Arthritis of the groin - symptoms and treatment

Our body is a complex system in which the breakdown of one "snail" leads to the breakdown of other "parts". In addition to visceral diseases, chronic diseases of the musculoskeletal system, specifically the joints, also cause a lot of troubles. Today I propose to discuss degenerative hip disease. What are the symptoms and the recommended treatments.

This joint is the largest one in the human skeleton. It is continuously used when walking, bending, turning, so the disease brings severe pain and stiffness to the patient. Fortunately, with early diagnosis, the disease is well treated with medication. But it is not easy to suspect that something is wrong, you need to know all the features of the disease and be able to recognize the first symptoms. And, of course, pay attention to ways to prevent it, and our article will help you with this.

Arthritis or degenerative hip joint also known as coxarthrosis disease, all of these terms mean - a complex progressive disease with destruction of the cartilage lining the top of the femur and jointfemoral. As a result, the joint gradually declines, osteoporosis, overgrowth, and loss of mobility.

Coxarthrosis - what it is

Let's take a closer look at what coxarthrosis is, as this is a term that doctors often use since the word "arthrosis" was recently excluded from medical terminology, as it was previouslythat it had nothing to do with inflammation, but later scientists proved otherwise. To us these disputes are not important, the main thing is that all of these names allude to the same very nasty disease.

Therefore, coxarthrosis is a degenerative-dystrophic disease that causes the destruction and deformation of cartilage tissue. It is mainly diagnosed in women over 40 years old and in men - 60.

Why is it unfair like the ladies do it wrong in the face of nature? The point worth mentioning here is in the special structure of the female skeleton and the load on the hip joint, especially during childbirth and childbirth. Therefore, middle-aged women have a higher risk of this disease, in the higher age group, the number of patients in the sexes is gradually balancing.

What is the cause of dry hip disease

There can be many reasons for the development of dry joints in the hip joints.

The most popular of them are:

• is ​​hereditary, if your parent or one of your relatives has such a disease then you need to pay more attention to your health, as the disease itself is not genetically related but prone to disordermetabolism and other disorders can cause joint problems;
• has a strong load on the pelvis, especially in runners, jumping, and lifting athletes
• obesity, even slight weight gain can be negative for joints, increasing the load on them, so obese people are more prone to arthritis;
• trauma, fracture, bruising of the pelvis;
• endocrine disorders such as diabetes can cause bone problems;
• inflammatory processes in the body, for example, rheumatoid arthritis or purulent;
• presence of problems with the spine or bones (flat feet, scoliosis, bone necrosis) changes in posture and tension on the joints;
• a hormonal imbalance;
• impaired blood circulation in tissues;
• sedentary lifestyle;
• old age, associated with tissue nutritional decline.

Level of coxarthrosis

Doctors distinguish 3 levels or stages of disease development, which will help distinguish the main symptoms. It is important to know that when diagnosing in stage 1 it is completely possible to completely cure amnesia for many years, to stage 3 the only correct decision is surgery, otherwise the patient is threatened with disability.

Stage 1

The following symptoms will help determine the presence of dryness in the 1st hip joint:

• pain when subjected to a heavy load on the joint and immediately thereafter;
• only locates pain in the area adjacent to the bone;
• gait unchanged;
• is ​​not lame;
• muscles retain their strength and shape.

During a computer diagnosis, the doctor can notice bone growth on the surface of the joint, especially along the inner and outer edges of the joint. At this stage, the correctly selected drugs allow you to completely restore joint function, but not all of us tend to run to the doctor when the first symptoms of pain appear.

Admit it, a little bit of discomfort often makes you think of stretch marks, dislocations, fatigue. We start to apply it to the pain with creams, ointments, folk remedies without understanding the cause and wasting precious time. Therefore, if you feel pain in your legs, the first thing to do is go to a doctor, take some time for yourself - this is the key to a long, fulfilled and happy life!

Phase 2

If the problem is not diagnosed and treated immediately, then the second degree of joint disease gradually develops, characterized by the following symptoms:

• more frequent pain may occur even with inactivity;
The pain
• is ​​no longer confined to the bony connection, it spreads to the thighs, groin, and back;
The movements of the
• become restricted, the person cannot completely move his leg to the side;
• appears limping.

