Coxarthrosis (arthrosis of the hip joint). Causes, symptoms, diagnosis and treatment of arthrosis

Osteoarthritis is a chronic joint disease that is constantly progressing and gradually causes the destruction of cartilage, narrowing of the joint space, bone deformity, and eventually causes movement disorders up to its absence. Arthrosis 1 degree hip joint and its treatment are one of the most important problems for modern rheumatology.

The hip joint is considered one of the most "loaded" in human body. Therefore, in the femoral joint, pain appears most often.

Many people try not to pay attention to painful sensations, but they can be a symptom of the initial stage of the disease.


At different stages, it is detected in a third of people over 25 years old, and with age, its frequency increases to 80%. With improper treatment or its absence, the disease leads to disability.

  • Hip dysplasia (detected after birth);
  • Age-related changes (most common cause);
  • Excess weight;
  • Increased loads (professional sports);
  • Sedentary lifestyle;
  • Fractures and dislocations of the hip;
  • hereditary predisposition;
  • Inflammation of the joints.

During arthrosis, several stages are distinguished. Arthrosis of the hip joint 1 degree - initial form diseases. At the same time, a gradual thinning of the cartilage develops, microcracks and ruptures appear on its surface. synovial fluid changes its composition and can no longer fully protect the articular surfaces from friction and trauma. Bone outgrowths - osteophytes - develop, which aggravate cartilage damage.

Treatment of arthrosis in the initial stages is most effective and can prevent the development of the disease.

Symptoms and diagnosis of coxarthrosis of the 1st degree

Most people note that appears during a strong load or immediately after it. Pain can also occur in the buttocks, lower back, groin and knee, since at the initial stage of the pathological process, pain is caused by spasm and muscle tension. After rest, the pain usually goes away. There may be stiffness in movements in the morning, but it does not exceed half an hour. Pain at rest does not bother. Often noted. People with arthrosis are weather dependent, as changes in atmospheric pressure affect intra-articular pressure and can cause discomfort.

To clarify the diagnosis, you need to take an x-ray.

There are the following radiological signs coxarthrosis 1 degree:

Medical therapy

The most commonly used non-steroidal anti-inflammatory drugs (NSAIDs) are diclofenac, indomethacin, ibuprofen, nimesulide, ketorolac, etc.

These drugs are very effective in relieving pain and reducing inflammation, but do not affect the cause of the disease.

NSAIDs have a strong damaging effect on the gastric mucosa and require additional prescription of drugs that reduce the production of hydrochloric acid in the stomach (omeprazole, lansoprazole). Therefore, NSAIDs should be used only during an exacerbation and under the cover of omeprazole.

Vasodilating drugs are very often used in the treatment of arthrosis of the hip joint of the 1st degree. These funds improve blood flow in the affected area, help normalize the nutrition of articular cartilage and relax small vessels, which contributes to its recovery. The drugs in this group include pentoxifylline, cinnarizine, theonicol.

To relax spasmodic muscles, muscle relaxants are used - tizanidine, tolperisone. Removal of spasm reduces pain, contributes to the normalization of movements.

Treatment of coxarthrosis of the hip joint of the 1st degree is most effective with drugs that restore the structure of the affected cartilage (). To do this, use preparations of hyaluronic acid, chondroitin sulfate, glucosamine (, Artra). It should be noted that treatment with chondroprotectors should be long-term (at least 3-4 courses, which is about 1.5 years) for a lasting result. It is especially important that chondroprotectors affect the very cause of the disease, and not only eliminate the symptoms. It is very important to start treatment on the very early stage, since chondroprotectors are practically ineffective and surgical treatment is required.

Treatment of arthrosis of the hip joint of the 1st degree hormonal drugs used in severe cases. In this case, steroid hormones can be prescribed in the form of tablets and intra-articular injections. Intra-articular drug injections are very effective method relieve pain and inflammation, but many experts believe that the harm from such an intervention outweighs the possible benefits.

Treatment with local remedies

For local treatment, use lotions with medicines(most often with NSAIDs), as well as distractions. The most effective are such means as Fastum-gel, Voltaren emulgel. Of the distractions, warming ointments, rubbing, alcohol solutions with menthol and anesthetics (menovazin) are used. It should be remembered that local treatment cannot be the main one, as it only eliminates the symptoms.

