Hip Arthropathy of the hip is a chronic pathological process in which the overall structure of joint tissue changes due to impaired metabolic processes. What happens to the body with hip disease? For hip joint disease, it is characterized by malnutrition and degeneration, affecting the middle-aged and elderly population.
what is it about
Sacrococcygeal arthropathy is characterized by a long course of disease, making it difficult to diagnose changes in hip arthropathy immediately. What is hip disease? The pathological process, even based on the name of the pathology (coxarthrosis), affects cartilage in the beginning, and as hip disease progresses, destructive changes can capture the bone joint structure.
Hip disease destroys joint function, and osteoarthritis of the hip joint (so-called coxarthrosis) is more common than other pathological processes, usually after the age of 40. Hip disease in women is less common than in men.
About the reason
For hip joint disease, the causes have different origins, the following are the more common presentations:
- Impaired blood flow to the affected joint tissue area. Due to various underlying causes, the vascular system is dysfunctional, the outflow through the venous vessels deteriorates, and the blood does not flow well to the arterial vascular tissue. All of these changes that occur in this disease lead to the accumulation of organic compounds characteristic of metabolism. This enzymatic compound has a damaging effect on cartilage tissue.
- trauma. The most common cause of hip-onset hip disease is long-term minor, indistinct injuries that thin, damage cartilage tissue, and form post-traumatic hip disease.
- Hip dysplasia of the hip can develop due to excessive overloading of the joint. The degenerative process develops, and the joint tissue is deformed by physical labor.
- The disease may manifest as the patient is overweight. The joint is overloaded, which can lead to inflammation, and in the future it may become deformed.
- With the aggravation of heredity, hip osteoarthritis also manifests itself. Diseases themselves do not pass along genetic lines, the specific properties and composition of cartilage and bone structure can spread. Many conditions of hip osteoarthritis, along with this cause, have a greater impact than other factors.
- endocrine dysfunction. Frequent changes in the concentration of hormonal compounds can affect metabolic processes, which can lead to inflammatory changes in the joints, leading to the development of hip deformity.
- A person dislikes sports, is lazy, and, therefore, develops DOA of the hip, sacral osteochondrosis.
- Other pathological processes (necrotic changes of the femoral head, severe infectious pathology). If unprofessional medical measures are provided, many pathologies will lead to the development of the patient also in a complex form to osteoarthritis of the hip joint.
- Inherited pathological changes (dysplasia, congenital hip dislocation) contribute to the presentation of hip DOA.
This is why this pathological process occurs.
The symptoms of hip joint disease of the hip are characterized by slight differences in different stages of the formation of the pathological process. But there are signs of arthropathy in the hip joint, which determines the initial stage of hip arthropathy.
Treating hip joint disease is more successful if detected early.
But often patients with hip involvement and disease symptoms seek medical attention at a later stage in the development of hip symptoms, which greatly reduces the chances of successful hip disease treatment.
General symptoms include the following:
- Severe pain is the main symptom of hip disease. In the initial stage, pain is manifested during human motor activity. As the destruction of the hip joint type progresses, pain symptoms continue and the person also experiences sacral pain.
- In the case of hip arthropathy, other symptoms are that the patient has limited mobility, and he is restricted. In the initial stages of hip arthropathy, these symptoms can be observed after the patient wakes up or after strenuous physical exertion.
- Changes in lower extremity length. When these symptoms appear, the hip joint has been affected for a long time, which is accompanied by deformation changes affecting the pelvic area.
- Atrophic changes are a severe manifestation of this pathological feature. The initial phase is characterized by mild muscle weakness.
- The patient was lame and walked differently, indicating a deformed change in bone structure.
- In joint tissue, it emits a strong crunch, which signals pathological changes.
About the degree of pathology
Hip disease has 4 stages of development:
- The initial stage is characterized by a mild course of pathological processes. The patient did not suspect that he had hip changes for a long time. Therefore, if hip joint disease is not treated in time, the pathology will progress. During this phase, after prolonged physical overload, the lesions periodically bruise and whine in the damaged joint tissue. The process can be single-sided or double-sided. The patient may limp and the muscles are hypertonic and they resist deforming conditions. When a person stops overworking the body, the pain goes away and the pain recurs on a regular basis. Sacral osteochondrosis is sometimes exacerbated. X-rays will show a slight narrowing of the joint space.
- In the next stage of pathological progression, the joint tissue gradually collapses and significant destructive changes occur. Symptoms intensify, with pain radiating to the buttock area, which can be located below the pubic symphysis, in the knee. Osteochondrosis can also worsen in people with hip problems. Soreness not only occurs after physical exertion, but can also be observed in a state of calm. Without treatment, the patient can limp and overload the spine. Symptoms of osteochondrosis are morning pain and stiffness in the spine. The extensor and abductor fibers are weakened. Sacral osteochondrosis progression.
- In the third degree of the pathological process, the cartilage tissue is almost completely destroyed. The X-ray will show the gap of the joint in the form of threads. The joints can be severely deformed. Sacral osteochondrosis always worsens. Without pain medication, patients cannot survive. If the crutches are not stressed, the patient will not be able to move. In damaged joint tissue, edematous and atrophic changes occur.
- In the final stages of pathology, it is impossible to cure hip joint disease without surgical methods. The bone structure of the hip joint tissue was completely fused, the pain persisted, strong edematous changes were observed, and the sacral osteochondrosis was also aggravated.
