How to treat arthrosis of the hip joint

Damage to articular cartilage and bone deformity in the initial stages of the disease can be treated. The use of alternative medicine, mud baths or acupuncture improves the condition of a person, reduces pain, stops the destructive process. Special gymnastics, cycling, swimming, keep the joints in good shape and prevent the disease from developing. The use of drugs in this case is minimal. If necessary, the doctor prescribes an appropriate course of physiotherapy.

How to treat arthrosis of the hip joint, if diagnosed?

It is necessary to begin the course of treatment with the fulfillment of conditions that cannot be neglected if the patient wants to recover.

  • Lower body mass index if the patient is obese. This is possible by reducing the caloric value of food, reducing the diet of flour products. You can not eat sugar and too salty foods.
  • Reduce the load on the hip joint. Exclude power sports, reduce the time of training, such as jogging.
  • If necessary, take a course of physiotherapy. After diagnosis and determination of the degree of the disease, a course of physiotherapeutic treatment is carried out. In the initial stage of the disease, the following procedures help:
  1. paraffin wraps,
  2. mud therapy
  3. ultrasound exposure
  4. ion therapy
  5. massage and others.
  • Alternative medicine methods should be used in the initial stages of the disease, if they help in the treatment of arthrosis.
  • Maintain a healthy and healthy diet. Calcium-containing foods are useful for repairing damaged areas of cartilage and bone.
  • Stimulating exercises will help joints and muscles not to lose their normal mobility and elasticity.
  • As directed by a doctor, take medications to treat coxarthrosis – chondroprotectors. These drugs retain cartilage, delaying destruction.
  • Manual therapy also contributes to the treatment of arthrosis.

How to lose weight with arthrosis of the hip joint

Excessive fatness is detrimental to human health. In people, joint diseases often occur due to obesity. One kilogram of body weight presses on joints with four times the strength, like a four kilogram weight. Therefore, the primary task in the treatment of arthrosis is the fight against excess weight.

  • LFK – medical physical culture. Scientists and doctors have developed techniques designed for patients with arthrosis, without excessive stress on the diseased joint.
  • Diet for weight loss. A sharp change in diet is unhealthy. You do not need to lose weight dramatically on your own, consult a nutritionist for advice. Proper diet will lead to a positive result.

How to reduce stress on the hip joint

With arthrosis, the cartilage tissue becomes thinner, and human movements become painful. Do not allow stress on the sore joint. Complete immobility, on the contrary, will lead to disastrous results, muscles will atrophy, joints will rapidly collapse. To maintain normal blood circulation in the body, movement is necessary. Therefore, some changes in human life are important.

  1. When climbing up and down the stairs, do not rush, lean on the railing.
  2. When walking, use a supporting tool, such as a wand or cane.
  3. More often to change a pose, the patient should not sit or stand in one position for a long time.
  4. Joint deformation shortens one leg, lameness appears. To avoid this, it is recommended to use orthopedic insoles or linings.
  5. Orthopedic prostheses bring temporary relief, but they can be worn from two to four hours. Fastening prostheses when worn provoke blood stasis in the vessels, blood circulation is disturbed.

Why physiotherapy is needed

It is important to identify the disease, and determine the degree of joint damage in the early stages of symptoms. Accurate clinical diagnosis will help to resolve the issue of whether physiotherapy should be used. At the beginning of the disease, the use of such procedures is justified, but in the last stages, it will not have the proper effect. Treatment is reduced to normalization of blood circulation.

The value of traditional medicine in the treatment of arthrosis

In the treatment of many diseases, alternative medicines, decoctions, tinctures, ointments are used. With arthrosis of the hip joint helps herbal medicine, a green pharmacy. Herbs and herbal mixtures alleviate the symptoms of the disease and slow down the decay of articular tissues.

On the Internet, folk healers, or herbalists, share recipes and treatments. The treatment process with folk remedies is long, you do not need to wait for a quick result. It will be weeks, months, before a person feels signs of recovery. Alternative medicines are good because they do not harm the body, like chemicals.

Use only proven means, bypass unreliable sources, so as not to harm yourself.

Do I need a strict diet for arthrosis

With arthrosis, cartilage is deformed and connective tissue is destroyed. The layer between the bone and cartilage is gradually thinning. Violations of the body’s metabolic processes occur. Unstable blood circulation inhibits the delivery of nutrients to the joints. Normalize metabolism and stop destruction – a task that a strict diet and proper nutrition will help to cope with.

