How to treat coxarthrosis of the hip joint

Coxarthrosis of the hip joint belongs to the category of diseases in which destructive processes are observed in the body that can cause a patient’s disability. In the absence of timely treatment, they can lead to complete immobilization of a person. Is it possible and how to cure coxarthrosis of the hip joint without surgery excites each of the patient when making such a diagnosis.

Is it possible to cure without surgery: what does traditional medicine say?

It is customary to distinguish 3 degrees of coxarthrosis of the hip joint, each of which has its own symptoms and the nature of the course of the disease. The earlier the pathology is detected, the more likely it is to stop the process of destruction of cartilage tissue.

At the 1st degree of coxarthrosis, a person experiences discomfort in the pelvic area, which increases with intense exercise and physical activity, but passes at rest. With 2 patients complain of constant pain, which constantly bothers them and becomes the reason for the inability to perform daily activities.

Specialists regarding how to treat coxarthrosis of the hip joint without surgery say that the success of treatment and rehabilitation largely depends on the desire and diligence of a person.

Today, doctors can offer the patient many treatment tools, each of which is aimed at stopping the destructive processes and their combination enhance the effect obtained. You can cure and get rid of the pathology using a combination of the following tools:

  • drug therapy;
  • physiotherapy;
  • physiotherapy;
  • massages;
  • diet;
  • recipes of traditional medicine.

With coxarthrosis, medications are often included in the course of treatment:

  • nonsteroids – to relieve pain;
  • muscle relaxants – to relieve muscle cramps;
  • chondroprotectors – to start the process of tissue regeneration.

The first 2 groups of drugs relieve the symptoms of the disease and reduce pain, but they do not have a therapeutic effect, so it is impossible to cure the pathology with their help. Improving the well-being as a result of their intake, the reviews of many patients are mistaken for the healing effect, which is wrong. Intra-articular injections for coxarthrosis of the hip joint are rarely used, since it has a small cavity and a narrow gap. Periarticular injections of the thicket are used for exacerbation of the disease.

The operation of coxarthrosis of the 3rd degree of the hip joint is indicated in most cases, since it is impossible to cure the pathology with significant destruction of the cartilage. The patient’s well-being at this stage significantly worsens, lameness is added to severe pain, shortening of the limb length can be observed.

In an attempt to reduce discomfort, a person tries to reduce locomotor activity, which leads to muscle dystrophy and worsens the situation even more. The methods used for the treatment of degrees 1 and 2 of coxarthrosis at this stage become ineffective, drug treatment does not have a positive effect, and joint extension is not prescribed.

Treatment of coxarthrosis of the hip joint: basic principles

The success of treatment and rehabilitation largely depends on how timely, after the appearance of the first symptoms of coxarthrosis, the patient sought medical help. Based on the clinical picture, the doctor makes a diagnosis and determines the tactics of therapy. Its effectiveness and efficiency largely depends on the patient’s behavior and determination, his willingness to comply with the recommendations issued to him.

Treatment and rehabilitation after diagnosis involves the following points:

  • regularity of assignments;
  • strict adherence to nutritional rules;
  • methodicality and desire to get results despite pain;
  • readiness for long-term therapy;
  • using an integrated approach.

Normalization of the condition with coxarthrosis of the hip joint is possible only after a long treatment, which can be 6 months or more. The mistake of many patients is that after receiving the first signs of improvement and lowering the level of pain they stop, they do not finish the course of treatment and rehabilitation. As a result, the disease progresses and it is often impossible to avoid surgery.

Features of treatment without surgery using therapeutic exercises

Gymnastics acts as an effective treatment for coxarthrosis, in which destructive processes occur in the hip joint. At the first stages, special exercise complexes are able to show amazing results, which is confirmed by numerous patient reviews on how to treat coxarthrosis of the hip joint without surgery.

Today, there are methods of leading doctors in the field of orthopedics, such as Bubnovsky, Evdokimenko and several others, with which you can cure the first stages of the disease and achieve significant improvements even in later ones.

