According to Dr. Evdokimenko, treatment of arthrosis of the hip joint with the help of physical therapy is possible. You may not believe it, but fact is a stubborn thing. Thousands of Pavel Valerievich’s patients got rid of the disease thanks to his technique. But any type of therapy must be approached sensibly, the possibilities must be assessed, and the load must be distributed correctly. Evdokimenko’s healing gymnastics for arthrosis of the hip joints is no exception. Before starting training, you need to get acquainted with the author’s recommendations, contraindications for training and get an individual complex from your doctor.
Information about the doctor
Dr. Pavel Evdokimenko has been practicing medicine for more than 20 years. His specialty is rheumatology and psychophysiology. During his work, the doctor was engaged in teaching activities and developed complex therapeutic techniques for the following diseases:
- poor posture;
- Bekhterev's disease;
- inflammation of the hip joint;
- diseases of the cervical and thoracic spine;
- osteoporosis;
- problems with the meniscus;
- arthrosis of the joints.
Pavel Valerievich has an academic degree - Academician of the AMTS of Russia. He can be seen on television in medical programs, where he appears as an expert on medical issues. Dealing with the problems of treating joint diseases, Dr. Evdokimenko developed a unique technique that is popular among patients.
The essence of the healing technique
Academician's healing gymnastics are easy to perform. You don’t need special equipment or conditions for the classes; you can perform the complex at home in a comfortable environment. The doctor has developed exercise therapy for all muscle groups and tendons. The main requirement is the smoothness of the exercises, the pace is slow.
Gymnastics for the hip joint has various degrees of load, regulated by the number of repetitions. Performing static exercises involves increasing the time of fixation of the body. The course of healing gymnastics for arthrosis of the hip joints by Pavel Evdokimenko depends on:
- age of the patient;
- health conditions;
- accompanying pathologies.
Training helps strengthen muscles, normalize blood circulation, “pump” blood vessels, and restore cartilage and tendons. The academician’s technique requires an integrated approach: exercise therapy, manual therapy, cryotherapy, joint traction, and medication are used.
Features of manual therapy and physiotherapy
If your knees hurt, then manual and physical therapy give noticeable results in combination with medications. Manual therapy consists of two types of effects on joints:
- The first is mobilization. In this case, the joint is gently stretched, which eliminates muscle spasm and restores partial mobility, reducing pressure on the articular cartilage.
- The second type is manipulation. It consists of one sharp and short movement. Relief occurs immediately, pain decreases, and range of motion is restored.
Dr. Evdokimenko considers the following effective physiotherapeutic procedures:
- the use of leeches, or herudotherapy;
- acupuncture;
- laser treatment;
- cooling method, or cryotherapy;
- ultrasound treatment;
- treatment with ozokerite.
You can get acquainted with the set of exercises according to Evdokimenko in the video.
httpv://www.youtube.com/watch?v=embed/MPiqbT-xS8Y
Dr. Evdokimenko believes that treatment for gonarthrosis is lifelong. But by selecting complex therapy, the process can be stopped.
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Who is gymnastics recommended for?
Gymnastics by Pavel Evdokimenko is indicated for those patients who have stiffness and deterioration in the mobility of the joints of the hip bones. Classes are necessary in case of severe destruction in order to prevent prosthetic surgery. Physical therapy gives results for stage 1-2 arthrosis.
Regular and properly selected loads allow you to achieve the following results:
- eliminate pain in the hip joint;
- improve mobility;
- strengthen the muscles of the musculoskeletal system to reduce the load on the joint;
- improve blood circulation in tissues;
- stop the destruction of the hip joint;
- prevent the need for surgical treatment.
90% of patients who use exercise therapy to treat joints according to Dr. Evdokimenko’s method note an improvement in their well-being after a month of regular exercise. 80% of patients claim that training has made them more mobile and resilient. More than 90% of people who do not neglect gymnastics avoid surgery.
Patient mistakes
According to the doctor, treatment of arthrosis without the use of sports activities is ineffective. Patients who neglect physical activity, even when following other recommendations (taking medications, physical procedures), note a deterioration in their condition. Mistakes made by patients in the treatment of joint pathologies:
- at the slightest relief after drug therapy, exercise therapy is ignored due to its “frivolity” or “futility”;
- Trying to speed up the healing process, a person does gymnastics “to the max.” At the initial stage of training, the number of repetitions and the time of static pauses is minimal. Their number should be increased gradually. Doing 100 squats at once will be just as harmful to the joint as doing nothing;
- Correct execution of the complex is possible only under the supervision of an instructor or physiotherapist.