It is necessary to exclude from food:

  • salt (pickles, smoked products, lard, feta cheese);
  • fats (butter, olives, sour cream, mayonnaise, fatty meat, chocolate, nuts);
  • preservatives (canned meat and fish, sauces);
  • flour (products from premium flour).
  • Add to the menu, if not enough:
  • proteins (fermented milk products, low-fat meat and fish, cheese, buckwheat, legumes);
  • collagen (found in jelly, jellied meat, in jellied fish);
  • carbohydrates (vegetables and fruits: cabbage, carrots, apples).
  • Reduce sugar intake.

Proteins restore the microflora of the intestinal tract and improve metabolism. Collagen builds up connective cartilage, replacing dead cells with new ones. Vegetables and fruits contain trace elements necessary for the body to synthesize metabolic processes.

Hip Arthrosis Exercise

The simplest exercises are recommended in basic positions: sitting, standing and lying down. More complex movements are performed using special equipment in the form of stretch marks. The specific movements, the number of repetitions and the time for their execution are determined by the instructor, based on the severity of the disease. Here is a set of exercises by Bubnovsky at home.

Fast running, weight lifting, jumping, squats and sudden movements are excluded. Exercises should be done at a moderate pace, slowly, without loading the damaged joint. The emphasis is on strengthening muscles and stimulating blood circulation. Having become more elastic and stronger, articular muscles protect cartilage and bone from friction, slow down the thinning of the layer. Normal blood flow provides a stable supply of the joint with nutrients and trace elements.

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Exercises should be carried out regularly, gradually complicating the movement, but when pain occurs, complex elements should be excluded.

What are chondroprotectors

All medicines for hip arthrosis are combined into one group and are called chondroprotectors. The main effect of the drugs is to preserve the cartilage tissue and slow down the destruction process. The list of drugs will take more than one page, and you should not list them. The appointment is made by the attending physician, taking into account the patient’s condition.

Scientists and pharmacists are constantly working to improve such a medicine, seeking to enhance the effect of their use, up to the full restoration of the damaged joint. Unfortunately, if arthrosis is in the third or fourth degree of development, the medications no longer help and surgical intervention is required.

Manual therapy. Massage

Massage procedures are prescribed by a doctor:

  1. with 1 or 2 degrees of arthrosis – after a course of drug treatment aimed at relieving swelling and inflammation;
  2. with 3 or 4 degrees of arthrosis – after surgery and complete healing of surgical sutures.

At all stages of a diseased joint, massage improves blood circulation and strengthens the joint muscles. You need to use different massage techniques and choose the optimal procedure for the treatment of arthrosis of the hip joint. From existing types of massage therapists offer acupressure Thai massage. It meets all the requirements for the treatment of arthrosis, adding an energy essence.

The action of directed flows and jets of water on the joint area occurs during hydromassage. In this case, it is possible to combine water types of massage with swimming, water aerobics.

Early diagnosis and proper treatment

Hip arthrosis is a serious disease that is difficult to treat and can lead to disability if left untreated. It is important to establish a diagnosis in the early stages of the disease, and accurately follow the recommendations of doctors. You need to be patient and keep cool, do not lose heart and achieve positive results.

What is the cause of arthrosis of the hip joint and how to treat it

Hip arthrosis (coxarthrosis) is a serious disease characterized by the gradual destruction of cartilage in the thigh. In the absence of proper treatment, the disease progresses and can lead to a complete loss of the joint and immobility.

This pathology is most often characteristic of people who have reached the age of 40, but there are cases when the disease affects young people as well.

Causes of Arthrosis

The etiology of the pathological processes occurring in the hip joint depends on the type of disease. Coxarthrosis is divided into 2 types: primary and secondary.

Primary is characterized by a slow development of the disease with impaired blood supply. The main reason for this type of pathology is metabolic disorder and age-related changes characteristic of people after 50 years.

Secondary coxarthrosis is much less common. Factors that provoke the development of secondary arthrosis of the hip joint can be:

  • injuries, fractures, dislocations of the femoral neck;
  • overweight;
  • large physical exertion;
  • some diseases: diabetes, Perthes disease, gout, arthritis, bone tuberculosis;
  • consequences of operations carried out in this area;
  • benign and malignant tumors;
  • genetic predisposition;
  • stressful situations.

This pathology is often inherent in athletes due to numerous injuries.

Important! Sports enthusiasts in old age should limit physical activity. Age-related changes that occur in the body, combined with excessive loads can lead to the appearance of arthrosis.

The destruction of the joint often leads to a combination of several factors. For example: overweight, stress, fracture or dislocation – all together becomes the cause of arthrosis.

Signs of coxarthrosis

Symptoms of arthrosis are pronounced and progresses over time. The early stage of the disease is characterized by pain, discomfort, and a crunch in the joint during movement.