Classes for coxarthrosis should be performed on a regular basis, not allowing sharp and intense movements.

At first, you need to use the help of an instructor. Experts say that it is unacceptable to perform through unbearable pain, at the initial stage it is enough to achieve several repetitions and the movements should not have a large amplitude.

The most popular exercises include the following movements:

  • alternating tilts of the body in a standing position forward to each of the legs;
  • successive swings of each of the legs forward, backward, to the side;
  • performing knee lifts in a standing position with support forwards, backwards, to the side;
  • swings from a supine position to the top;
  • in the supine position, consistently raise the legs bent at the knee;
  • sitting on the floor with legs apart, tilt the body forward;
  • walking in small steps with muscle tension in the buttocks.

It is enough to perform the complex for 10 minutes 3 times a day, starting with 1 repetition and bringing their number up to 5 times. Therapeutic gymnastics is effective as a preventive and therapeutic agent, often prescribed during the rehabilitation period after the operation. The complex justifies the inclusion of general strengthening exercises aimed at maintaining the tone of the muscles of the neck, back, legs.

Surgery for coxarthrosis of the 3rd degree of the hip joint often becomes the only way to normalize his patient’s lifestyle, but therapeutic exercises can improve the patient’s condition. Reducing the load on the joints, reducing pain and facilitating exercise is able to exercise in the water.

Massage treatments for treatment without surgery

Massage is considered an effective tool in order to cure coxarthrosis without surgery. The patient’s attempts to reduce the load on the hip joint to reduce pain lead to muscle atrophy, as a result of which physical activity is gradually lost. Cure the disease during the course of the course is obtained due to the following effects:

  • increased blood circulation in the joint;
  • better nutrition of tissues;
  • pain reduction;
  • return to the muscles of proper tone;
  • inhibition of the destruction of cartilage.

The effect of manual exposure is largely due to the fact that a significant part of the body’s immune system is affected. The epidermis is responsible not only for the function of heat transfer, but also for the movement of blood. In the layers of the skin there is a huge number of nerve endings that transmit nerve impulses to the brain cells. Normalization of the process of their transmission contributes, depending on the purpose of the activation procedure or inhibition of tissue regeneration processes. The main concentration of movements falls on the following areas:

The number of sessions and their duration is determined by the doctor based on the data of the examination. Patient reviews indicate the onset of a positive effect after undergoing several procedures, but significant and stable changes occur only after passing the full course of complex treatment. Massage must be included in the recovery program for patients after rehabilitation after operations.

Joint traction and benefits of manual therapy

In the initial stages, for the treatment of coxarthrosis without surgery, sessions of hardware traction, that is, extension of the joint, can be prescribed. The procedure is carried out using a special apparatus, with the help of which they achieve bone breeding and reduce the load on the cartilage. The process lasts from 10-15 minutes and involves the passage of treatment courses, on average, their number varies from 10 to 12 sessions. In most cases, the patient is prescribed traction therapy per year no more than 2 times.

Patient reviews confirm the effectiveness of traction procedures, but a significant portion of patients advises paying attention to the benefits of manual therapy. When working with patients, doctors of this specialization use 2 main methods of exposure:

  • mobilization – a soft extension of the hip joint is performed;
  • manipulation – an adjustment is made to restore the motor activity of the joint.

The manual therapy method for the treatment of coxarthrosis without surgery has both supporters and opponents. Turning to an unqualified specialist can harm the patient and exacerbate the situation.

Reviews say that when contacting a professional, you can get a better result than with rehabilitation on a special device and avoid surgery. This is due to the fact that the technique is able to carry out pulling movements only along the longitudinal axis, and the professional in the field of manual therapy “feels” the hip joint and is able to develop it in several directions.

Today, the reviews of many patients confirm the possibility that coxarthrosis can be treated without surgery when pathology is detected in the early stages. Therapy and the rehabilitation period involves an integrated approach, including the appointment of drugs and non-drug treatment. A favorable prognosis largely depends on the stage of the disease and the complex of methods used.