Osteoarthritis of the hip joint 1 degree treatment with physiotherapy

The main physiotherapeutic methods for the treatment of arthrosis are:

  • Electromagnetic treatment;
  • Magnetotherapy;
  • Diadynamic currents;
  • Microwave therapy of the decimeter range (UHF-therapy);
  • Ultrasound and electrophoresis of drugs (analgin, baralgin);
  • Electrophoresis of zinc, sulfur, lithium, cobalt, ichthyol;
  • Laser therapy.

Massage is an effective treatment for arthrosis of the 1st degree. They usually massage the spine and the affected limb, trying to spare the joint. Massage helps to relax muscles, improve tissue nutrition and relieve tension.

At the initial stages of the disease, the appointment of therapeutic baths is shown: sulfide, radon and iodine-bromine. They have a positive effect on the cardiovascular, nervous, endocrine system and have a general strengthening effect.

During remission, you can use different kinds thermotherapy (paraffin, ozocerite) and therapeutic mud (silt, peat).

One of the main areas of treatment is physiotherapy exercises, it is also. All exercises should be performed with a decrease in the load on the affected joint: in water, sitting or lying down. Swimming is the best exercise for hip pain.

When performing exercises, you need to carefully handle the affected joint. Do not try to move too actively, through force, as this can aggravate the condition. If any movement causes sharp pain, they should be stopped immediately. Before and after charging, you need to gently massage the joint area to improve blood flow.

In physical therapy, the main thing is regularity, so charging should take pride of place in your life.

Prevention of osteoarthritis

The main directions in the prevention of joint diseases are the normalization of weight and the correct mode of physical activity.

It has been proven that weight loss of 5 kilograms reduces the risk of osteoarthritis by 50%.

Excessive physical activity causes premature wear of cartilage, so you need to be very careful when playing sports. The lack of load, for example, with a sedentary lifestyle, also negatively affects the joint, as muscle atrophy and weakening of the ligaments develop. Therefore, everyone needs dosed physical exercises, if possible selected by a professional trainer or physiotherapist. In addition, for the prevention of coxarthrosis importance has wearing orthopedic shoes. Proper shoes significantly reduce the load not only on the joints lower limb but also on the spine.

Coxarthrosis (deforming arthrosis of the hip joint) is on the list of the most common diseases. This disease most often overcomes people after the 40th anniversary. The method of treatment of coxarthrosis is determined by the doctor, depending on the form and degree of development of the disease.

How to treat coxarthrosis at different stages

In the treatment of coxarthrosis as it develops, the following methods are used:

  • coxarthrosis 1 degree . In most cases, it is treated at home with the help of tablets prescribed by a doctor: analgesics, non-hormonal drugs, drugs to normalize metabolic processes in cartilage and relieve pain. Perhaps the use of folk remedies.
  • coxarthrosis 2 degrees . The above methods include laser and magnetic therapy, ultrasonic irradiation of the joint, electrophoresis.
  • coxarthrosis 3 degrees . It is treated conservatively and surgically. If the anti-inflammatory drugs, analgesics, intra-articular injections and physiotherapy used do not improve, an operation to replace the joint with a prosthesis is prescribed.

Self-treatment of coxarthrosis

With self-treatment, it is necessary to be guided by therapeutic recommendations:

  • follow a diet;
  • drink 2 or more liters of fluid;
  • get rid of excess weight;
  • reduce the load on the joint, for example, using a cane;
  • use exercise therapy;
  • avoid static postures (long standing and sitting).

Swimming has a beneficial effect on joint mobility.

The use of exercises for the treatment of coxarthrosis of the hip joint is the easiest way, provided that an individual course of exercise therapy is developed and prescribed by the attending physician. For the course to be beneficial, the exercises from it must be performed correctly:

  • perform exercises without sudden movements;
  • eliminate axial loads;
  • stop exercising if pain occurs;
  • do gymnastics every day;
  • after performing all the exercises, it is advisable to take a bath and do a massage;
  • Swimming has a beneficial effect on the hip joint and reduces pain.

Physical activity is prohibited if there is:

  • malignant tumors, hemorrhages;
  • pre-infarction, pre-stroke conditions;
  • fractures of tubular bones.

