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Coxoarthrosis - another name for degenerative-dystrophic disease of the hip joint - is caused by the destruction of cartilage. The disease develops slowly, but you should not have any illusions in the hope of being able to cure the disease later. Arthrosis continuously progresses and causes serious limitation of joint mobility . However, it is possible to stop and even reverse the disease! Doctors at the clinic of Professor Oleg Savyak achieve success in more than 90% of cases without joint replacement.
Is pain relief necessary?
If you suffer from coxoarthrosis, then you know what pain it causes. Unpleasant sensations increase with movement. Naturally, there is a desire to take a painkiller pill or use an ointment. But such measures are temporary. As for anti-inflammatory drugs, it makes no sense to take them for arthrosis, since this is not inflammation. All of these medications contribute to the development of the disease, creating the appearance of improvement.
We restore the natural production of periarticular fluid. This brings long-term effects.
Treatment at the Savyak Clinic
The high effectiveness of treatment of hip arthrosis by our specialists is observed due to an integrated approach and an impact on the cause, not the symptoms. Therapy is divided into several stages:
- diagnosis and relief of acute pain;
- restoration of cartilage tissue using traditional and proprietary techniques;
- recovery period and prevention of exacerbations.
For treatment , manual therapy, physiotherapy, arthrotherapy, traction using special devices, and massage are used. Gentle stretching relieves joints and improves mobility. Massaging stimulates blood flow and metabolism. With the help of physiotherapy, pain is relieved and recovery processes are launched.
Give yourself the gift of health, contact Oleg Savyak’s clinic!
Treatment of osteoarthritis of the hip joint
Coxarthrosis (osteoarthrosis of the hip joint) is a degenerative-dystrophic disease of the hip joints, accompanied by damage to articular cartilage, bone tissue and periarticular structures and leading to permanent loss of joint function.
Arthrosis of the hip joints is one of the most severe degenerative-dystrophic pathologies of the musculoskeletal system. The disease quickly leads to a decrease in motor activity, a change in the nature of a person’s movements, and often to the inability to move independently and disability. A few decades earlier, coxarthrosis was considered one of the “diseases of old age,” but since the beginning of this century, a high incidence has been recorded among young and middle-aged patients, which is associated with various reasons.
Statistics
Osteoarthritis is the most common pathology of the musculoskeletal system and is observed in 70% of adults; coxarthrosis - in 25% of orthopedic patients. Up to 30% of patients diagnosed with coxarthrosis are unable to work, become disabled and require joint replacement surgery.
The disease occurs from 20-25 years of age, the average age of onset of symptoms is 37-39 years, and progresses with age, which is associated with the presence of concomitant pathologies of the musculoskeletal system, bone loss, etc. In middle-aged patients, the prevalence of coxarthrosis is 11%, in persons over 85 years old - 35%. In children and adolescents, coxarthrosis is a consequence of congenital joint dysplasia, which is observed in 1% of newborns.
Reasons for development
The reasons leading to the development of arthrosis of the hip joint have different meanings depending on the age and general level of health of each patient:
- congenital violation of the normal anatomical shape of the joints - deformation of the femoral neck, congenital dislocation of the hip;
- deformation of the femoral head due to degenerative (age-related) processes in the joint;
- traumatic injuries - fractures, dislocations, non-physiological, including sports, loads on the joints;
- infectious and inflammatory diseases - tuberculosis, osteomyelitis and others;
- rheumatoid arthritis and other systemic diseases (allergic, metabolic);
- if the exact cause of the disease has not been established and it developed on its own, the term “idiopathic coxarthrosis” is used.
Symptoms of coxarthrosis of the hip joint
The main symptom is pain. Their severity and the addition of other manifestations of coxarthrosis depend on many factors, in particular on body weight, lifestyle, and age. At the initial stage, patients note moderate, intermittent pain in the hip joints, which occurs mainly during physical activity and goes away on its own. Then the pain begins with light loads, does not go away with rest, and “shoots” into the knee joint. The mobility of a joint or both joints is limited.
Patients are forced to limit physical activity, lameness and “duck gait” appear. At the final stage, excruciating constant pain is observed, mobility in the hip joints is sharply limited, walking is possible only with a cane or crutches, patients require round-the-clock assistance and are unable to work.
Development
As the disease progresses, the hip joint gradually deteriorates and completely loses its functions.