How to treat coxarthrosis of the hip at home

Joint problems most often occur in patients older than 40 years. Hip arthrosis treatment at home helps to cope with a difficult diagnosis. Consider which methods are effective, and how to apply them correctly.

Principles of treatment

Treatment of coxarthrosis at home should be comprehensive. It is important to strictly follow all the doctor’s recommendations. Sometimes it is possible to do without surgery. This will require all therapies.

At home, the following methods of treatment are used:

  • Reception of medications;
  • Diet;
  • Exercise therapy and massage;
  • Folk techniques.

Before starting home treatment, you should undergo an examination with a doctor so that the diagnosis is accurate.

Drug treatment of pathology

The doctor after an X-ray will tell you how to treat coxarthrosis of the hip joint at home. He will select an individual dosage of medicines. With this pathology, most often prescribed:

  • NSAIDs (non-steroidal anti-inflammatory drugs);
  • Hormonal painkillers;
  • Muscle relaxants;
  • Chondroprotectors.

NSAIDs are drugs that aim to reduce the symptoms of the inflammatory process. After use, pain, swelling, redness and local temperature are reduced.

Take NSAIDs for a long time is prohibited. The course of treatment for more than 5 days causes disturbances in the mucous membrane of the digestive tract.

Usually, non-steroidal anti-inflammatory drugs are prescribed only in the acute period of the disease, when the pathology symptoms cause particular discomfort. The following medicines are included in this group:

NSAIDs do not have a therapeutic effect on the cartilage of the joint. Such treatment is symptomatic. Ointments, capsules, gels and tablets may be used.

Hormonal steroids are used as intra-articular injections for acute pain. Such treatment can not be carried out for a long time. The active substance can adversely affect the processes in the cartilage, although it effectively quenches even very severe pains.

Injections are carried out by a medical professional. Hydrocortisone, Methylpred, Kenalog can be used for procedures. Before such treatment, it is recommended to take tests.

Muscle relaxants and drugs to normalize blood circulation should be taken with coxarthrosis to improve joint nutrition. Recovery is only possible if the joint receives a sufficient amount of the necessary vitamins and minerals. Nikoshpan, Tsinnarizin and Trental belong to this category.

The use of chondroprotectors is an integral part of the treatment of coxarthrosis at home. Preparations of this group have a direct effect on cartilage. The first results of treatment can be seen only after 2 weeks of admission. The duration of therapy is about 6 months. Often, doctors prescribe the following drugs:

The substances that make up these medications stimulate the natural processes in the tissues. Some of them are raw materials for the production of synovial lubricant components, without which the full operation of any of the joints is impossible.

It is impossible to cure coxarthrosis without changing anything in the lifestyle and nutrition. A balanced diet will help maintain a normal body weight, avoiding overload of the joint. The menu should include those products that have a beneficial effect on the state of cartilage.

When combating the disease, it is important to include the following foods in the diet:

  • Kefir;
  • Cottage cheese;
  • Bone broths;
  • Milk;
  • Berries
  • Birch juice;
  • White cabbage;
  • Celery.

It is important to enter in the menu a sufficient amount of fresh vegetables and fruits. Useful bee products. In the diet of a patient with coxarthrosis there should not be fatty donated dishes, flour products, smoked meats and dishes plentifully seasoned with spices.

With coxarthrosis, beans, tomato and peas should be minimized. Meat and fish should not be fatty varieties.

The use of exercise therapy and massage

Exercise therapy can be carried out, however, a set of exercises should be discussed with a doctor. It is necessary to conduct a warm-up every day for stretching muscles and tendons. Training can be done while standing or lying down. The joint should not be subjected to high loads. Exercise should not cause pain.

Before starting gymnastics, it is important to warm up the muscles. Some patients use special heating pads for this. Exposure to heat should be maintained for 40 minutes. In the presence of pain, training can only be done while lying down.