A joint is a complex mechanism. The development of arthrosis destroys its surface. A thoughtless approach to training aggravates the condition of the joint, and the destruction progresses. It is important not just to practice, but also to perform gymnastics under the supervision of a specialist.
Alternative Treatments
In addition to traditional and well-known Chinese medicine, too many new drugs, means to combat coxarthrosis and alternative tactics have appeared. As experts say, the meaning of new unconventional technologies that the Internet is replete with is sometimes there, but very often it is a waste of money and time
If you have 2nd or 3rd degree coxarthrosis, then this is your joint.
There is no need to expect a cure after using “miracle” medicines; they cannot in any way affect the deformed parts of the joint. In principle, one can rely on a symptomatic result, but only at the initial stage of development of coxarthrosis. In the later stages, when the clinical symptoms are persistent and pronounced, which is explained by the high degree of destruction, their benefit is practically zero.
Plasmolifting - will PRP therapy cure arthrosis?
Its essence is the introduction into the cavity of the hip joint of plasma saturated with platelets, which is isolated from the patient’s own blood. The procedure promises activation of restoration processes in the lesion area and regeneration of hyaline cartilage due to the “switching on” of the self-renewal mechanism in the cartilaginous structures.
In the first two stages, it is possible, but not guaranteed, that the cartilaginous covers, devoid of nerve endings and the circulatory system, will improve to a normal state. But the procedure will not cure advanced pathogenesis! There is only a tiny fraction of the chance that remission will be achieved. It is worth considering that many scientists have already agreed that such autohemotherapy can cause the development of cancerous tumors, since it stimulates the production of stem cells in large quantities, the effect of which on the body has not been fully studied.
On the left is the smooth head of a healthy hip joint, and on the right is grade 3 coxarthrosis. Imagine how difficult it is to rotate in the acetabulum.
How to exercise correctly
Many patients believe that if excessive physical activity accelerates destruction, then it is worth paying attention to gymnastics. This is an erroneous judgment. For gymnastics to be beneficial, you must follow the rules:
- For training, choose those exercises that strengthen ligaments and muscles, giving preference to static loads.
- Dynamic loads should be smooth, without jerking.
- If your physical fitness is poor, you need to start treatment with simple, gentle exercises.
- The goal of Pavel Evdokimenko’s healing gymnastics for arthrosis of the hip joints is to strengthen the muscles and not load the joint.
- Perform stretching exercises slowly, smoothly, with minimal pressure on the affected area.
- Treatment of the hip joint with exercise therapy, in addition to working on the affected area, includes strengthening the back muscles and abs.
- Systematic training to get results.
- Pain during training has two explanations: either the loads are not suitable for the person, or he performs the exercise incorrectly.
- A daily set of exercise therapy classes includes 2-4 stretching exercises, 5-6 strengthening exercises. They can be changed, but the number of repetitions should be maximum. The same load should be given to each limb.
Gymnastics classes only seem simple and easy. To get results you need great willpower, endurance and patience. The first achievements in exercise therapy appear after a month of regular training.
Physical activity at the end of rehabilitation
On average, recovery takes six months. But longer rehabilitation is also possible. It all depends on the individual characteristics of the patient and the quality of his passage through each of the stages described above. Therapeutic gymnastics in the late period (6 months) and after its completion remains an unchanged recommendation.
What is possible
If there are no complications, the person can return to the lifestyle he led before the operation. Also important:
- give preference to outdoor activities;
- exercise at least half an hour 5 times a week;
- control your weight and prevent weight gain;
- give up risky sports and risky entertainment.
What not to do
The only thing that will have to be excluded is any activities that excessively overload the hip joint, accompanied by a high risk of falls and injuries. Thus, the list of prohibitions includes skydiving, intense aerobics, martial arts, wrestling, hockey, skating, running, football, etc.