Further development of pathology leads to increased symptoms. Pain sensations cover an increasingly large area, lameness appears, the limb is shortened, gradually the muscles completely atrophy.

In its development, arthrosis of the hip joint passes through three stages, each of which is characterized by certain signs:

1 degree2 degree3 degree
Symptomspain in the joint after physical exertion or long walking, occasionally in the knee or thigh;

after rest, the pain subsides.

the pain becomes more intense, becoming permanent;

pain spreads to almost the entire leg, giving back when walking to the thigh and inguinal region;

lameness appears.

round-the-clock, continuous even at night, pain; there is a need for support when walking (crutches, a cane);

the foot is significantly shortened; muscles gradually atrophy, which can lead to complete immobility of the joint.

Diagnostic picturedecrease in synovial fluid volume; changes in the structure of cartilage;

the appearance of small cracks.

the distance between the articular bones is significantly narrowed;

the head of the femur bone is enlarged, deformed, and shifted up;

on the surface of bone tissue there are many growths (osteophytes).

complete destruction of the cartilage layer;

the presence of large osteophytes; there is no interarticular fissure;

joint fusion is observed.

The development of the disease occurs gradually over several years. Moreover, a person’s condition becomes worse from year to year.

Attention! The lack of treatment for a damaged joint can lead to pathological changes in the joint of the second limb and threatens complete immobility.

Proper diagnosis and timely treatment give positive results and help to avoid disability.

Diagnostics

When the first symptoms of coxarthrosis appear, you should contact a medical institution to a traumatologist, surgeon or orthopedist.

Diagnosis of the disease begins with an oral survey of the patient, feeling the upper thigh to identify pain points and bone growths.

To make a more accurate diagnosis, the doctor prescribes:

  • blood chemistry;
  • X-ray of the hip joints
  • ultrasonography;
  • magnetic resonance imaging (MRI);
  • computed tomography.

Instrumental studies are necessary to establish the stage of development of the disease and prescribe appropriate treatment.

Methods of treating arthrosis

The primary task in the treatment of arthrosis is the removal of acute pain that prevents the patient from moving. At the first and second stages of the disease, the use of conservative therapy is practiced, which includes:

  • drug treatment;
  • physiotherapeutic procedures;
  • massage;
  • mud treatment;
  • physiotherapy complex.

The use of folk remedies is also allowed.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Medication Therapy

A positive effect in the treatment of arthrosis is achieved with the use of the following drugs:

  1. Nonsteroidal drugs that relieve pain and inflammation. It is recommended to use no more than one drug so as not to suppress the natural ability of the cartilage to recover.
  2. Chondroprotectors, restoring cartilage. Necessary to prevent joint destruction. They are used for several months in parallel with injections.
  3. Muscle relaxants that provide normal blood supply, relieve muscle spasms. To eliminate side effects, they are used under medical supervision.
  4. Glucocorticoid hormonal drugs that relieve pain and inflammatory processes of the femur bones.
  5. Vascular drugs that dilate blood vessels and relax smooth muscle
  6. External means – ointments, gels. They are used to reduce pain, relieve muscle spasm.

Conservative treatment should be accompanied by dietary adjustments. A special diet is being developed for patients with arthrosis of the hip joint. In addition, therapeutic massage and a course of physiotherapy are prescribed.

Traditional methods of treatment

To stop the destructive processes occurring in the hip joint, folk remedies are used along with traditional medical methods.

Methods of treating coxarthrosis using alternative medicine include the use of:

  • ointments and rubbing;
  • compresses;
  • tinctures;
  • healing baths.

Since natural raw materials (eucalyptus, aloe, mint, juniper, nettle) are used to prepare ointments and rubbing, they can not be stored for a long time. So that the ointments do not lose their healing properties, they should be kept in a cool dark place. After applying the ointment to the sore joint, it needs to be wrapped in plastic wrap and wrapped in a scarf.

Relieve acute pain with compresses. To do this, use a mixture of horseradish with raw potatoes, cabbage leaves, sea salt. It is recommended to alternate cold and hot compresses.

Important! The stems and leaves of plants intended for the manufacture of ointments must be fresh. Before preparing a medicinal product, they should be rinsed with cold water.

For the manufacture of tinctures, medicinal herbs (saberennik, lilac leaves, elecampane root, ledum) and natural products (honey, lemon, celery, vegetable oil) are used. These tinctures are used both inside and for grinding.

Healing baths are designed to improve blood circulation, relieve inflammation, relieve pain. To do this, use Jerusalem artichoke, burdock root, currant leaves, thyme, tricolor violet and other herbs from which they are made and added to water. Take a bath for 15 to 20 minutes.