Medical therapy

Impossible without medication. Their use not only relieves the symptoms, but also has a healing effect on the disease itself. AT modern medicine a variety of medicines are used to relieve pain, eliminate inflammation, and alleviate the condition during exacerbations.

  1. Vasodilators prescribed by doctors prevent vasospasm and dilate blood vessels, while improving blood flow to cartilage tissue. In combination with NSAIDs, they stop severe pain.
  2. Muscle relaxants are used to relieve muscle spasms, which provides the patient with rest from pain. But these drugs have side effect: nausea, dizziness, intoxication.
  3. Chondroprotectors are used to restore damaged cartilage and improve metabolism, thereby delaying the onset of disability. Effectively act in the initial stages of the development of coxarthrosis, in the later stages they help to postpone the duration of the operation.

Under no circumstances should you choose your own medicines.

Such treatment can lead to sad consequences. They differ not only in cost, but also in therapeutic effect and, most importantly, contraindications. For treatment, you should use the medicines prescribed by the doctor after complete examination sick.

The most commonly prescribed drugs for the treatment of coxarthrosis are:

Treatment without medication

In not drug therapy the following methods are used:

  • Methods of manual therapy allow you to harmlessly get rid of spasms, accelerate blood circulation and, as a result, eliminate swelling. Manual massage can be done at home using a shower or massage equipment. An experienced chiropractor can stretch the joint to reduce stress on the joint. In contrast to the hardware hood, the chiropractor more accurately calculates the applied efforts, taking into account the weight and structure of the body, as well as the condition of the ligaments. The manual procedure takes longer and is more expensive, but the results are better and it is safe. Manual treatment does not guarantee healing, it only helps when used in combination with other types of treatment.
  • Hardware traction is used to reduce the load on the hip joint and dilute the bones of the joint. Read the article about.
  • Massage in medicinal purposes used at the onset of the disease. It optimizes blood supply, and hence the supply of nutrients, cartilage tissue, makes the articular bag more elastic.
  • Treatment with leeches (hirudotherapy) is used at the initial stage of the disease. Leeches secrete enzymes acting as chondroprotectors. Helps with pain and inflammation.

Physiotherapy

There is little benefit from the use of physiotherapeutic methods in the treatment of the hip joint, since it is not easy to get to the joint “hidden” by coxarthrosis by these methods.

But in the early stages of the development of the disease, physiotherapy helps to relieve primary symptoms. The methods of laser, shock wave, magnetic therapy and electrophoresis are used much more often. After several sessions, this therapy can reduce pain and swelling.

Non-traditional methods of treatment

In the arsenal traditional medicine there are many recipes for lotions, compresses, tinctures, decoctions for the treatment of joints. They can be used for:

  1. ingestion (restore cartilage tissue and relieve inflammation);
  2. external use (warm, distract, relieve inflammation);
  3. physical education classes, combining stretching with performing exercises of a dynamic and static nature.

A well-known specialist in the field of joint treatment (S. M. Bubnovsky) recommends a combination of gymnastics with cold procedures for the treatment of hip joints. Gymnastics should be performed in the evening for better stretching of strained muscles and increased blood flow to the joint, thereby improving its nutrition.

Endoprosthetics

When all treatment options have been exhausted, but there is no improvement in the patient's condition, an operation is prescribed to transplant the joint to an artificial analogue. The operation is not easy and it is expensive to carry out, therefore, when it is prescribed, the age of the patient is taken into account, since if the outcome is unsuccessful, a second operation is undesirable.

However, even if the transplantation is successful, the patient remains disabled and must follow the rules for using a hip joint implant. Your doctor can recommend ways to improve your future life.

In a very neglected state, coxarthrosis becomes incurable. This does not mean that a full life is over, there are many opportunities to continue normal life, despite limited opportunities hip joint. And it’s even better not to experience all the “charms” of coxarthrosis at all.

Prevention

To reduce the risk of coxarthrosis of the hip joint, it is necessary:

  • regularly engage in physical education;
  • normalize metabolism:
  • regularly make diagnostics;
  • in case of congenital injuries of the pelvis, undergo the necessary treatment in a timely manner;
  • prevent excess weight gain.

Coxarthrosis of the hip joint of the 1st degree and its treatment includes several methods that should be applied in combination. Whereas the lack of treatment leads to the need surgical intervention and disability.