Contraindications
Evdokimenko’s gymnastics is an original technique, but has a number of contraindications. It cannot be used without permission to combat pathologies of the musculoskeletal system. The doctor must select a set of exercises, their sequence, and the number of repetitions. The following are prohibited activities:
- acute diseases;
- the presence of an inguinal or abdominal hernia;
- people after surgical treatment;
- hypertensive conditions;
- increased body temperature;
- severe forms of cardiovascular diseases;
- menstruation in women.
Stretching exercises can be performed by almost anyone, but they also have a number of restrictions:
- increased body temperature;
- the presence of a hernia;
- menstruation in women.
Medical indications
During illness, the bone and cartilage layer are destroyed. Such patients are prescribed special therapeutic exercises. There are a number of indications for performing Evdokimenko gymnastics for coxarthrosis:
- arthrosis of the knee joint;
- initial degree of scoliosis;
- arthrosis or coxarthrosis of the pelvic joints;
- osteoporosis;
- damage to the menisci;
- gouty arthritis;
- displacement of intervertebral discs;
- sciatica of the neck;
- inflammation of the femoral tendons.
During an exacerbation of the disease, it is not recommended to perform exercises. It is better to engage in physical therapy when remission occurs and the patient’s temperature normalizes and the pain goes away. The inflammatory process must be combated with drug treatment. It is contraindicated to exercise if the patient has one of the following diseases:
- inguinal hernia;
- hypertension;
- fever and heat;
- menstrual period in women;
- chronic diseases of internal organs;
- postoperative period;
- cardiovascular diseases.
The fight against the disease involves surgical intervention. But early coxarthrosis can be overcome with conservative treatment and gymnastics. The set of exercises is selected individually. The complexity of training depends on the nature, severity of the disease, concomitant pathology, age
It is important to carry out training during the remission stage. In this period:
- pain decreases;
- temperature normalizes;
- inflammation decreases.
Gymnastics has the following benefits:
- improving the elastic capabilities of the knee ligaments;
- muscle strengthening;
- normalization of blood flow;
- increased metabolism;
- activation of the formation of joint fluid;
- cartilage restoration;
- improvement of general condition and emotional background;
- acceleration of recovery.
Rules for effective exercise therapy:
regular daily exercises; course of therapy - up to a month; it is important to do exercises for 20 minutes; the load should be gradually increased; the repetition frequency should increase gradually (starting from 3); the amplitude of training is low at first, it must be increased at the end of the gymnastics; all exercises must be done carefully, working every muscle; After training, it is important to rest and lie down (this improves blood circulation in the tissues); to enhance the effect, you can take a shower or self-massage after training; gymnastics should be painless; if discomfort occurs, you must stop training; pain during training should be a reason to contact a specialist.
Coxarthrosis is not cured quickly. Only long-term exercise can give positive results and improve the condition of joints with arthrosis. According to most experts, complex therapy can give the maximum effect.
According to Evdokimenko’s method, arthrosis of the hip joints can disappear without a trace in a short time. This is an effective set of exercises used to recover from degenerative diseases. The technique was developed by the famous Russian academician Pavel Evdokimenko.
Healing gymnastics Evdokimenko
It is impossible to list all the exercise therapy exercises developed by the academician. Firstly, there are a lot of them, and secondly, their variations depend on the doctor’s recommendations. We will list only the main ones.
Classes are based on static exercises with a small addition of dynamic ones. People who move little and have not paid attention to physical activity for a long time need to start training gradually. An important requirement for dynamic loads is a slow pace of their implementation. Degenerative-dystrophic pathologies are incompatible with fast movements, sudden swings and large amplitudes. Slow execution is less tiring for the patient, allows you to extend the training time, increase the number of repetitions, which strengthens atrophied muscles, tendons, and ligaments.
Complex exercise therapy for coxarthrosis
- The person lies down with his stomach down, straightens his legs. Arms extended forward. The patient lifts his limbs up one by one. Lifting height – 15-20 degrees. The raised limb is fixed at the maximum point for 5-10 seconds. The correct pace for performing the exercise is moderate. Returning to the starting position, the patient relaxes the muscles and rests.
- The patient lies on his back. Hands extended along the body. He bends one leg at a right angle, fixes it for 30-40 seconds, then smoothly lowers it. Repeats the exercise 10-15 times. The same goes for the second limb.