During the examination, the picture showed the growth of the bone at the edges of the cavity, the proliferation of the top of the bone, its displacement and destruction.

Fortunately, with the help of complex therapy, 2nd degree joint disease can still be conservative.

Stage 3

Well, this is bad for patients who neglect their health to the point of stage III osteoarthritis, typically:

• hurts all day, even without exertion;
• needs to use crutches or a walking stick;
• is ​​atrophy, that is, the muscles of the diseased leg shorten, changing position.

During the examination, the doctor found that more bones developed, increased the size of the bone edges and decreased joint space. And there's only one way out here - this is surgery to replace a defunct joint with a special artificial prosthesis.

Symbol

We have briefly mentioned the symptoms of the disease, we still summarize all these symptoms.

Coxarthrosis self-expression:

• severe pain in the joint, which can then spread to the legs, groin, or knees;

• impaired mobility, difficulty walking without support;
• shortens diseased limbs;
• poor posture;
• reduces the range of motion in the affected joint;
• X-rays revealed muscle atrophy;
• MRI shows soft tissue problems, inflammation;
• CT scans for the presence of developed bones.

The symptoms are obvious, but not too simple. Therefore, for one of these signs, a specialist is needed to be diagnosed, as this could be a joint disease and completely other diseases with similar symptoms.

Diagnosis

The diagnosis should be made by many doctors, since pain in the pelvis can cause many different diseases.

Like this:

• therapist can detect chronic discomfort in the hip;
• neurologist excludes or confirms the presence of disc herniation, they sometimes cause the same symptoms characteristic of joint disease;
Urologist
• checks for prostatitis for men, these diseases also often cause pain in the pelvis, spreading down the legs;
• gynecologists are looking for adhesives in patients, they also have symptoms similar to this disease;
• a narrow therapist specializing in such problems, he will help determine the stage of the disease, the cause and the method of treatment;
• Surgeons and orthopedic surgeons will be very helpful during severe periods when a patient needs surgery.

So for an accurate diagnosis, it is not possible to limit yourself to only one visit to the doctor and in addition, you still need to pass tests:

• clinical and biochemical analysis of urine and blood for inflammation in the body;
• MRI for examining soft tissues;
• CT for bone examination;
• X-rays will show bone damage;
Arthroscopy
• is ​​indicated in some cases;
• sometimes requires ultrasound of the pelvic organs.

The success of treatment depends on the correct diagnosis, the degree of deterioration and the cause of the defect. For example, if osteoarthritis causes bone tuberculosis, then conventional therapy is forbidden, and in the case of a metabolic disorder, it is necessary to first eliminate the root cause, then treat its consequences.

Treatment of degenerative hip joints

The most effective treatment is in the early stages, after which you can limit the use of many different drugs. How to treat inflammation - the doctor decides after a series of studies. Therapy largely depends on the cause and degree of destruction, but mainly they try to relieve pain, eliminate inflammation, improve blood circulation, for this they use:

• nonsteroidal drugs to reduce inflammation;
The pain reliever
• makes it easier for the patient to return to a normal life and to walk;
Muscle relaxant
• to restore blood circulation in diseased areas of the body;
• chondroprotectors, helps prevent deformation of cartilage tissue;
The steroid injection
• is ​​used when the pain increases;
• vasodilator.

In addition to oral medications, injections, and ointments, treatment includes the use of special diets and exercise therapy, a series of measures that greatly improve the condition and restoremovement of the legs.

Surgery

If conservative treatment is not giving clear results or the disease is already diagnosed at an advanced stage, there is only one way out - this is surgery. Complex procedure, in rare cases, may be rejected or the risk of thromboembolism and other fatal complications. At the same time, for critically ill patients, this is the only chance to have a normal life, because with an artificial joint, the patient after healing and rehabilitation will be able to walk calmly.

Like any surgery, a patient with coxarthrosis must prepare in advance for general anesthesia, must not eat or drink before the procedure and have to clean the intestines. His leg was then wrapped with an elastic bandage to prevent swelling, lay on his side, and fell asleep. Then the doctor made an incision on the thigh, opened the way into the joint, cut the top of the femur and placed a pin in the cut, attaching the titanium tip.

