Diagnosis is difficult only at the initial stage. The doctor palpates the hip joint, bends and extends the limb. The basis of the examination is radiography.
Changes in grade 2 osteoarthritis are clearly visible in the x-ray picture – the joint gap is narrowed by 45%, cartilage is damaged, osteophytes grow. Palpation of the joint is painful, swelling is pronounced.
Treatment of deforming arthrosis of the hip joint is conservative and surgical. Conservative therapy involves the use of medicines, physiotherapeutic procedures, exercise therapy and orthopedic appliances. If treatment is not effective, surgery is performed.
Drug treatment of grade 2 osteoarthritis of the hip joint is aimed at improving the quality of life of patients. The following medicines are used:
- anti-inflammatory drugs (hormonal and non-hormonal) – Movalis, Kenalog, Dexazone;
- chondroprotectors – Teraflex or Aflutop;
- muscle relaxants – Mephedol, Sibazon or Midokalm;
- vasodilators – Trental, Theonicol.
With the help of drug therapy, you can reduce inflammation, get rid of severe pain, and, most importantly, restore blood circulation and nutrition of cartilage. It is important to use ointments and gels along with systemic drugs.
When treating the disease with folk remedies, therapy should be agreed with the doctor.
At stage 2 of the disease, medications alone are not enough. An important role is played by kinesitherapy and physiotherapeutic procedures.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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After eliminating the inflammatory process and severe pain, physiotherapeutic procedures are prescribed. The following techniques are effective:
- shock wave therapy – enhances blood circulation, speeds up metabolism and promotes regeneration;
- myostimulation – restores muscle function;
- phonophoresis of hydrocortisone, analgin, dimexide or chondroprotectors – the effect depends on the drug used;
- ozone therapy – reduces soreness and activates the restoration of cartilage tissue.
Water treatments are helpful. During swimming in the pool, the muscle apparatus is strengthened and the mobility of the articular joint is improved.
In most cases, 12-15 sessions of physiotherapeutic procedures are sufficient.
Diet therapy is a component of conservative treatment. The main goal is to maintain weight within normal limits. In no case should you gain weight.
The menu must include fish, fresh vegetables and fruits, brown bread. Fatty meats must be discarded, but meat cannot be completely excluded from the diet. Low-fat beef or chicken is suitable. It is necessary to limit the intake of sweets and alcohol.
After physiotherapy, to increase tone and strengthen muscles, it is worth taking a course of massage and exercise therapy. In addition, joint traction is effective. It is performed in a hospital. For the period of therapy, the patient should move on crutches to unload the thigh as much as possible. At the same time as traction, classic or underwater massage is used.
For patients of advanced age, mechanotherapy is used – a type of exercise without significant physical exertion on the affected joint.
With osteoarthritis of the 1st and 2nd degree, conservative therapy is enough, the third stage is treated only surgically. The following methods are used:
puncture – removal of flu >
Prevention should be followed by people after 40 years, since the likelihood of osteoarthritis increases with age. Adherence to preventive measures is also necessary for athletes and people with a hereditary predisposition.
The recommendations are as follows:
- decreased body weight;
- moderate physical activity, strengthening the musculoskeletal system;
- proper nutrition;
- Avoid injury.
At the first symptoms of osteoarthritis or other diseases of the hip joint, you need to consult an orthopedist. Early diagnosis is important.
Deformation of the joint is accompanied by mild symptoms, as the destruction of cartilage tissue symptoms are more pronounced. The consequences of the disease in the last stages are irreversible, so osteoarthrosis must be treated on time.