Massage is also useful for treating coxarthrosis. It is recommended to use natural honey, as during the procedure the nutrients from it will be absorbed into the skin and reach the affected joint.

Using honey activates the natural production of synovial fluid, which is necessary for lubricating the joints.

The duration of the massage session should not exceed half an hour. After the procedure, the skin should be washed with water. The course of treatment is 12-20 sessions.

Folk methods

Alternative methods of treatment are an important part in the treatment of coxarthrosis. Some recipes help relieve inflammation, others relieve pain. In order not to harm the body, it is important to understand how and how to treat coxarthrosis at home and always clarify possible contraindications, given your own state of health.

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

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Lemon drink

To prepare the recipe you need 3-4 citrus fruits. They need to be cut into cubes, pour 3 liters of boiling water. When the composition becomes a little warm, add 6 tablespoons of linden honey.

Take the drug once a day in a glass. The duration of treatment is 1 month.

Marsh cinquefoil tincture

For the drug, 60 g of raw materials and 0,5 l of vodka are needed. Mix the ingredients and insist in a dark place for a month.

Take 35 drops thrice a day. Tinctures are enough for the entire course of treatment.

Lilac tincture

For the composition you need to collect fresh leaves. Raw materials need to be washed and dried.

For 100 g of leaf, you need 125 ml of vodka. Insist 10 days. Take 50 drops before meals.

Decoction of linden flowers

Raw materials are collected in July. For a medicinal product, it is necessary to use already dried flowers.

In equal proportions, take the following ingredients:

  • Linden flowers;
  • Willow bark;
  • Parsley roots;
  • Birch leaves.

If each component will be in the amount of 1 tablespoon, then the whole composition will require 250 ml of water. Ingredients pour and put on fire.

After the mixture boils, allow to boil for 5 minutes. After that, insist 20 minutes. Take 100 ml before meals.

Celandine Remedy

This home treatment will help get rid of the pain of coxarthrosis. To prepare the drug requires 50 grams of celandine. Cut in small pieces. Pour a liter of olive oil. Insist 2 weeks.

When time runs out, the tool should be drained. The composition must be poured into a dark bottle. Take topically on the joint. After applying the product, the skin must be insulated. The duration of treatment is 2 weeks.

The application of cabbage

The leaves of cabbage should be washed and dried. Apply a small layer of honey on the inner surface of the sheet. Attach to a sore joint, fasten and wrap.

Compress stays all night. In the morning, the skin needs to be washed and again put the product, leaving it until the evening. The course of such procedures should last 3 weeks. Only in this case can we expect to achieve a therapeutic effect.

Treatment of coxarthrosis at home is possible. Carrying it out in accordance with the doctor’s prescriptions and supplementing with folk remedies, you can restore the affected joint and improve your well-being.

How and how to treat coxarthrosis of the hip joint

Coxarthrosis is inherently a process that occurs under the influence of processes of a degenerative and dystrophic nature in the cartilage of the hip joint. The disease can develop in patients of any age. Treatment of coxarthrosis of the hip joint should begin as soon as the first signs of the disease have been detected. This will help to ensure the restoration of still intact cartilage and prevent the occurrence of disability and surgical treatment.

Principles of treatment for coxarthrosis

There are state standards for the treatment of coxarthrosis, documented and recommended for use in medical institutions.

The treatment of coxarthrosis of the hip joints is also a social problem, since the joints that lose mobility lead to the patient losing his ability to work and self-care.

Coxarthrosis treatment methods have a number of goals.

  1. Relieving the patient from pain.
  2. Ensure proper nutrition of the cartilage tissue in the hip joint and start its regeneration processes.
  3. Stimulate blood circulation in articular tissues.
  4. Redistribute the load exerted on the joint, reduce its intensity and prevent the destructive process that occurs in the cartilage with arthrosis.
  5. Strengthen the muscle fibers surrounding the joint to ensure that it is held in the correct position and to relieve part of the load.
  6. Provide increased mobility in the hip joint of the leg.