For the treatment of coxarthrosis with folk remedies, special knowledge about the properties of medicinal plants is needed. In the case of concomitant diseases, the use of certain herbs may be contraindicated. Therefore, before using alternative recipes, you should consult your doctor.

Therapeutic exercise

One of the essential components of the complex therapy of arthrosis of the hip joint is physiotherapy exercises (exercise therapy). Thanks to this complex, blood circulation improves, muscle tone increases, joint mobility is restored.

There are several methods of therapeutic exercises developed by doctors Evdokimenko, Bubnovsky, Popov. The most effective technique is selected for each patient individually.

But, no matter which technique was chosen, there are a number of general rules that should be followed when performing exercises:

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It is necessary to begin to engage in physiotherapy exercises only after the removal of painful syndromes. It is not allowed to perform any exercises that cause severe pain. You also can not squat, bend and unbend the hip joint intensively.

Important! There are a number of concomitant diseases in which physical therapy is contraindicated. This is arterial hypertension, severe cardiac pathology, inguinal hernia. You can not do gymnastics for women during the menstrual cycle. To make sure there are no contraindications, you need to consult a doctor.

Therapeutic exercises help to improve overall well-being, strengthen muscles, ligaments and blood vessels, accelerate regenerative processes.

To prevent arthrosis of the hip joint, you should balance your diet by abandoning junk food; constantly monitor body weight; exclude the transfer of weights, jumping from a height. To strengthen the hip muscles to engage in special physical exercises.

The timely detection of coxarthrosis, appropriate therapy and preventive measures will help to achieve a positive effect in the treatment of the disease.

Hip Arthrosis Treatment

    We treat hip arthrosis without NSA >Author: Grachev Ilya Illarionovich
    Publication Date: 11.03.2019

By arthrosis of the hip joint or coxatrosis it is customary to understand degenerative-dystrophic changes, which are characterized by thinning of the cartilage tissue, bone deformation and the gradual destruction of the hip joint itself. According to statistics, this disease occupies a leading position in a number of diseases of the human musculoskeletal system.

The disease is dangerous not only because it leads to the destruction of cartilage, but also because in the process of its development the joint loses its cushioning properties, which is certainly compensated by the growth of the bone with further destruction of the bone tissue of the joints.

Causes of Hip Arthrosis

As a rule, coxarthrosis occurs in the middle age group (40-50 years), can capture both one and two joints. It is a consequence of the following reasons:

  • Traumatic injuries of various nature without proper treatment can be the main cause of arthrosis. They usually do not receive much attention, the patient turns to the doctor only when a pain syndrome appears.
  • A large load, which can occur due to overweight, and due to the characteristics of the profession.
  • Congenital malformations of the hip joint.
  • Arthritis and osteoporosis.
  • Age-related hormonal changes.
  • Joint infarction, which can occur as a result of severe stress, taking some potent drugs and with the abuse of low-quality alcoholic beverages.

Stages and symptoms of arthrosis of the hip joint

  • Grade 1 – characterized by the presence of minor pains, which, as a rule, appear only after a lot of physical exertion or after repeated carrying of weights. In addition, the patient begins to limp with prolonged walking.
  • Grade 2 – severe pain is characteristic, which can radiate to the gluteal or inguinal region. Moreover, they are noted both with prolonged walking, and at rest, and even at night. A person needs a cane to facilitate movement, since the movements of the joint due to the pain syndrome are significantly limited and severe lameness appears without support, it is very difficult to move around.
  • Grade 3 is practically disability. The patient suffers from severe and persistent joint pain, he cannot walk due to severe limitations in articular movements, and the spinal column mobility is also disturbed.

Hip Arthrosis Treatment Methods

Our experts have achieved high efficiency in the treatment of arthrosis of the hip joint with the help of safe and painless oriental techniques. They help minimize medication, avoid surgery and side effects.

  • Acupuncture – the effect of microneedles on biologically active points, allows you to quickly relieve pain.
  • Hirudotherapy – in the saliva of leeches, a substance is contained that, getting into the blood, causes its dilution, as a result of which the blood can penetrate even into the affected vessels.
  • Vacuum therapy – normalizes metabolic processes in the body, removes toxins from the body. For treatment, special sterile jars are used.
  • Acupressure – consists in a verified effect on the active points of the human body. Helps deal with pain and inflammation.
  • Moxotherapy – by applying heat to bioactive points, the doctor manages to improve the outflow of fluid that has accumulated in the joint bag as a result of poor lymph. Improves blood circulation and metabolic processes.
  • Manual therapy is a gentle extension of the joint to relieve excess load on the joint and to facilitate the restoration and regeneration of destroyed cartilage tissues.
  • Tszyu-therapy – stimulates blood circulation, restores nutrition of tissues and the brain
  • Pharmacupuncture – relieves inflammation with edema, relieves pain and improves joint mobility by relieving muscle tone.
  • PRP-therapy is the latest method of stimulating recovery processes. It is used to restore joint functions after diseases and injuries, including to restore the function of the musculoskeletal system in arthrosis.