Why does coxarthrosis occur, and how does it manifest itself?

Knowing the factors that cause coxarthrosis of the hip joint, it is possible, if not to avoid it, then at least to delay it. This can be achieved by adjusting habits and lifestyle. Most often, changes in the hip joint occur in the presence of the following points:

  1. Sedentary lifestyle.
  2. Unbalanced diet, deficiency of calcium, magnesium and other trace elements.
  3. Excess weight.

Despite timely treatment, coxarthrosis will continue to develop if the causes that cause it are not eliminated. But there are also circumstances that cannot be changed by an effort of will:

  • congenital hip dysplasia;
  • dislocation and other injuries of the joints;
  • rachiocampsis.

Often, coxarthrosis of the 1st degree goes unnoticed, since it manifests itself with rare, mild pains at the junction of the pelvic and femoral bones. Pain occur after excessive load or, conversely, a long stay without changing position. They pass after a short rest or warm-up, in case of low activity.

Coxarthrosis can be left-sided or right-sided, if one joint is damaged, or bilateral, with the destruction of the joints of both legs.

Even with the onset of coxarthrosis, some changes are already becoming noticeable on the x-ray:

  • the joint space decreases;
  • bones begin to form.

If you notice the symptoms of coxarthrosis of the hip joint of the 1st degree in time, then its transition to the second degree can be delayed for long time. You shouldn't think that this disease only the elderly are affected. Arthrosis can occur in people of any age and gender.

What methods are used to treat coxarthrosis of the 1st degree?

Coxarthrosis, like any other disease of the joints, is treated for quite a long time, using various methods and techniques. The main, of course, remains conservative treatment. Traditional medicines are a good addition. There is no need for surgical methods for the treatment of coxarthrosis of 1-2 degrees.

Medical treatment

Treatment of coxarthrosis of the 1st degree is primarily to relieve inflammation of the joint and restore cartilage tissue. To do this, take the following medications:

  1. Non-steroidal anti-inflammatory drugs (Ibuprofen, Indomethacin). May have a negative effect on the mucous membranes, medical supervision is necessary.
  2. Drugs that improve blood flow and nutrition of articular tissues (Pentoxifylline, Cinnarizine).
  3. Muscle relaxants that relieve muscle spasms (Tizanidine, Tolperisone).
  4. Chondroprotectors (Chondroitin, Artra) restore cartilage tissue. A long-term reception is required, 3-4 courses.

The pain syndrome at stage 1 is mild, but if pain occurs, you can take Paracetamol or Analgin.

Do not neglect medicines in the form of ointment and gel. Inflammation and pain are well removed by Finalgel and Diclofenac.

Important! They need to be applied to whole skin, without wounds and abrasions.

The use of ointments to achieve the effect should also be long and regular. But you should not use them as the main method of treatment, since ointments only relieve symptoms, and do not have the proper therapeutic effect.

Physiotherapy and massage

For the treatment of coxarthrosis prescribed various methods physiotherapy:

  • electromagnetic therapy;
  • magnetotherapy;
  • drug electrophoresis;
  • electrophoresis of zinc, sulfur;
  • laser therapy;
  • ultrasound.

The use of physiotherapy methods is possible only during the period when there is no exacerbation.

A course of massage is also useful for a diseased joint. Movements should be smooth, without force. They relieve tension, improve blood circulation in the joint.

Physiotherapy

With coxarthrosis, you should not completely limit motor activity. A moderate load on the joints prevents their destruction and strengthens the muscles. However, it is worth choosing exercises carefully, as not all of them are suitable for people with a sore hip joint.

Fact! Running and jumping with coxarthrosis is best excluded in order to avoid additional trauma to the joint.

To properly perform a set of exercises, you should remember a few rules:

  1. Movements should be performed slowly, without jerks.
  2. If any movement causes pain, it should be skipped or postponed.
  3. If fatigue occurs, you need to take a break, restore breathing.

It is better to do the exercises several times a day for a quarter of an hour.