Is it possible to cure without surgery

To date, there are no methods or drugs to cure arthrosis of the hip joints completely. Conservative therapy, used at different degrees of the development of the disease, only inhibits the progression of arthrosis.

The sooner treatment is started, the greater are the chances of stopping the destruction of the cartilage and restoring its affected areas that have not been completely destroyed.

The dependence of the treatment process on the stage of development of the disease

Treatment for coxarthrosis depends on the degree of neglect of the process and will vary in each case.

First degree

The treatment of coxarthrosis of the first degree, which is characterized by minor manifestations that occur after physical exertion, is simple. Used medication and physiotherapy, as well as a special set of exercises.

Means from folk medicine can be used, but only after agreement with the attending physician and as an addition to medicines and procedures.

Second degree

How to treat coxarthrosis of the hip joint, a specialist in this field will tell you after a series of examinations in order to clarify the diagnosis. With such a degree of neglect, there is still a chance of recovery without surgery. The course of treatment includes all existing conservative methods. These are medications, and gymnastics in combination with massage, and manual exposure, and even alternative medicine methods, including apitherapy, acupuncture and others.

Third degree

How to treat coxarthrosis of the femoral joint, which accompany the disease in the third degree, will be prescribed by the attending physician. More often injections and physiotherapeutic procedures are used. Treatment will be longer in comparison with the above conditions and will rarely do without surgical intervention.

Fourth degree

So advanced arthrosis can be defeated only by surgical treatment followed by a long rehabilitation period.

Treatment options for the joint between the pelvic bones and the hip

Reviews of the treatment of coxarthrosis confirm that the quality of life of the patient and his ability to perform his professional duties depend on how correctly the treatment of the joints of the hip area is prescribed. It is very important to comply with all requirements scrupulously and on a regular basis. Only such treatment will be effective

Medication use

Treatment of joints with medicines is aimed at eliminating pain and inflammation, as well as restoring joint tissue that has been destroyed. A quick anti-inflammatory effect can be obtained using appropriate non-steroidal agents. Depending on the intensity of the pain syndrome, they can be used in the form of ointments, tablets or injections. The use of such agents helps to eliminate tissue swelling and slow down atrophic processes in the muscles.

Intra-articular administration of hormones helps with coxarthrosis. But it should be remembered that these medications with prolonged use have a destructive effect on cartilage, so they should be used limitedly and under medical supervision.

Another important and indispensable group of drugs in the treatment of arthrosis are chondroprotectors. These products contain glucosamine or chondroitin, which have a positive effect on synovial fluid production and promote cartilage recovery.

Physiotherapeutic treatment

The course of physiotherapy includes procedures involving electrical stimulation, paraffin, magnet, ultrasound, as well as electrophoresis and mud baths. This type of treatment is one of the most effective for coxarthrosis. The impact is directly on the focus of the disease, improving well-being, relieving inflammation, swelling and pain.

Typically, such treatment is combined with massage, which helps to remove muscle spasm and simultaneously activates blood circulation.

Non-standard therapy

New in the treatment of coxarthrosis is the use of plasmolifting. The basis of the technique is injections, through which a person is injected with his own blood, which before that was subjected to specialized processing methods and was saturated with platelets.

Acupuncture, which improves the general condition of the patient due to the effect on the intensity of the pain syndrome, also belongs to this group of methods of therapy.

Therapeutic exercise


A special set of exercises, developed individually for the patient by his attending physician and specialist in the field of physiotherapy exercises, helps to strengthen and activate damaged muscle fibers and elements of the tendon-ligamentous apparatus of the hip joint. There are also various author’s methods (Bubnovsky gymnastics), which are somewhat different from conventional types of charging.

Under the supervision of specialists, patients perform the exercises developed for them, learn the correct breathing techniques and healing water procedures. Static exercises should prevail over dynamic ones during charging. This will reduce the destruction of the cartilage covering the bone.