Treatment is based on 6 basic principles:

  1. Relief of pain.
  2. Restore joint mobility.
  3. Strengthening atrophied muscles.
  4. Reducing the load on the joint.
  5. Improvement of blood circulation in the affected area.
  6. Cartilage tissue repair.

Hip Arthrosis Treatment at Paramita Clinic

Our patients, who have already forgotten about the pain and returned to normal life, remember how effective the treatment of arthrosis of the hip joint in the clinic “Paramita” was. Thanks to the professionalism of medical personnel, oriental techniques and an individual approach to each, literally the first procedures bring noticeable relief.

Faced with arthrosis, it should be remembered that this insidious disease has mixed predictions. However, our doctors will help to cure him. With timely treatment to the clinic, it is possible not only to stop the process of joint destruction, but also to recover completely with the return of all lost functions.

Coxarthrosis – Arthrosis of the Hip

Coxarthrosis is a degenerative-dystrophic disease of the hip joints, accompanied by damage to the articular cartilage, bone tissue and periarticular structures and leading to a permanent loss of joint function.

Patients call coxarthrosis in different ways, “arthrosis of the hip joint”, “arthrosis of the pelvis”, “osteoarthrosis”, “arthrosis”, or simply say “the joint has worn out”, in fact, all these definitions are correct.

Arthrosis of the hip joints is one of the most difficult money-dystrophic pathologies of the musculoskeletal system. The disease quickly leads to a decrease in motor activity, a change in the nature of human movements, often to the impossibility of independent movement and disability. Several decades earlier, coxarthrosis was considered one of the “diseases of old age,” but since the beginning of this century, a high incidence has been recorded among patients of young and middle age, which is associated with various reasons.

Statistics

Osteoarthrosis is the most common pathology of the musculoskeletal system and is observed in 70% of adults; coxarthrosis (osteoarthritis of the hip joints) – in 25% of patients with orthopedic profile. Up to 30% of patients diagnosed with coxarthrosis are incapacitated, get disability and need joint replacement surgery.

The disease occurs from 20-25 years old, the average age of the onset of symptoms is 37-39 years old, progresses with age, which is associated with the presence of concomitant pathologies of the musculoskeletal system, bone loss, etc. In middle-aged patients, the prevalence of coxarthrosis is 11%, in persons over 85 years old – 35%. In children and adolescents, coxarthrosis is a consequence of congenital dysplasia of the joints, which is observed in 1% of newborns.

Causes of

The causes leading to the development of arthrosis of the hip joint have different meanings depending on the age and general level of health of each patient:

  • congenital violation of the normal anatomical shape of the joints – deformation of the femoral neck, congenital dislocation of the hip;
  • deformation of the femoral head due to dystrophic (age-related) processes in the joint;
  • traumatic injuries – fractures, dislocations, non-physiological, including sports, joint loads;
  • infectious and inflammatory diseases – tuberculosis, osteomyelitis and others;
  • rheumatoid arthritis and other systemic diseases (allergic, metabolic);
  • if the exact cause of the disease is not established, and it developed on its own, the term “idiopathic coxarthrosis” is used.

Symptoms of coxarthrosis of the hip joint

The main symptom is pain. Their severity and the attachment of other manifestations of coxarthrosis depends on many factors, in particular on body weight, lifestyle, age. At the initial stage, patients note moderate, intermittent pain in the area of ​​the hip joints, arising mainly during physical exertion and passing on their own. Then the pain begins with small loads, does not go away at rest, “shoot” into the knee joint. The mobility of the joint or both joints is limited.

Patients are forced to limit motor activity, lameness, “duck gait” appears. At the final stage, painful constant pains are observed, mobility in the hip joints is sharply limited, walking is possible only with a cane or crutches, patients need round-the-clock help, are unable to work.

Development

As the disease develops, the hip joint gradually collapses and completely loses its functions.

Thinning of the articular cartilage and slight narrowing of the joint space occur. The bone tissue located under the cartilage is compacted. At this stage, pain appears after exercise.

In the second stage, cartilage destruction progresses. Edge osteophytes appear – bone growths. Progressing narrowing of the joint space. Pain occurs when walking, limiting joint mobility (contracture).

At the final stage of coxarthrosis, bone growths are extensive, flattening and subluxation of the femoral head occur, and the joint space practically disappears. Constant severe pain, significantly limited mobility of the joints.