Damaged pelvic tissue was also removed and replaced with a polymer gasket to allow the leg to move normally in the future. Next, the wound is stitched up, bandaged over. After healing, recovery continues, but in the absence of rejection, a person can walk for 20 years, even a lifetime, walking calmly using an artificial joint, feeling no pain and stiffness. .

Chondroprotectors

Due to the disease, the hip joint loses its ability to move, changes tissue, destroys cartilage and forms bones that develop locally. Fortunately, effective drugs have been invented to restore cartilage tissue, they are also known as chondroprotectors, which in Latin means "cartilage protection".

So what are these drugs capable of doing?

• stops the destruction of cartilage tissue;
• accelerates metabolism in joints;
• stimulates the production of synovial fluid, ie a natural lubricant, commonly produced in cartilage tissue and promotes easy slippage of bones in the joint;
• reduces inflammation;
• supports joint movement.

There are two main ingredients that may be included in preparations - glucosamine and chondroitin.

Regarding the medicinal form, it can vary, from tablets, capsules, ointments, creams, to solutions for injection. The choice of the drug, dosage and duration of use should be indicated by the attending physician, taking into account the characteristics of the organism. However, as a rule, injections are used in exacerbations, and then the patient is transferred to a more mild treatment, which can last for months, for at least six months. After all, cartilage tissue restoration is a long matter, but it allows you to return the freedom of movement without surgery.

Inject

In some cases, the disease is treated with an injection. Only a doctor should perform them, use such solution only in extremely severe cases, since treating the disease in this way is very risky. The fact is that the distance between the bones in the hip joint is very small, and with fibrosis it narrows even more. Therefore, sometimes even an experienced doctor cannot insert a joint tablet on his own, and the risk of touching nerves and blood vessels is enormous.

At the same time, injections are sometimes the only way to relieve pain and inflammation, different drugs are used for these purposes:

Corticosteroids
• for pain relief, is allowed to inject no more than every two weeks and one course not more than 7;
• chondroprotectors help with tissue repair, stimulate the production of synovial fluid for normal bone slippage, and improve tissue elasticity. In the form of injections, the drug works faster than pills or ointments, allowing the drug to be delivered directly to the destination;
Hyaluronic acid
• is ​​the newest way to reduce inflammation and pain. It is used after all other drugs have been tried and with no desired results, its effects are long-lasting, injected once.

Physiotherapy

Unfortunately, physical therapies are ineffective in the fight against hip arthritis due to the deep cushioning of the affected area. However, sometimes doctors prescribe kinesiotherapy for pain relief.

Massage

If medical massage is performed by a specialist, it will help improve blood circulation in joints, restore mobility and prevent tissue destruction. But its use is indicated solely during remission, while there is no pain.

In addition, to achieve a noticeable effect, you do not need to see a specialist once, but have to visit two or three times a year to maintain the condition of your bones and joints.

Treating coxarthrosis with folk remedies

Although it is quite difficult to completely cure genital warts by using only folk remedies, especially in severe, severe forms, even doctors recognize the effectiveness ofnatural medicine. Many formulations based on herbs, roots and essential oils greatly reduce the patient's condition, prevent cartilage destruction and bone and scar tissue formation, and stimulate the production of synovial fluid, which is important. important in the fight against illness.

For the most effective treatment and the best results, you should discuss with your doctor alternative options that you can use at home.

Some of the most popular:

• perestroot ointment. For processing, the roots must be crushed in a coffee grinder, mixed with molten lard in a 2: 3 ratio, heat over low heat for five minutes, let cool and lubricated with the ingredients of the sore in the evening. in a month. Then rest for a week and continue treatment;
Ointment
• with royal tree - drying 7 plants, separating the leaves and crushing them, add 1 cup of olive oil, let in 14 days, then the drug will freeze like jelly, hold in handwill melt. Lubricate the affected area with one substance every evening;
• dog leaves, linden flowers, dried parsley, chopped, brewed instead of tea, drink every day;
• wash the lemons, cut them into small pieces and pour into 1 liter. boiling water, filtered after a few hours, add honey, drink three times a day;
• combines honey, iodine, ethyl alcohol and glycerin in equal amounts, leave for 3-4 hours, lubricate joint skin with cotton swab 3 times a day;
• took 60 grams of psyllium root and primrose, sharp with 0. 5 liters. vodka wine, steep for a day in a dark and cool place, filter for water, drink 25-30 drops three times a day 30 minutes before meals, can also be used to rub.

