Coxarthrosis of the hip joint of the 1st degree is an early stage of the disease, which is characterized by deformation of the cartilage and bone and is accompanied by episodic pain.. If the pathology is not treated, it can progress and lead to restrictions on the functioning of the musculoskeletal system..
Coxarthrosis of the 1st degree is characterized by unexpressed symptoms against the background of gradual destruction of the joint Coxarthrosis is one of the most common diseases of the musculoskeletal system, which can occur against the background of other pathological conditions. The disease begins to develop gradually in old age (after 40 years), without pronounced signs, without affecting a person's ability to work..
Due to the destruction of the cartilage and bone tissue of the hip joint, pain occurs after physical activity (running, walking, etc.)..
Possible consequences:.
decrease in efficiency: in 60% of cases;
disability: in 11.5%;
the need for surgical intervention (arthroplasty): in 80%.
Causes of coxarthrosis can be primary and secondary.
Primary osteoarthritis can develop due to excessive physical exertion. The primary form of the disease occurs when there are risk factors, which can be:.
physical activity (running, walking);
excess weight;
metabolic and circulatory disorders in the joint, including diabetes mellitus, osteoporosis;
injury;
heredity - the risk of development increases in people whose relatives had arthrosis;
joint inflammation - arthritis;
stressful conditions.
So, with prolonged experiences and stress, the level of corticosteroid hormones in the blood increases, which leads to a decrease in the synthesis of hyaluronic acid, an important component of joint fluid..
The secondary form occurs against the background of diseases of the hip joint. These include:.
hip dysplasia;
congenital hip dislocation;
hip, pelvis injuries;
inflammatory processes of infectious origin;
aseptic necrosis;
Perthes disease.
Also, depending on the localization of the pathological process, coxarthrosis can be right-sided, left-sided or bilateral..
Symptoms of coxarthrosis of the hip joint of the 1st degreeDepending on the symptoms, the development of coxarthrosis is divided into three stages. The main symptom of the disease is severe pain in the thigh, groin and knee joint..
A characteristic symptom of the disease is pain. Coxarthrosis of the 1st degree is characterized by the appearance of periodic pain in the patient as a result of various kinds of physical activity. The pain is localized in the hip joint, and can also spread to the hip and knee. Pain subsides after rest.
At grade 1 disease, an x-ray of the hip joint can reveal uneven narrowing of the joint space and proliferation of bone tissue in the acetabulum. Changes in the neck and head of the femur are not observed.
With coxarthrosis of the 1st degree, the patient does not have:.
movement restrictions: problems with walking or running;
changes in muscle strength.
Diagnosis of the diseaseDuring the diagnosis, the clinical symptoms of the disease, examination and radiography data. They also use functional tests to determine the range of motion, determine the length of the limbs in order to identify their shortening.
To make a diagnosis, an X-ray of the pelvis is usually performed X-ray of the pelvis is one of the instrumental methods that allows you to determine the degree of development of coxarthrosis. If necessary, other diagnostic methods can be used:.
computed and magnetic resonance imaging (CT and MRI);
ultrasound examination (ultrasound).
CT makes it possible to study pathological changes in the bone tissue, while MRI and ultrasound make it possible to assess the condition of the cartilage tissue in the hip joint.
Treatment of coxarthrosis of the hip joint of the 1st degree The treatment is complex and conservative:.
drug therapy;
massage;
therapeutic physical culture (LFK);
mud treatment;
folk methods;
surgical intervention.
Drug treatmentThe main goal of drug treatment is to relieve severe pain and inflammation, regenerate cartilage tissue without surgery. To normalize blood circulation, relieve spasms of the thigh muscles and restore cartilage tissue, drugs with different mechanisms of action are used..
Drug therapy is selected by the attending physician Warming ointments / compresses with antispasmodics are indicated to relieve pain. Non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed, but long-term use of these drugs may slow down the repair of cartilage damage.
To eliminate cartilage deformities in coxarthrosis of the 1st degree, chondroprotectors are used - drugs that include chondroitin sulfate or glucosamine.
They stimulate the process of regeneration of cartilage tissue and the formation of joint fluid, prevent the destruction of articular cartilage, and also have an anti-inflammatory effect..
Chondroitin sulfate is a mucopolysaccharide that takes part in the formation of cartilage and bone tissue, has anti-inflammatory and analgesic properties..
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