Diagnosis of coxarthrosis

If there are pains in the inguinal region, limitation of joint mobility and other symptoms listed above, you can consult a therapist, however, a leading medical specialist who is involved in the diagnosis and treatment of hip arthrosis is an orthopedic traumatologist.

The main method for diagnosing coxarthrosis is radiography. This is an informative method that allows you to accurately assess the structural changes in the affected joints. Due to its economy and affordability, joint radiography is still widely used. A more informative (but expensive) method is X-ray computed tomography. Magnetic resonance imaging (MRI) of the joints is also used. It is performed to detect coxarthrosis at the pre-x-ray stage (when there are no changes on radiographs yet), as well as for differential diagnosis.

Hip coxarthrosis treatment

In the early stages of coxarthrosis, with a favorable course of the disease, conservative methods using physiotherapy exercises are preferred, including kinesiotherapy, massage, and physiotherapy, in particular water and mud therapy, a set of physiotherapy procedures. Among the physiotherapeutic techniques that have worked well, magnetotherapy can also be distinguished.

Magnetotherapy for coxarthrosis is used for a variety of purposes. Under the influence of a magnetic field, the body activates regeneration processes, including in bone tissue, improves blood circulation. The last point is especially important, since with osteoarthritis there is insufficient blood flow to the joints, and therefore a lack of nutrients to maintain the normal state of cartilage and bone tissue, and this can aggravate pathological changes in the joint. Improving blood circulation in the hip joints helps restore the flow of essential nutrients to the joints, activates metabolism in bone and cartilage, which is the basis of the positive effect of magnetotherapy for coxarthrosis.

Also, due to the strengthening of metabolic processes and the release of certain biologically active substances, the anti-inflammatory and analgesic effect of magnetotherapy is observed.

Diet therapy is recommended in order to normalize metabolism and reduce body weight. Along with a balanced diet, it is possible to use auxiliary preparations (medicines and biologically active additives of a pharmaceutical profile) that affect metabolic and recovery processes in the musculoskeletal system – based on glucosamine and chondroitin (chondroprotectors), minerals and vitamins, standardized plant extracts.

Drugs with analgesic and anti-inflammatory effects, namely NSAIDs, corticosteroids, muscle relaxants and some others, are used at all stages of coxarthrosis to eliminate pain and inflammation. Their use should be strictly dosed, under the supervision and as directed by a doctor.

At the second or third stage of the disease, depending on the symptoms and condition of the patient, the continuation of conservative treatment or surgery is recommended. Currently, various surgical methods are used, the best results (full restoration of joint functions and human mobility) are achieved with total endoprosthetics – replacing the hip joint a.

Also recommended are drug therapy, diet therapy and lifestyle changes, physiotherapy and spa treatment, both in the case of surgery and with a conservative approach. Physiotherapeutic techniques in complex treatment can reduce the number of drugs and the burden on the body, contribute to faster recovery after surgery, improve the general condition of the patient. In particular, magnetotherapy shows good efficacy and tolerance, even in debilitated, elderly patients and people with chronic diseases of the nervous, cardiovascular systems.

Hip Arthrosis Prevention

As a preventative measure, early detection of coxarthrosis at an early stage is very important. If you find symptoms (pain, mobility restrictions) in the area of ​​the hip joints, you need to see a doctor – first you can visit a therapist, then an orthopedic surgeon. The therapist can prescribe an initial analgesic treatment, recommend chondroprotectors, the orthopedist will prescribe a special treatment.

The absence of excess weight and normal physical activity, the correction of working conditions and lifestyle in general, as well as the timely treatment of diseases that can become one of the causes of coxarthrosis (inflammatory, infectious joint diseases, congenital anatomical defects of the joints, degenerative and dystrophic diseases) are very important .

Hip Arthrosis Treatment

    We treat hip arthrosis without NSA >Author: Grachev Ilya Illarionovich
    Publication Date: 11.03.2019

By arthrosis of the hip joint or coxatrosis it is customary to understand degenerative-dystrophic changes, which are characterized by thinning of the cartilage tissue, bone deformation and the gradual destruction of the hip joint itself. According to statistics, this disease occupies a leading position in a number of diseases of the human musculoskeletal system.

The disease is dangerous not only because it leads to the destruction of cartilage, but also because in the process of its development the joint loses its cushioning properties, which is certainly compensated by the growth of the bone with further destruction of the bone tissue of the joints.