Exercises for hip coxarthrosis

Specially selected exercises will significantly improve coxarthrosis, some of which will be recommended by your doctor. Before use, it is necessary to consult a doctor, because with an incorrectly selected complex and contraindications, you can do more harm to your health.

For example, a deformed joint is dangerous if treated with physical activity - it causes even more pain and tissue damage.

Gymnastics is also prohibited when:

• exacerbation of the disease;
• obvious pain with movement;
• increased body temperature;
• exacerbations of chronic diseases;
• menstruation;
herniation
• ;
• heart and lung disease in a severe form.

It is believed that therapeutic exercises for coxarthrosis should be aimed at restoring muscles and ligaments, but not to load an already weak joint, so do not move, but static movements will edify. more suitable. I am also glad that these exercises can be done at any time convenient, cost-free and nerve-wracking to see a therapist, and how effective they are is simply not using one. such popular medicine.

Here are some exercises:

• lying on his back, lift affected leg by 10-15 cm, freeze for 20-30 seconds, repeat for other leg;
• does the same, but fast, holding only for 1-2 seconds;
• for lifting not straight legs, but legs bent at the knee at a right angle;
• lay on his stomach, tore his feet off the floor and held for a few seconds, slowly pulled apart, reconnected, lowering to the floor;
• lie on your side, bend lower leg and raise upper leg and hold at an angle of about 45 degrees, wait 30 seconds, return to starting position, repeat for other leg;
• do the first exercise, but rotate the feet alternately in and out.

Yes, do not just practice according to the description of the exercises and videos, it is better to discuss this issue with your doctor or even visit a rehabilitation specialist many times, because in schoolIn the case of another disease, complex adjustments are needed to avoid complications.

Nutrition

Because osteoarthritis largely depends on metabolic processes, when treating a disease, it is necessary to adhere to a reasonable diet. It should be regular, but not overuse. Excluded:

• salty food;
• fatty broths, mayonnaise, oils, dairy products (sour cream, whipped cream);
• preservatives;
• baked goods made from high-grade flour;
• smoked.

They should be replaced with more cartilage types:

• low-fat milk and dairy products, in particular, cheese is important because it promotes tissue regeneration and calcium absorption;
• fish and lean meat;
• beans, mushrooms, buckwheat, lentils are rich in vegetable proteins;
• jelly meat, fish jelly, collagen-containing jelly;
• carbohydrates from grains;
• vegetables and fruits;
• complex carbohydrates (dried fruit, honey).

Drinking plenty of water is important for maintaining salt balance.

Proper nutrition helps to remove uric acid that is dangerous to the joints, destroy inflammation, remove excess weight, edema, thereby reducing the load on the affected area, and even repairing cartilage tissue. The greatest effect can be achieved in stage 1 of the disease.

Precautions

If you have or have had osteoarthritis in your family and have been successfully treated, it is important to prevent it properly and regularly, including the following points:

• Proper nutrition, contains all vitamins and minerals for normal tissue metabolism;
• controls weight to avoid extra loads;
• Moderate physical activity, ability to move around to avoid injury and overexertion in diseased joints;
• beware of hypothermia, as it can aggravate. It is important to dress warmly, wrap the pot in cold weather, avoid sitting on cold surfaces and in low winds;
• practices a healthy lifestyle, walking in the fresh air, gently strengthening leg muscles.

Osteoarthritis is a very uncomfortable disease, without proper treatment, the fusion of bones will lead to disability and a wheelchair. Therefore, right from the first symptoms, go to the doctor for diagnosis and help. Timely and comprehensive treatment allows you to get rid of the problem and live without pain and limitations.