To properly treat hip osteochondrosis, you should consult a doctor who treats hip osteoarthritis. He will make an appointment to go through diagnostic measures. The diagnosis of hip joint disease is:
- Medical history data was collected, and the medical history was filled out by a doctor who took into account all symptoms. It turns out that there are burdensome genetic, traumatic effects. The doctor examines the problem area and performs a series of functional tests.
- General and biochemical blood tests are performed. Inflammation is present if the rate of erythrocyte sedimentation increases beyond 29-31 mm/h. Blood biochemistry will show markers of the inflammatory process (C-reactive protein types, globulins, immunoglobulin compounds, serum glycosides). This study will help differentiate this pathology from other pathological processes.
- Using an X-ray, it will show osteophyte growth, how narrow the joint space is, how the cartilage tissue is ossified, and the compaction of the bone structure under the cartilage tissue. But soft tissue structures cannot be detected using X-rays.
- Examination using computerized and magnetic tomography. With these methods, you can see how much the joint structure of a given area and nearby tissues is affected, and you can also find out the root cause of the pathological process.
How to treat the hip joint, which doctors treat the hip joint, and how to treat it? Medications or surgery are used to treat osteoarthritis of the hip. If the patient suffers from sacroiliac joint arthropathy, the treatment time will be long and divided into several stages, and the symptoms and treatment are interdependent.
Effective treatment of hip osteoarthritis is the shortest period of time from the moment the diagnosis is established. If the patient has advanced hip disease, it should be treated by a physician in the orthopaedic field.
However, when a patient suspects hip joint disease and feels sore in the groin area after running 8-9 kilometers, it is necessary to contact a specialist in treating rheumatology. This is the doctor who treats hip arthropathy, and the doctor who treats these pathological processes.
About the drug
For hip osteoarthritis, the aim of drug therapy is to:
- Eliminate pain.
- Restoring tissue nutrition.
- Activate the regeneration process.
- Improve blood flow.
- Reduce pressure on damaged areas.
- The size of the joint space is increased.
How to treat hip types and how to relieve pain? Treatment of hip arthropathy is carried out with drugs:
- Nonsteroidal drugs that relieve the inflammatory process. Application of injections, tablets. They reduce pain.
- chondroprotective agent. They use injections. These drugs provide nutrients to the affected tissue structures, they stop the destructive process and the joints will function normally.
- Muscle relaxant. These funds will relieve muscle spasms and improve the microcirculation process.
- Healing ointments, creams, lotions. Topical use of this group of drugs stimulates painful areas, improves microcirculation processes, and stops spasms.
- To treat the hip, steroid injections are used. These injections can relieve exacerbations and eliminate severe pain.
- Use vasodilator drugs. These drugs dilate vascular tissue, relax its smooth muscle fibers, improve blood circulation in the joints, and relieve spasms.
What other treatments are there for hip disease and how? Use ergonomic tape. Kinesiology tape has long been used in sports medicine. The tape is a special type of cotton, hypoallergenic and elastic patch. If it sticks to the skin then:
- Microcirculatory processes are enhanced, lymph flow, and a drainage effect is produced.
- Normalization of muscle function.
- Pain decreases or disappears completely.
- The articular surfaces or ligaments are carefully immobilized.
Kinesio tape offers the following benefits:
- The effect lasts as long as the application is applied.
- Efficiency increases with physical activity.
- Does not cause discomfort.
- The composition does not contain any drug.
For the type of hip joint, how should it be treated and how should it be applied? Hair interferes with the tape, so the skin is cleaned and disinfected. Take 4 tapes, 15-20 cm long, and stick them on the patient's lateral position, with the articular surface on the upper side, and the lower limbs bent to the knees.
The solution is simple:
- The tape base (about 4cm on both sides) is glued but not stretched, the main part is stretched as much as possible.
- The first strip is applied in a vertical position so that the central area of the strip is on the affected joint.
- Glue the other strip perpendicular to the previous one, stretch it as much as you can.
- The next 2 tapes are applied diagonally, stretching as far as possible.
- After use, rub the tape for a better hold.
The surgical approach is performed at the extreme stage of the pathological process, when the joint is not functioning.
Typically, the joint is a prosthetic limb that does the following:
- The femoral head is severed and a needle is inserted into it. A titanium analogue of the femoral head is attached to it.
- Part of the pelvis was removed in sections, and a special polymer bed was attached to the artificial head.
If the surgery is successful and the joint is properly maintained, it can last about two decades.
For the prevention of hip arthropathy, the root cause of the pathological process should be prevented and eliminated in time. The key to preventing hip joint disease lies in the timely diagnosis of pathology. To prevent hip changes, patients should:
- Get physical therapy.
- Use sticks to arrange ski walks.
- Sometimes treatment in a nursing home.
- Learn to massage yourself.
- Apply special massage techniques.
- Weight control.
- Take chondroprotective agents regularly.
- do not catch a cold.
- Avoid injury.
- You should eat a balanced diet so that the vitamins in food are present in the required amounts, excluding foods that are too greasy, too salty, and foods that contain a lot of preservatives. You should eat lean fish, meat, dairy products, buckwheat, lentils, natural vegetables and fruits. Collagen is required and it is contained in aspic, fish jelly, jellies. Sugar is replaced by honey.
If a person is physically active, the therapeutic measures will bring the greatest results:
- The joints will work fine.
- Muscle tissue will be strengthened.
- Blood flow to the joint structures and surrounding areas will be improved.
- Back pain will go away.
- There will be no complications.
It is worth remembering that prompt diagnostic measures allow you to start treatment earlier and the progression of the pathology will stop. There will be no complications. Therefore, it is best not to delay treatment, and once symptoms appear, it is best to seek medical attention immediately.