There is a thinning of the articular cartilage and a slight narrowing of the joint space. The bone tissue located under the cartilage becomes denser. At this stage, pain appears after physical activity.
In the second stage, cartilage destruction progresses. Marginal osteophytes—bone growths—appear. The narrowing of the joint space progresses. There is pain when walking, limited joint mobility (contracture).
At the final stage of coxarthrosis, bone growths are extensive, flattening and subluxation of the femoral head occurs, and the joint space practically disappears. Constant severe pain, joint mobility is significantly limited.
Diagnosis of coxarthrosis
If you experience pain in the groin area, limited joint mobility and other symptoms listed above, you can consult a therapist, but the leading medical specialist involved in the diagnosis and treatment of arthrosis of the hip joint is an orthopedic traumatologist.
The main method for diagnosing coxarthrosis is radiography. This is an informative method that allows you to accurately assess structural changes in the affected joints. Due to its cost-effectiveness and availability, joint radiography is still widely used. A more informative (but expensive) method is X-ray computed tomography. Magnetic resonance imaging (MRI) of the joints is also used. It is performed to identify coxarthrosis at the pre-radiological stage (when there are no changes on radiographs yet), as well as for differential diagnosis.
Treatment of coxarthrosis of the hip joint
In the early stages of coxarthrosis, with a favorable course of the disease, conservative methods using physical therapy techniques, including kinesiotherapy, massage, and physical therapy, in particular water and mud therapy, and a complex of physical procedures, are preferred. Among the physiotherapeutic techniques that have proven themselves, one can also highlight magnetic therapy.
Magnetic therapy for coxarthrosis is used for a variety of purposes. Under the influence of a magnetic field, regeneration processes in the body are activated, including in bone tissue, and blood circulation improves. The last point is especially important, since with osteoarthritis there is insufficient blood supply to the joints, and therefore a deficiency of nutrients to maintain the normal state of cartilage and bone tissue, and this can aggravate pathological changes in the joint. Improving blood circulation in the area of the hip joints helps restore the flow of essential nutrients to the joints, activates metabolism in bone and cartilage tissue, which is the basis for the positive effect of magnetic therapy for coxarthrosis.
Also, due to the enhancement of metabolic processes and the release of certain biologically active substances, the anti-inflammatory and analgesic effect of magnetic therapy is observed.
Diet therapy is recommended to normalize metabolism and reduce body weight. Along with a balanced diet, it is possible to use auxiliary drugs (medicines and biologically active pharmaceutical additives) that affect metabolic and recovery processes in the musculoskeletal system - based on glucosamine and chondroitin (chondroprotectors), minerals and vitamins, standardized plant extracts.
Drugs with an analgesic and anti-inflammatory effect, namely NSAIDs, corticosteroids, muscle relaxants and some others, are used at all stages of coxarthrosis to eliminate pain and inflammation. Their use must be strictly dosed, under supervision and as prescribed by a doctor.
At the second or third stages of the disease, depending on the symptoms and condition of the patient, continued conservative treatment or surgical intervention is recommended. Currently, various surgical methods are used, the best results (complete restoration of joint functions and human mobility) are achieved with total endoprosthetics - hip replacement.
Drug therapy, diet therapy and lifestyle changes, physiotherapy and spa treatment are also recommended, both in the case of surgery and with a conservative approach. Physiotherapeutic techniques in complex treatment can reduce the number of medications and the load on the body, promote faster recovery after surgery, and improve the general condition of the patient. In particular, magnetic therapy shows good effectiveness and tolerability, even in weakened, elderly patients and people with chronic diseases of the nervous and cardiovascular systems.
Prevention of arthrosis of the hip joint
As a preventive measure, early detection of coxarthrosis at an early stage is very important. If you notice symptoms (pain, limited mobility) in the area of the hip joints, you need to consult a doctor - first you can visit a therapist, then definitely an orthopedic surgeon. The therapist can prescribe initial analgesic treatment, recommend chondroprotectors, and the orthopedist will prescribe special treatment.
It is very important to avoid excess weight and normal physical activity, to correct working conditions and lifestyle in general, as well as timely treatment of diseases that can become one of the causes of coxarthrosis (inflammatory, infectious diseases of the joints, congenital anatomical defects of the joints, degenerative-dystrophic diseases) .