The treatment of coxarthrosis requires a clear and regular implementation of exercises and all other specialist recommendations. Exercise is contraindicated in those who have an increase in body temperature exceeding 37 degrees, various hernias, high blood pressure, acute arthrosis or arthritis, menstruation, as well as people suffering from functional failure of the lungs or heart and in the postoperative period.

Surgery

Surgical treatment is offered to the patient in cases where conservative therapy is useless, and the joint, despite the measures taken, continues to ache intensively and poorly move, or when arthrosis of the hip joint is launched to the last stage. A person loses the ability to work. May have a disability group. In the surgical treatment of coxarthrosis, several techniques are distinguished.

  1. One of the options for the operation is the extraction from the synovial cavity by the arthroscopic method of pieces that separated from the collapsing tissues and, moving along the joint space, contributed to the further destruction and occurrence of pain during movement.
  2. Periarticular osteotomy. During the operation, the doctor must change the angle at which the bone is tilted in order to remove the load from the joint. This operation is quite laborious, but it makes it possible to stop the degeneration processes in the cartilage tissue.
  3. Another option for surgery is arthroplasty. Its essence lies in the fact that the damaged joint is replaced with an >

Alternative methods are good in the treatment of coxarthrosis, if you use them as additional ways to improve the patient’s condition to the main therapeutic course. Below are some of the most effective options for coxarthrosis. They have a calming and anti-inflammatory effect on the joint.

  • Ointment from a mixture of honey and radish (100 grams each), soda (1 teaspoon) and vodka (25 grams). All ingredients are thoroughly mixed and rubbed into the joint affected by arthrosis, 4 times a day
  • A cabbage compress, which is prepared from a large fleshy leaf. coated with honey, which is previously better to beat off. It is applied to the joint area and fixed at night, wrapped in a bag. Top insulated with a cloth.
  • Rubbing of aloe juice mixed with crushed leaves of mint and eucalyptus. Everything is taken in equal quantities. Grinding is stored in the refrigerator and applied three times a day. You can cook it for no more than 2 days.

Proper diet

To defeat coxarthrosis, it is necessary not only to be treated and practiced, but also to review your diet and diet. The process of eating a day should be divided into five or six times. Work should be done to eradicate bad habits from our own lives.

You need to rid your daily diet of fatty meat and fish, chocolate, mayonnaise and various canned foods. Convenience foods and fast food are also not suitable for food. Limit salt.

Add to the daily menu dishes that contain gelatin. It can be aspic, jellied dishes or berry jellies. Cottage cheese, hard cheeses and natural honey are also beneficial.

Patient Reviews

Proper nutrition is very helpful in treating the hip joint. Until I reviewed my menu and started to lose weight, my treatment moved so slowly that it was almost imperceptible. As soon as my mass changed and healthy foods began to appear in the refrigerator, I felt a great relief. Joint therapy and gymnastics are the basis of my therapy.

I started the disease, constantly postponing visits to the doctor, and when I applied, it was too late. They tried to treat me with medications and physiotherapeutic procedures. They injected injections into the joint a couple of times, but nothing helped or did not bring relief for long. Then my doctor suggested that I replace the joint with an artificial analogue of it. After the operation, I recovered for a long time, but now all the functions of the legs have returned, and I put a lot of effort to prevent the same in the other joint.

Treatments for coxarthrosis of the hip joint

The treatment of coxarthrosis of the hip joint is a serious not only medical, but also a social problem, since this dystrophic and degenerative disease of the musculoskeletal system often leads to disability of the middle and older population and, consequently, to disability. Treatment for coxarthrosis of the hip joint depends on the stage of the pathology. If at the initial stages medication and other conservative therapy are used, then in the later stages, a positive effect can be observed only when using surgical methods.