- The person lies stomach down, arms extended along the body. At the same time, lifts both limbs off the floor and lifts them up 15-20 degrees. Without bending your knees, spreads both legs to the sides, fixes them for 5-10 seconds, and lowers them. Repeat up to 20 times.
- Lying with his stomach up, a person bends one limb and straightens the other. Feet are tense. The patient changes their position alternately 20 times.
Lifting the limbs from a lying position is performed using the force of the hips and buttocks, the pelvis is pressed to the floor. It cannot be deployed following the raised leg. All movements of the complex are smooth; sharp or high lifts should be avoided.
- The man lies down on his side. Slowly raises the limb to an angle of 45 degrees. At the maximum point, hold it for 10-20 seconds and lower it. The number of repetitions is 20 times. The patient turns over to the other side and repeats the exercise for the second leg.
- Starting position – lying on your back. The patient lifts his limbs off the floor and lifts them at 45 degrees. Slowly brings them together and apart to a shoulder-width distance. The number of repetitions is 10-15 times.
- The man sits down with his back straight. Bends forward with springy movements. The legs do not bend at the knees. The number of repetitions is 10 times.
- Sitting on the floor, the patient straightens his limbs. Alternately raises the limbs up to the maximum possible height. Fixes for 20-30 seconds, slowly lowers. You need to repeat the exercise 10-15 times.
- The man sits with his back to the wall. Straight legs spread wide apart. The patient bends his body towards one foot, turns it to the floor, and performs 20 bends towards it. You need to bend down until you feel pain in the hip joint. Repeat the exercise on the other side.
- The patient lies on his side. The upper leg is bent at the knee, the lower leg swings under the leg 10 times. Repeat everything for the other limb.
After class, massage your thighs. Exercise therapy in the treatment of coxarthrosis should not cause pain. Both limbs should be given the same load.
By observing the requirements for exercise therapy prescribed by the doctor and correctly performing the complex, the patient alleviates the course of the disease, gradually restores the mobility of the joints, and prevents the development of complications of arthrosis. Dr. Evdokimenko insists on regular training for his patients. He claims that the patient’s consent to engage in healing exercises ensures the success of the treatment of the disease.
Knee workout
Being the most active and complex, the knee joint is involved in all basic human movements. Thanks to him we walk, jump, run. Without it, it would be impossible to climb the stairs or even just stand still.
Injuries, chronic diseases of the knee joints or inflammation worsen the condition of tissues, bones, menisci and disrupt the activity of muscles and ligaments. By starting physical therapy classes in a timely manner, you can significantly improve the functioning of the musculoskeletal system.
When starting to perform the complex, it is recommended to follow a certain order. The first three exercises are performed lying with your stomach down. The fourth is on the side. The fifth is sitting on a regular chair, and 6–8 is standing. Then self-massage.
A total of 9 exercises are recommended:
- Raise for 40 sec. straight leg. The pelvis remains motionless. The movements are performed by the muscles of the abdomen and thighs.
- Bend your leg, creating a right angle. Take your time to lift it up. Try to hold her in this state for 10 seconds. Do the same with the other leg.
- Raise your legs at the same time to the possible height. Slowly connect and separate. Sometimes your blood pressure may increase. Therefore, people with hypertension should control their condition.
- Turning to the right, bend the leg lying below at the knee. Raise your left leg as much as possible and hold for 20 seconds. Then on the other side.
- Raising the legs from a position sitting on a chair is done only once. Carefully lift one leg first. Hold for 1 minute. Then another. If your knees hurt, then when performing, you need to reduce the amplitude.
- When performing any exercises while standing, you must hold on to the back of the chair. First for 3 seconds. rise on your toes.
- Then hold for a few moments, rising on your heels.
- Shifting from one leg to the other. The left foot rises to the toe. The right leg is completely motionless. Then the legs change. When performed correctly, you should feel warm in the knee area.
- Self-massage for arthrosis of the knee joint is carried out in the form of rubbing the skin, kneading the muscles, and stroking. The surface of the thighs is massaged for several minutes. You need to start from the knee and gradually rise to the groin.
Joint gymnastics is relevant at any age. With knee arthrosis, pain decreases after the first exercises. After all, Evdokimenko’s technique has a restorative effect on the knee joints and at the same time helps to consolidate the positive dynamics of treatment.