Deforming arthrosis of the hip joint -severe chronic disease in violation, degeneration and destruction of joint tissue. The essence of osteoarthritis that without well-chosen therapy it inevitably leads to the complete immobilization of the joint, and disability. The main task at all stages of the treatment of osteoarthritis of the hip joint is to prevent a complete collapse of the cartilage and the elimination of existing violations.
hip osteoarthritis divided Treatment:
- Conservative including medication, intra-articular injections, physical therapy, exercise therapy and other techniques, which offers treatment of coxarthrosis.
- Operational implying surgery to "own" the joint to increase its mobility, prevent further development of osteoarthritis or joint replacement surgery on the prosthesis.
The lack of opportunity to influence the causalarthrosis processes left an imprint on the disease treatment. The treatment of hip osteoarthritis mostly symptomatic, that is aimed at eliminating pain, increase joint mobility, compensation arising static-dynamic disorders, taking into account the patient's age and health status.
If diagnosed with stage 1-2 osteoarthritiship, treatment is usually started in the outpatient conditions with the appointment of painkillers and anti-inflammatory drugs. The task - to stop the pain and inflammation in the joint, prepare the patient for physiotherapy, massage, manual therapy, Therapeutic exercises. Stop arthrosis at an early stage to help chondroprotectors - drugs that improve the power and restore the articular cartilage on the inside.
Physiotherapy, massage and physical therapy intreatment of osteoarthritis of the hip joint are aimed at stimulation of blood circulation in the area of concern, improving nutrition of cartilage and periarticular tissues, prevention of muscle atrophy and shortening of the ligaments, increase mobility and improve the stability of the bone joints.
In the course of treatment is shown limiting the vertical load on the joint, the use crutches to walk, metered physical education classes.
Treatment of osteoarthritis in general and arthrosiship in particular involves compulsory exercises joint exercises, stretching and gidrokinezioterapiyu. Special exercises in coxarthrosis complemented obshcherazvivajushchih, strengthens the back muscles, abdominals, that allows you to create a muscular corset, preventing misalignment of the pelvis and spine. Traction joint and kinesiotherapy help relax tense muscles, increase the distance between the joint surfaces, which together with the joint exercises stabilizes the joint and prevents bending limbs.
Final osteoarthritis accompaniedsevere contracture of the hip joint does not imply physical therapy. Attempts to forcibly increase joint mobility leads to cartilage injury and pain, while the main goal of treatment is to eliminate the pain. Therapeutic exercise designed to enhance the power of endurance of muscles and resulting hip abductor, and the simultaneous relaxation of muscles opposing group. Drug therapy includes intra-articular injection of drugs that reduce pain and inflammation, lubricants and feed inside the joint.
Surgical treatment of stage 1-2 hiposteoarthritis mostly involves various types of osteotomies that remove bone growths that increase joint mobility. A variant of the operation at the last stage of the disease is arthrodesis - completely closing and stabilizing the joint, relieving pain and the possibility of pathologic fractures and dislocations. In order to restore mobility in the pelvic-femoral articulation proposed joint arthroplasty.