The main goals in the treatment of coxarthrosis:

  • relieve a person from pain;
  • establish normal nutrition of intraarticular cartilage and activate its restoration;
  • activate blood circulation processes in the area of ​​the patient articulation;
  • reduce the load on the sore joint and prevent further destruction of the cartilage tissue;
  • strengthen the muscular skeleton of the hip joint to improve supportive function;
  • increase the mobility of the patient articulation.

Important to remember! To date, there are no medicines and methods that can cure osteoarthritis of the hip joint. The entire arsenal of conservative therapy allows only to suspend the progression of pathological processes in the joint and relieve the patient from pain for some time. With the loss of joint function, only surgery can return the possibility of active movements.

Drug treatment of coxarthrosis

In almost all cases, the treatment of coxarthrosis begins with drug treatment, since this is a generally accessible method and does not require much effort from the patient. Prescribe drugs from several groups.

Nonsteroidal anti-inflammatory drugs

The main representatives of medicines (active substance):

  • diclofenac
  • indomethacin
  • nimesulide
  • ketoprofen,
  • piroxicam
  • meloxicam
  • butadiene
  • celecoxib
  • etoricoxib.

Doctors, and the patients themselves, are very fond of prescribing NSAIDs, since these medicines literally from the first pill or injection can relieve unbearable pain. But we must not forget that the drugs from this group, although they save the patient from the main symptom of arthrosis – pain – do not affect the course of the pathology itself.

In addition, there are notices that prolonged use of drugs from this group contributes to the destruction of proteoglycans. These are substances that are part of the cartilage tissue and retain water molecules, which contribute to the high hydrophilicity of the cartilage and the maintenance of its normal structure and shape. If the content of proteoglycans decreases, then the cartilage dries and begins to crack. And such a phenomenon further exacerbates its destruction during coxarthrosis.
The purpose of NSAIDs is justified during an exacerbation of the disease, when other methods of therapy are contraindicated due to the pain syndrome, for example, therapeutic exercises for coxarthrosis of the hip joint, massage, physiotherapy, extension of the joint, etc.

Chondroprotectors

There are only two active ingredients of chondroprotective drugs: chondroitin and glucosamine. Medicines from this group may include one of these components or their combination. Some manufacturers also add other active substances, for example, from the NSAID group, thereby enhancing their effectiveness.

The most popular representatives of chondroprotectors:

These drugs are available in a variety of dosage forms: tablets, capsules for oral administration, a solution for intramuscular and intraarticular injections, ointments and gels for topical use. This feature allows for staged therapy, when treatment begins with injections, and continues with the use of tablets and ointments.

The mechanism of action of these drugs is as follows. The active ingredients, chondroitin and glucosamine, are the main structural components of the hyaline cartilage that covers the femoral head. Thus, integrating into their composition, these components contribute to the inhibition of cartilage destruction, and if the disease is in the first stage, then chondroprotectors can even restore damaged tissue.

It’s important to know! Chondroprotectors do not have analgesic effects like NSAIDs, and the effect of their use will be noticeable only after 4-6 months of regular use.

Today, there is an active debate among researchers about the effectiveness of chondroprotectors, since there are no clinical large-scale studies in which their effectiveness has been proven. Given the need for long-term use of the drug (courses of 4-6 months once a year), the absence of an instant effect and the high cost of such treatment, the patient’s acceptability for chondroprotective therapy is not very high.

Muscle relaxants

How to treat coxarthrosis of the hip joint without eliminating the pathological muscle spasm that accompanies almost all exacerbations of arthrosis and enhances pain? No way. For this purpose, mainly 2 drugs are used: midcalm and sirdalud.

These drugs well eliminate muscle spasm around the affected joint and reduce pain. But they must be assigned adequately. The fact is that the tension of the muscular corset of the hip joint is a protective reaction of the body, therefore, eliminating the spasm and not taking any measures to unload the diseased joint, for example, traction, can only aggravate the situation. Therefore, muscle relaxants should be prescribed only in complex treatment.