The standard complex contains the following exercises that need to be adapted for a particular patient:

  1. Lie on your stomach, raise your legs alternately and hold at the top for a few seconds. In this way, the muscles of the hip and buttocks can be strengthened. Repeat several times. Increase the number of approaches daily.
  2. Lie on your stomach, bend your healthy leg at the knee, then lift it up and hold it. If coxarthrosis is bilateral, then start with the leg that is less prone to destruction. Repeat 5-7 times.
  3. Lie on your back. Bend and unbend your knees, sliding your feet along the floor.
  4. Lying on your back, straighten your legs. Turn them inward, without lifting them from the floor and without bending at the knees.
  5. Lying on your back, spread your legs apart, keeping your heels off the floor. Return to previous position. Do a few repetitions.
  6. If the exercise "Bicycle" does not cause pain, then you can perform it for 10 seconds.
  7. Lie on your side so that the injured leg is on top. Bend your arm at the elbow, put your head on it. Raise the leg as far as possible, take it to the side, return to its original place, relax. Repeat 5-8 times. With bilateral coxarthrosis, you should turn to the other side and do the exercise again.

After completing the entire set of exercises, you need to be at rest for a while. Then you can continue to perform the exercises in an upright position, standing near a chair and holding on to its back:

  1. Gently sit down without bending your knees completely. Repeat 5-7 times, increase the number of repetitions daily.
  2. Smoothly transfer the center of gravity to the socks, stretch. Slowly return to full foot. Repeat 10 times.
  3. Tear off the sore leg from the floor, make it a few smooth swings back and forth.

Performing this gymnastic complex will keep the hip joint in good condition and support the periarticular muscles.

Folk methods of treatment

Almost every patient with the destruction of this joint asks the question: how to treat coxarthrosis of the hip joint folk methods? There are a lot of ways, they are aimed primarily at relieving symptoms and improving blood circulation in the joint. The most popular ointments and rubbing:

  1. Grind mint and eucalyptus leaves in a ratio of 1: 1, add the same amount of aloe juice. Apply to the affected joint two to three times a day.
  2. Grind 8 tablespoons of leaves and stems of celandine, pour 1 liter of vegetable, preferably olive, oil and put in heat for 14 days. Smear the affected joint three times a day, you can insulate.
  3. Grind 50g each of nettle leaves and unripe juniper berries, add 30g pork fat, to stir thoroughly. To smear a joint in the morning and in the evening.
  4. Take equal proportions of honey, iodine, glycerin and medical alcohol. Mix. To smear a sore spot no more than 3 times a day.

Also in folk medicine, tinctures are used for oral administration.

Important! You can take the compositions inside only in the absence of allergic reactions on their components.

Most often, coxarthrosis is treated with the following infusions and decoctions:

  1. Cut half of one lemon into slices, pour boiling water over, insist for one hour. Add 1 tsp. honey and drink half a glass a day.
  2. Pour 50 g of dry leaves of elecampane and cinquefoil with half a liter of ethyl alcohol or vodka, leave for 1 month. Pass through a sieve and drink 30 drops 3 times a day before meals.
  3. Prepare a mixture of dried linden flowers, nettle leaves, burdock root and parsley, willow bark. Pour a glass of freshly boiled water and leave for a third of an hour. Drink a decoction throughout the day.

No matter how effectively folk methods cope with the removal of the symptoms of the disease, one cannot do without drugs prescribed by the attending physician. Hoping for help only medicinal herbs and exercise, you can aggravate the situation so much that coxarthrosis of the first degree will move to the second, and then to the third. Then, perhaps, only surgery will bring relief. Therefore, it is better to immediately allocate an expense item for NSAIDs and chondroprotectors.

Arthrosis or dysplastic coxarthrosis of the hip joint of the 1st degree is a disease associated with a change in the state of the cartilage and articular surface. It is unilateral or bilateral. The insidiousness of pathology lies in the fact that the pathological process occurs slowly, completely without showing itself. Therefore, patients seek medical care already when the disease progresses strongly and causes painful sensations. In this regard, doctors recommend contacting them if there is pain in the groin while walking. Only in this way, there is a chance for a favorable outcome and a full recovery.

There are many reasons that lead to the occurrence of arthrosis. But the main one is a sedentary lifestyle of a person. Despite this, most patients with this diagnosis are athletes who develop unilateral or bilateral coxarthrosis of the 1st degree due to too high physical activity contributing to joint injury. There is also a hereditary predisposition to pathology. Sometimes children are diagnosed with congenital dislocation of the hip joint.

