing can help avoid disability: the articulate articular coxarches prostheses.Unfortunately, sick people, without joining small pains in the hip joint in the initial stage of the disease, avoid looking for a doctor and the osteoarthritis of the hip joint, while continuing to progress the day after the day, gradually becoming a more careless way.

How cookardisis develops

Let's look at the mechanism for the development of disease coxarthrosis.And we begin with the fact that the hip joint consists of two bones:

1. The end of the femur more, similar to a ball;
2. the turn, similar to a small exuberance of billiards located in the iliac part of the pelvis;
3. A special articulation cartilage on the surface of both bones, which resembles a substance as a sponge and is necessary as a shock absorber, which is compressed during the movement and straightened in its absence;
4. as well as the ligaments that form the cavity of the hip joint and, therefore, form the Board capsule.

Surrounded by the joint, in addition, there is muscle tissue, somehow femoral, gluteus and other muscles, on the functionality on which the state of the hip joint also depends.

During the movement, when compressing the joint cartilage, a specific fluid is "tightened" in the joint, which is a type of lubricant for the bones that are articulated in the joint.In addition, the articular cartilage itself also performs the function of the uniform distribution of the loads to the articulation surface, being an excellent shock absorber during the movements.

The very appearance of Coxarthrosiss, is mainly due to the fact that the power of the hip joint cartilage is altered.The cartilage becomes thinner and subsequently disappears in some places.If you do not take measures to stop this process, then in those places where the cartilage cartoon described above occurs, the bone itself will grow directly, trying to "fill" the emptiness of the articular cavity with itself.As a result of such bone changes, therefore, osteophytes begin to appear, that is, "peaks" in the bones.These deformations, in turn, lead to a violation of the congruence of the bones that are articulated in the hip joint and the subsequent "abrasion" of the still healthy sections of the joint cartilage.

The causes of the osteoarthritis of the hip joint

The causes of the coxarchesis through which they arise can be divided into primary school, with an unclear and secondary etiology, as a result of other diseases, for example, such as:

• Dislocation of the thigh, which is innate;
• femoral dysplasia;
• Aseptic necrosis of the femoral head itself;
• Previously transferred several injuries, such fracture of the thigh neck;
• Allow disease;
• inflammatory processes in the hip joint;

Since coxarthrosis disease is found not only for one, but at the same time both joints of the hip, it is very possible to say that bilateral cooksis is a rarity.Although with primary coxirts, the knee joint or spine is often also affected.

Coxarthrosis symptoms

The first symptoms of coxarthrosis depend directly on the degree of damage to the hip joint, as well as the stage of development of this disease, and the main ones are:

• The pain manifested during the movement, in the hip joint, and disappears at rest;
• Load rise;
• rigidity that appeared in the hip joint;
• Progress down the amplitude of hip movements;
• The weakness of the femoral muscles and a remarkable decrease in its volume.

Separately, we consider the symptoms of coxarcheosis depending on the degree of the disease with this ailment:

• Symptoms of the first degree of coxarthrosis: in the hip joint there are pains that are moderate, and only after the joint was subjected to intensive load for a long time.After eliminating load and rest, this syndrome stops completely.In the first degree, the symptoms of the cookyrosis of the march remain ordinary and the volume of the joint movements does not change.
• Symptoms of the second degree of coxarthrosis: the pain in the hip joint feels more intense than in the first degree, but in addition, they are projected in the inguinal region.Due to developing muscle atrophy, the knee begins to get sick and knee, and often quite strongly.Sometimes, with the symptoms of second -degree cokesartrosarche, pain begins to appear at rest, and after the load in the affected joint, a fairly long break is required to stop it.Close begins to appear when running or walking for a long time.At the same time, the strength of the hip muscles is quite reduced, and the volume of joint movements is also underestimated.
• Symptoms of the third degree of coxarthrosis: a pain syndrome constantly pronounced in the hip joint, without even passing after an extremely long or constant rest at rest, even at night.The pain has already been completely affected by the entire leg.In the context of pain, the sick man develops insomnia and several sleep disorders.There is a strong atrophy of the muscles of the thigh, the buttocks and the legs, while the volume of the joint of the joint is almost minimal.When walking, a sick person to move is forced to resort to auxiliary media, such as a cane, for example.