Ointments, gels, creams for topical application

It should be noted right away that with coxarthrosis, local remedies are practically ineffective. The fact is that the active components simply physically cannot get to the necessary point in the application. The skin, muscles, fatty tissue and a deep occurrence of the joint do not allow the ointment to penetrate to the required depth.

Intra-articular injections

Intra-articular injections with coxarthrosis are rarely used, since the joint gap in a healthy joint is small, and in the joint affected by arthrosis, it is practically absent. In addition, nearby are large blood vessels and nerves that can be damaged by a needle. Therefore, injections are performed not in the joint cavity itself, but in the periarticular region (periarticular).

As a rule, corticosteroid hormonal drugs are administered with severe pain. These are Diprospan, Kenalog, Hydrocortisone, Phlosterone. Sometimes they resort to injections of chondroprotectors (Alflutop, Chondrolon, Traumel T).

Hyaluronic acid preparations are injected directly into the joint under ultrasound control. They serve as substitutes for intraarticular fluid. The following drugs are popular today:

Other conservative treatments

In the initial stages of coxarthrosis, conservative non-drug therapy is the main treatment method. It includes the following activities:

  1. Physiotherapy . This is the most important treatment for coxarthrosis. No patient can achieve improvement and get rid of pain without regular physiotherapy exercises. But it is necessary to choose the right exercises and perform them correctly. It’s great if the gymnastics complex is picked up by a specialist and teaches all the nuances of doing exercises. There are various methods of physiotherapy, for example, physiotherapy exercises according to Bubnovsky is very effective.
  2. Massage and manual therapy. They can be used only without exacerbation of arthrosis, when there is no pain. It is advisable to regularly take massage courses 2-3 times a year.
  3. Hardware traction (traction of the hip joint). In this case, the joint is unloaded. The traction itself lasts 15 minutes, is carried out by a course of 10-12 procedures. 2 courses are recommended per year.
  4. Physiotherapeutic methods of treatment. Unfortunately, all existing methods have little effectiveness in coxarthrosis. This is due to the deep occurrence of the joint. But, despite this, many doctors prescribe physiotherapy courses, which sometimes help reduce pain.

Surgical treatment of coxarthrosis

Surgical treatment of coxarthrosis is prescribed at the last stage of the disease, when a person has pain that cannot be relieved, or joint function is limited. Several surgical techniques can be used:

  • arthroscopic debridement is the extraction of pieces of destroyed tissue from the cavity of the hip joint, which, floating freely in the cavity, contribute to the further destruction of the cartilage coating;
  • periarticular osteotomy is a laborious operation, during which the surgeon changes the angle of the hip bone, so that the joint is unloaded, and degenerative processes are suspended;
  • Hip replacement – replacing a broken joint with an artificial endoprosthesis.

Alternative treatment methods

Treatment of coxarthrosis at home, as a rule, begins with the use of various folk remedies. Consider the most effective.

Compress with a cabbage leaf. It is necessary to take a large sheet of white cabbage, grease it with honey and attach it to a sore joint. Cover with polyethylene and a warm cloth. You need to hold the compress for 2-3 hours. The course of treatment is 10-14 procedures.
For the next recipe, you will need 250 grams of celery root, 2 lemons, 100 grams of garlic. Twist all the ingredients through a meat grinder, pour the mixture with 3 liters of boiling water. You need to insist 24 hours. After that, take 50 grams every morning on an empty stomach. The course of treatment is 1 month.

A bath with Jerusalem artichoke infusion will help cope with coxarthrosis. To prepare a therapeutic bath you will need a serving of water: an infusion of Jerusalem artichoke, pine, sea salt, 2 tablespoons of honey. You need to take 10-12 baths every other day.

Making conclusions, it is worth noting that the earlier treatment is started, the more chances there are to stop the pathological process and relieve the patient from pain. But, unfortunately, it often happens that only replacing the hip joint can restore the joy of movement to a person and relieve chronic pain.

Anatoly Kudravets

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

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