Causes of Hip Arthrosis

As a rule, coxarthrosis occurs in the middle age group (40-50 years), can capture both one and two joints. It is a consequence of the following reasons:

  • Traumatic injuries of various nature without proper treatment can be the main cause of arthrosis. They usually do not receive much attention, the patient turns to the doctor only when a pain syndrome appears.
  • A large load, which can occur due to overweight, and due to the characteristics of the profession.
  • Congenital malformations of the hip joint.
  • Arthritis and osteoporosis.
  • Age-related hormonal changes.
  • Joint infarction, which can occur as a result of severe stress, taking some potent drugs and with the abuse of low-quality alcoholic beverages.

Stages and symptoms of arthrosis of the hip joint

  • Grade 1 – characterized by the presence of minor pains, which, as a rule, appear only after a lot of physical exertion or after repeated carrying of weights. In addition, the patient begins to limp with prolonged walking.
  • Grade 2 – severe pain is characteristic, which can radiate to the gluteal or inguinal region. Moreover, they are noted both with prolonged walking, and at rest, and even at night. A person needs a cane to facilitate movement, since the movements of the joint due to the pain syndrome are significantly limited and severe lameness appears without support, it is very difficult to move around.
  • Grade 3 is practically disability. The patient suffers from severe and persistent joint pain, he cannot walk due to severe limitations in articular movements, and the spinal column mobility is also disturbed.

Hip Arthrosis Treatment Methods

Our experts have achieved high efficiency in the treatment of arthrosis of the hip joint with the help of safe and painless oriental techniques. They help minimize medication, avoid surgery and side effects.

  • Acupuncture – the effect of microneedles on biologically active points, allows you to quickly relieve pain.
  • Hirudotherapy – in the saliva of leeches, a substance is contained that, getting into the blood, causes its dilution, as a result of which the blood can penetrate even into the affected vessels.
  • Vacuum therapy – normalizes metabolic processes in the body, removes toxins from the body. For treatment, special sterile jars are used.
  • Acupressure – consists in a verified effect on the active points of the human body. Helps deal with pain and inflammation.
  • Moxotherapy – by applying heat to bioactive points, the doctor manages to improve the outflow of fluid that has accumulated in the joint bag as a result of poor lymph. Improves blood circulation and metabolic processes.
  • Manual therapy is a gentle extension of the joint to relieve excess load on the joint and to facilitate the restoration and regeneration of destroyed cartilage tissues.
  • Tszyu-therapy – stimulates blood circulation, restores nutrition of tissues and the brain
  • Pharmacupuncture – relieves inflammation with edema, relieves pain and improves joint mobility by relieving muscle tone.
  • PRP-therapy is the latest method of stimulating recovery processes. It is used to restore joint functions after diseases and injuries, including to restore the function of the musculoskeletal system in arthrosis.

Treatment is based on 6 basic principles:

  1. Relief of pain.
  2. Restore joint mobility.
  3. Strengthening atrophied muscles.
  4. Reducing the load on the joint.
  5. Improvement of blood circulation in the affected area.
  6. Cartilage tissue repair.

Hip Arthrosis Treatment at Paramita Clinic

Our patients, who have already forgotten about the pain and returned to normal life, remember how effective the treatment of arthrosis of the hip joint in the clinic “Paramita” was. Thanks to the professionalism of medical personnel, oriental techniques and an individual approach to each, literally the first procedures bring noticeable relief.

Faced with arthrosis, it should be remembered that this insidious disease has mixed predictions. However, our doctors will help to cure him. With timely treatment to the clinic, it is possible not only to stop the process of joint destruction, but also to recover completely with the return of all lost functions.

How to treat arthrosis of the hip joint?

Before starting treatment, the doctor must make the correct diagnosis.

Before starting treatment for arthrosis, a comprehensive diagnosis is necessary. Only then can targeted, general therapeutic measures be useful in use.

The treatment of arthrosis of the hip joint has the following goals:

  1. The fight against symptoms.
  2. General condition improvement.
  3. Learns to live and fight the disease.

There are various treatments for coxarthrosis. Conservative treatment of arthrosis includes medications that have been tested and the use of auxiliary drugs that relieve symptoms. If necessary, an operation is performed.

Pain medication

Drug therapy plays a central role in treating the symptoms of arthrosis of the hip. Due to the strong and frequent side effects, self-medication is not recommended. Only the doctor should adjust the dosage and prescribe medication. Medication at present can only treat symptoms; causal therapy is not yet possible.