To provoke the development of arthrosis of the hip joint of the 1st degree are capable of:

  • Injuries received in childhood.
  • Destruction of joint tissue.
  • Excess weight, which provokes a load on the joints.
  • Frequent stress and depression.
  • Treatment with powerful drugs.
  • Some congenital diseases.

  • Pathology of the inguinal region.
  • Inflammatory processes in tissues.
  • Alcohol abuse.
  • An increased level of synthesis of certain hormones associated with age-related changes organism.
  • Some infectious diseases.
  • Fracture of the femoral neck.
  • Perthes disease.

A person always needs to pay attention to the presence of microtraumas, as they are able to heal for a long period of time, provoking the development of arthrosis for many years. Women are more susceptible to coxarthrosis. Basically, the pathology begins to develop after 40 years. At the initial stage, the disorder affects one of the joints (left-sided or right-sided coxarthrosis). If you do not start treating arthrosis on time, then the disease can move to other areas (bilateral coxarthrosis of the 1st degree appears).

Rheumatologist Pavel Evdokimenko will help to understand the causes of the disease:

The consequences of coxarthrosis can be such conditions:

  1. The joint fluid thickens and gradually dries out, and the joint begins to crack.
  2. The distance between the joints decreases, as a result of which it begins to deform.
  3. Gradually, muscles begin to atrophy in the affected area.

Arthrosis is a chronic pathology, so it is impossible to cure it forever. Treatment is aimed at eliminating inflammation and relieving pain.

Symptoms

At 1 degree of coxarthrosis, there are no symptoms. At this stage, the joint fluid thickens and its main properties are lost. Cracks form on the joint surface, and the tissue itself becomes thin and brittle, which often leads to a variety of pathologies.

The following signs help to determine arthrosis of the hip joint of the 1st degree:

  • Soreness in the groin area (may occur when walking or at rest).
  • Weakness of the femoral muscles and their change.
  • Swelling in the joint area.

Pain in the groin area can signal the initial stage of the development of the disease

  • Cracking in the hip joint during movement.
  • Limping.
  • Discomfort when changing body position.
  • The leg on the affected side is slightly shortened.

They can appear from time to time, mainly after running or long walking. Growths may appear on the surface of the joint. Many patients do not pay any attention to the pain, since in most cases it is insignificant and gradually disappears even without treatment.

The patient begins to worry only when arthrosis passes to the second and subsequent stages, when symptoms occur. But, it is already impossible to cure the disease at this stage.

Diagnostics

It is important to remember that a sign of coxarthrosis is. Feeling any discomfort in this area, it is important to immediately consult a doctor who can understand its cause. Coxarthrosis of the first degree can be detected during a comprehensive examination, which includes:

  1. Consultation of specialists (traumatologist, etc.).
  2. Carrying out a blood and urine test to exclude all kinds of endocrine disorders.
  3. X-ray study.
  4. Magnetic resonance imaging.

Arthroscopy of the hip joint

  1. Computer diagnostics.
  2. arthroscopy.

Treatment

Treatment of coxarthrosis of the hip joint of the 1st degree is prescribed strictly individually for each patient. The main task of therapy is to stop the pathological process. Unfortunately, the complete restoration of the articulation by natural methods, without surgery, is no longer possible. However, there is a chance to stop the development of pathology and partially restore destroyed tissues. the doctor will tell after a detailed examination.

Regardless of which joint is affected (right or left), the treatment is to use:

  1. Vasodilator drugs. They are able to improve blood circulation and nutrition of the joint, which allows tissues to recover faster. Medicines with an anti-inflammatory effect.
  2. Usually, doctors prescribe non-steroidal anti-inflammatory drugs that are adapted for this pathology. They not only have an anti-inflammatory effect, but also relieve pain, alleviating the patient's condition.

  1. Preparations chondoprotectors, the action of which is based on the restoration of damaged cartilage tissue and joint fluid. But in order for such drugs to be effective, it is necessary to take them in full courses.
  2. Physiotherapy. Such methods are especially effective at the initial stage of development of coxarthrosis. Effective are: magnetotherapy, laser therapy, ultraviolet treatment, mud baths and paraffin baths.
  3. In Carrying out a massage, which helps to improve blood circulation and metabolism in the area of ​​the hip joint, restore its tissues.
  4. exercise therapy. Gymnastics with coxarthrosis makes it possible to restore the natural mobility of the joint, which is often impaired as a result of the disease. Each exercise should be moderate. A certain set of exercises is selected for the patient, which can help get rid of the manifestations of even bilateral coxarthrosis. It is recommended to carry out gymnastics under the supervision of a specialist who, if necessary, will be able to correct its implementation. Physiotherapy helps not only improve blood circulation, but also strengthen muscle tissue. It is prescribed even if bilateral coxarthrosis of the first degree is diagnosed.