If the arthrosis of the hip joint develops only in the joint of the hip of one leg, then its weakened femoral muscles give a boost to the development of the lateral displacement of the pelvis, because the length of the leg with the joints affected by coxarches decreases.

Diagnosis of cookardrosis

When performing the diagnosis of coxarthrosis, the symptoms of coxarchesis are taken into account, described above, in combination with the data obtained from an X -ray examination of the patient.Such a technique provides the possibility of determining not only the very degree of coxarcher, but of identifying the causes that served as a catalyst for the development of coxarchesis.The radiography provides an excellent opportunity to determine the changes specifically caused an injury in the area of the hip joint, which is directly related to the mechanisms of the development of coxarchtosis.

In addition to the diagnostic methods already listed, you can also use computed tomography methods and images of magnetors, providing the possibility of a detailed exhaustive study of developing pathology, such as, for example, bone tissue, whose deformation is a satellite of this ailment.As for magnetic resonance, this method still allows the evaluation of the pathological disorders to which the soft tissues surrounding the joints affected by coxarthrosis were subjected.

Treatment of hip joint osteoarthritis

The choice of treatment for cookardrosis depends directly on the symptoms of this disease and its stage.Typically, in the first and second degree of osteoarthritis of the hip joint, a traditional preservative pharmacological therapy is carried out, which consists of an intake of condoprotectors, vasodilatory drugs and, according to the indications, also muscle relaxants.In the period of time in which coxarthrosis is especially acute, non -steroid anti -inflammatory drugs are also used.It should be taken into account that this treatment must be performed by a specialist, since drug authorization, unlike traditional medicine, can have an extremely negative effect on the patient's internal organs and completely suppress the ability to restore hyaline cartilage.

In addition, with the osteoarthritis of the hip joint, several physiotherapeutic procedures and exercise therapy are prescribed.

Especially effective, combined with the traditional pharmacological treatment of osteoarthritis of the hip joint, is the use of the magnetotherapy method.The Magnetotherapy method in the early stages is especially effective: it avoids distributing changes and returns the disease.In the posterior stages, the method increases the performance and quality of life, reduces the risk of complications in the affected joint.

The impact on the body of the patient with coxarshrosis does not have a therapeutic effect directly with a diet, but it is recommended to obey people to reduce body weight, since it allows reduce the load in the affected joint, thus facilitating acute symptoms of coxarcheros.

As for the third degree of coxarchesis, whose symptoms are more painful, treatment, as such, is performed only through surgical intervention, for example, an endoprothetic hip joint is performed.

Endoprosthesis includes components that are functional analogues of the hip joint.This orthopedic product is installed within the limb, which is determined by its name (endo - of the "internal" Greek).An artificial substitute for the hip joint performs a musculoskeletal function, but unlike the natural joint in it, the lubricating fluid does not occur.Yes, it is not necessary, since this prosthesis is made of materials that, without lubrication, are easily slid and do not destroy.

Statistical data indicate that after surgery, the absolute restoration of the functions of the extremities with the deforming osteoarthritis of the hip joint is achieved in 95% of the cases, which allows us to subsequently lead a fairly active lifestyle.

The life of such a prosthesis is approximately 15 ... 20 years, but at the end of its service, a second operation is required to replace a worn endoprosthesis.

TAKE INTO ACCOUNTIt is important!Do not diagnose!In the case of the symptoms of coxarthrosis, you should consult an orthopedic doctor, since only a qualified specialist can make a correct diagnosis and prescribe the most optimal treatment.

COXARTROSIS PREVENTION

Coxarchesis disease can also be avoided if the necessary prevention of cooksis is performed:

• Mandatory and timely treatment of articulations diseases that are inflammatory;
• timely treatment of joint dysplasia;
• Correct and reasonable obligatory physical activity, especially exercises with weights that must be carried out correctly;
• Mandatory control of your body, with its maintenance normally;
• The prevention of articular injuries.