There are several groups of drugs for the treatment of arthrosis:

  1. Nonsteroidal anti-inflammatory drugs (NSAIDs). Act as an analgesic and anti-inflammatory. The most famous drugs: Aspirin, Ibuprofen, Diclofenac. Among the side effects of these drugs, damage to the gastric mucosa, including bleeding, impaired renal function, is distinguished. More modern means of this group, the so-called COX-2 inhibitors, are considered more compatible.
  2. Opioid analgesics. Paracetamol relieves pain. Improper use, especially with an overdose, can lead to severe liver dysfunction.
  3. Glucocorticoids are powerful anti-inflammatory drugs. A well-known representative of this group is Cortisone. It is used when numerous medications do not help. Enter “Cortisone” by injection. It has a good analgesic effect, but there is a risk of joint infection.
  4. Preparations with a delayed onset of action (chondroprotectors). In Germany, hyaluronic acid and glucosamine are still used. The mechanism of action is not fully understood, so the effectiveness of drugs is a controversial issue. In animal experiments, it was proven that they restore cartilage in a short time and reverse the formation of cartilage defects.

Physiotherapeutic methods for the disease

All methods of treatment and physiotherapy are aimed at treating acute and chronic pain. In addition to physiotherapy, other treatments are available. The patient receives useful tips and specific instructions regarding changes in their daily lives. The doctor also talks about self-treatment of the disease (daily gymnastics, proper use of heat and cold).

Physiotherapy for arthrosis:

  1. Mobilization of stiff joints.
  2. Balance and coordination training.
  3. Occupational therapy.
  4. Power training.

Other physical therapy methods:

  1. The use of heat / cold (depending on the stage of the disease).
  2. Electrotherapy.
  3. Massage.
  4. Balneotherapy.
  5. Periodic stretching.

There is also a procedure such as x-ray irradiation. Arthrosis is treated with this method with very low doses of radiation. As a result, inflammation is suppressed, and blood circulation in the joints improves. For treatment to be effective, radiation should be repeated at regular intervals.

Stimulating certain points on the skin with acupuncture with needles improves functions and certain processes in the body. The use of acupuncture for arthrosis is not generally accepted. It is often required to attend several sessions so that the pains begin to recede.

Types of surgery

Surgical intervention is necessary when other methods have not given the desired result. The time of the intervention should be selected so that the risk of side effects after surgery is as low as possible.

After surgery on an open joint, various infections and thrombosis can occur. That is why, before carrying it out, it is necessary to weigh all the pros and cons. Ask the doctor in detail how the operation will be carried out, what risks exist exactly in your situation and how to treat arthrosis of the hip joint after the operation is successful.

Arthroscopy is more suitable for the treatment of arthrosis of the hip joint. The advantage of this type of operation is that the risk of infection is 0,1%.

Surgeons also provide endoprosthetics. This treatment option is mainly used for arthrosis of the knee and hip joints. Joint surfaces are removed surgically, replacing them with prostheses made of metal, plastic or ceramic. The prosthesis may weaken after some time. It depends on various factors such as age, gender, disease, infection, type of connection and type of prosthesis. If the dentures are loosened, it must be replaced. Usually the prosthesis lasts for 10 years.

Treatment of arthrosis of the hip joint is carried out with the help of washing and sanitation. Special flushing is carried out in order to remove floating particles in the synovial fluid, causing inflammation in the joint.

Rehabilitation for the disease

Rehabilitation methods complement both non-surgical (conservative) and surgical treatment of arthrosis.

  • eliminate and alleviate joint dysfunctions;
  • fight against chronic pain;
  • dietary recommendations.

Rehabilitation can be carried out at home or in medical institutions.

The recent development of a sports supplement to sequential physical and occupational therapy in rehabilitation programs has been successful and has shown superior results. Sports such as walking, therapeutic climbing and aquatraining have long been fixed in rehabilitation programs. Movement is our life, however, it is better to carry out any exercises in the presence of a specialist.

disease prevention

The main risk factor for premature joint wear is considered overweight. The more weight, the stronger the joints undergo degenerative changes. Therefore, the best way to prevent arthrosis and cure it is to lose weight and stick to a diet.

A positive effect on the joints will be ensured if:

  • avoid overload;
  • follow a balanced, healthy diet;
  • avoid hypothermia;
  • minimize the risk of accidents (avoid falls).

In addition, regular exercise will only benefit. This helps improve blood circulation and delivers more nutrients to the joint.

But be careful: too much stress and stress can lead to new damage to the articular cartilage.

Moreover, frequent physical activity increases the risk of injury. An injured joint is particularly susceptible to arthrosis.

General tips for playing sports:

  1. Provide the correct running technique, adequate load, good shoes.
  2. Avoid combat sports and sporting events.
  3. Exercise on an exercise bike.
  4. Swim regularly at a water temperature of 26–28 degrees.
  5. Make tennis and golf your hobby.

Use orthopedic appliances if necessary. For example, a cane.

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Anatoly Kudravets

Anatoly Kudravets, Orthopedic Traumatologist. He works with severe cases, practices operative methods of treating connective tissues

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