Lana Paley and rheumatologist Pavel Evdokimenko will tell and show how to properly perform exercises to treat the disease:

  1. In the reception of vitamin and mineral complexes.
  2. In a balanced diet. The patient needs to exclude from his diet salty and spicy foods that contribute to fluid retention in the body. The diet should be based on high-quality, natural products, the use of which helps to restore and strengthen cartilage tissues.

The use of traditional medicine and nutritional features

Of course, it is impossible to completely cure arthrosis in the hip joint using exclusively folk methods. But they perfectly help to cope with pain and significantly alleviate the patient's condition, especially if there is an initial degree of coxarthrosis. To do this, you can take tinctures and decoctions simultaneously with drug treatment. medicinal herbs: sunflower root, cinquefoil or bay leaf.

Nutrition Features

It is very important during the treatment of coxarthrosis of the hip joint of the 1st degree to monitor your diet. The diet during this period should be based on:

  • Used a large number protein foods of animal origin (fish, chicken, veal, etc.).
  • Daily consumption of dairy products.

  • Eating vegetable salads every day.
  • Take porridge for breakfast.
  • Food should be fractional.

At the same time, you should limit the consumption of sweets, muffins and flour products, alcohol, pickled vegetables, salty or smoked fish and meat.

Prevention

In order to prevent the occurrence of arthrosis of the hip joints, it is important not to allow excessive stress on them. Those involved in sports need to monitor the correct distribution of any loads during training.

Daily gymnastics helps to maintain joints in a normal state. You can perform these exercises at home.

It is equally important to eat right. The basis of the diet should be foods rich in vitamins and minerals.

In the event of any discomfort in the area of ​​\u200b\u200bthe hip joints, you must immediately consult a doctor, otherwise it will follow, and then the third. Knowing the symptoms and treatment of the disease, the doctor will conduct an examination and, if necessary, prescribe a course of therapy. This is the only way to prevent the development of the disease and avoid disability.

Symptoms of coxarthrosis of the 1st degree are mild and people often do not associate them with the development of the disease. Primary coxarthrosis is rarely diagnosed at the 1st stage, and the secondary is often discovered by chance, during the examination for the underlying pathology - trauma, dysplasia, necrosis of the head femur. Early diagnosis significantly increases the chances of successful therapy, since the treatment of grade 1 coxarthrosis of the hip joint is most effective. Sometimes the disease can be completely cured by stopping the destruction of articular cartilage. Treatment of arthrosis of the hip joint of the 1st degree is exclusively conservative, carried out without surgery.

Stage 1 symptoms

The main manifestation of osteoarthritis of the hip joints of the 1st degree is pain. At this stage, joint mobility is not limited, only short-term (up to half an hour) initial stiffness of movements is noted. The gait is not disturbed, although at times, after intense exercise, a person may limp slightly. Muscle mass, volume, strength are unchanged, the joint retains its normal shape and size. Movements may be accompanied by a slight dull crunch, creaking, but extraneous sounds are more characteristic of stage 2.

Features of pain in coxarthrosis of the first degree:

  • starting, at the beginning of the movement and mechanical, after the load. The former disappear when a person "diverges", the latter - after rest;
  • aching character;
  • localization - the hip joint, inguinal region, sometimes the pain is given to the thigh, knee;
  • the intensity is moderate, often sensations are perceived as uncomfortable, but not as painful.

Arthrosis of the hip joint of the 1st degree practically does not bother patients, but this does not mean that it does not need to be treated. On the contrary, if you were lucky enough to identify this disease at an early stage, it's time to take complex treatment. If the treatment of arthrosis of the hip joint was started in a timely manner, there is a chance to delay the development of the disease at this stage for a long time and even completely defeat it. But only on condition that the patient is not limited to taking painkillers, but takes chondroprotectors, does exercises, adheres to a diet, and goes to procedures.