What is dangerous and how to treat arthritis of the hip joint

Hip arthritis - pathological changes in the same joint. The second name of the coxite came from the Latin term "coxa" - the thigh. The disease is characterized by the presence of an inflammatory process in the joint cavity.

Causes and classification of cocksites

The most common causes of the development and development of arthritis of the hip joint are:

• Autoimmune conditions of the patient, in which immunity directs its action against its own organs. For example, rheumatoid arthritis of the hip joint is often accompanied by aggression of the immune system against the connective tissues of the body.

• Failures in metabolism, characterized by metabolic and energy impairment. So, the frequent cause of arthritis is gout, accompanied by the accumulation of excess uric acid in the body, which is deposited in the joint cavity.

• Complications of any infectious diseases( acute and chronic).This reason does not apply to the most common.

• Conditions of pathological fatigue of joints, caused by excessive physical stress.

The coxites are classified according to the original cause and flow to the following forms:

• Aseptic. Often arise against the background of Bechterew's disease or rheumatoid arthritis.
• Nonspecific. Complicated by the onset of a purulent process.
• Specific. A common cause are diseases of tuberculosis, gonorrhea, syphilis.
• Infectious-allergic. Symptoms of the coxite manifest themselves against the backdrop of confrontation with infectious diseases( measles, dysentery).
• Reactive arthritis of the hip joint is a non-purulent form of the disease caused by the course of a urogenital or intestinal infection.
• In addition, distinguish between primary-bone and primary-synovial coxites.

Symptoms depending on the underlying cause and nature of the inflammation

Symptoms of arthritis of the hip joint may vary depending on the location of the inflammatory focus, as well as on the factors that triggered the disease. So, purulent arthritis most often and brightly characterized by symptoms of intoxication: severe fever, frequent weakness, inability to perform usual active actions, unusual fatigue, increased sweating.

These symptoms are accompanied by painful sensations characteristic of all arthritis in the affected joint, its swelling and reddening of nearby skin areas( hyperemia).The temperature often reaches high values, the condition worsens with greater intensity than with other forms.

Rheumatoid arthritis of the hip joint is often manifested in joint stiffness in the morning, moderate pain, sometimes with edema in the affected area. A characteristic feature of arthritis arising in the background of gout is frequent prolonged pain attacks( up to 10 days), which also cease suddenly and alternate with periods of calm.

The coxites, provoked by the patient's psoriasis as an autoimmune process, are accompanied by a specific bluish-purple staining of the skin next to the inflamed joint. In the pathological process, the lower parts of the spine may be involved, accompanied by painful sensations in this area.

Tuberculous arthritis of the hip joint in children begins with signs of tuberculous intoxication. The pain in the knees gradually moves to the hip joint, causing its immobility, muscle atrophy and possible shortening of the limb.

General Symptoms of Coaxites

The following symptoms are common in the clinical course of the disease, similar to all forms of arthritis of the hip joint:

• Joint pain, often of lower intensity in the initial stages, than with the progression of the disease. Sometimes painful manifestations shift to the knee area. Purulent cocksites are characterized by sharper, shooting sensations. With tubercular etiology, the pain is less pronounced, noisy.
• All patients experience an unusual stiffness in movement, the inability to sharply unbend the diseased joint.
• When pressure is observed, pain sensations of different intensity.
• At the initial stage of the disease, at times, the smoothness of the natural skin folds in the hip region is noted( the folds in the inguinal and gluteal regions are less pronounced than usual).
• As the disease progresses, atrophy of the femoral and inguinal muscles may develop.
• Prolonged course of the disease can cause bone or fibrous ankylosis( immobility caused by pathological jointing of the joint surfaces).
• Development of lameness.

Treatment of

How to treat arthritis of the hip joint at different stages of the disease? In the complex treatment of coke, several important stepwise methods should be distinguished:

• drug therapy;
• orthopedic methods of therapy;
• surgical intervention in the integrity of the joint;
• sanatorium treatment.

At the initial stage, the treatment of arthritis of the hip joint is performed by providing complete immobility of the joint joint by means of longots and gypsum beds. Treatment with systemic medications is aimed at the removal of inflammation and pain relief, achieved with the help of analgesics and anti-inflammatory drugs.

Nonsteroid drugs can be combined with glucocorticosteroids( more often in the form of injections).With the concomitant disease of the purulent process in the affected joint, the patient is prescribed antibiotics. If the inflammatory process is not succeeded by strong medications, surgical sanitation is used. The joint is opened and cleaned of pus and dead tissue.

After relief of the acute inflammatory process and the approach of recovery, massage procedures and therapeutic exercises are applied, aimed at improving joint mobility and stimulating circulation in stagnant tissues during the period of immobility. Surgery for prosthetics of the affected hip is used as an extreme measure for the helplessness of the listed methods of therapy. This may be necessary with neglected forms of coke, when the treatment was not performed on time.