Hip ligament sparing in the home is quite rare. Athletes are more familiar with such an injury. However, in some cases, the risk of sprains in this area increases. This trauma is characterized by the appearance of certain symptoms. The victim is required to provide proper first aid. Features of the injury, as well as methods of its treatment, prevention will be discussed later.
Features
Hip sprain in the ICD-10 is indicated by code S73.1. This category includes injuries caused by sprains or strains in the capsule apparatus of the hip joint. This type of injury is rare. This is due to structural features of the joint. It can withstand heavy loads. In this case, the joint performs many movements. Therefore, the joint has a spherical shape. Its hollow is deep.
The articulation is characterized by strong ligaments. They withstand various movements and do not allow the head of the joint to leave the cavity. Stretching and tearing are unlikely for this reason. However, here, various deviations are possible. This leads to poor development of tendons.
Physical fitness in people is different. If the legs are untrained, injuries in this area become more likely. With a significant load, the tendon tissue can stretch. Strong tension acts on them at this moment.
As already mentioned, the ICD-10 code for sprain of the hip joint is S73.1. Such a diagnosis can often be found on the card in athletes, physically undeveloped people, and children. The features of injury in each case differ significantly in the development mechanism, the extent of damage. Physically active people most often only stretch their ligaments. This is also true for children. Ligament rupture in these categories of people is unlikely. But in an untrained person, the extent of the injury can be significant.
There is a certain classification of sprains in this joint. They differ in the location and severity of the injuries received. As a result of such an injury, the ligament fibers are partially or completely torn. There are such severities:
- Easy. Gap is determined only in a small number of ligament tissue.
- Medium. Tissue connections are torn massively. They look "disheveled", separated from each other.
- Severe. Ligaments break completely. The tissue exfoliates from the bone.
- Especially heavy. Diagnosed extremely rarely. Together with the exfoliation of the ligaments, a piece of bone is also broken off. This is a tear-off fracture.
Ligaments of the muscles of the hip joint differ in their structure in childhood, adulthood and senility. At a young age, sprains occur more often, but they pass easier and faster. In older people, such injuries are also sometimes diagnosed. However, the treatment in this case will be much longer.
Causes
If a person has stretched the ligament of the hip joint, the treatment will depend on how the injury occurred, how extensive the damage was. The reasons that cause such a nuisance can be divided into several groups. The mechanism of this pathology is special.
Tendon tissue "overwork". Long work leads to a decrease in their strength. The fibers are softened. Water accumulates in the tissues. Between the filaments of the tendons gaps appear. Stretching occurs suddenly. At the time of loading (not necessarily even large) tendons and muscles can not cope with their task. This leads to injury.
One of the most common situations when stretching develops is lifting weights from the ground. The legs are widely spaced. A person performs the same movement many times. At the same time, he crouches and unbends again and again. Such a development mechanism is characteristic of weightlifters. Strength exercises on the legs can lead to injury in the hip joint.
Game sports are not inferior to strength exercises for the occurrence of sprains. Only in this case the development mechanism is somewhat different. In the joint during the game, many different movements are determined. If you hit the ball many times, fall, stretching can also develop in the muscles.
Martial arts are also included in the list of sports that often lead to thigh injuries. Bumps and cuts can cause stretching.
Hip ligaments may stretch during the first workout. Therefore, the load should be minimal if the person is untrained.
There are several more reasons that cause stretching. In everyday conditions, involuntary slipping, falling, prolonged walking on uneven surfaces result in this. Untreated injury is often repeated again. A sharp change in body position in untrained people also sometimes leads to injury. Stretching causes disturbances in the nerve conduction of tissues, congenital pathologies.
Symptoms in adults
There are certain symptoms of hip sprain in adults. They depend on the severity of the damage. Most often, after an injury occurs, mobility in the joint is somewhat reduced. However, rarely this situation requires a trip to the doctor. With a mild degree of damage, treatment can be carried out at home. To do this, you need to know the symptoms of this condition. Treatment for mild damage is quite effective. Healing is fast.
The resulting trauma is evidenced by such a symptom of sprain of the hip joint as soreness. It is present in the lower back and groin. At the time of the injury, pain may not occur at all. Discomfort appears if a damaged load will be affected by further stress.
With a mild degree of damage, pain does not occur with calm walking or in the absence of movements. Unpleasant sensations appear only when squats or when moving the legs to the side.
Muscles of the thigh can develop weakness. It becomes impossible to perform the same movement with the same load. This is especially noticeable at the time of the squat. To get on your feet from a low point becomes almost impossible. A man helps himself with his hands.
At the moment of stretching, a characteristic crunch or click appears. This sound also occurs when the leg is rotated. To check this, you need to bend your knee and try to perform circular movements. In case of injury, this movement will be somewhat painful.
If the discomfort is strong enough, you will need to go to the hospital. Improper treatment leads to distension in the future. Therefore, even with minor soreness, it is still better to consult an experienced orthopedist. He will prescribe the right treatment. Medium and severe injuries cannot be cured at home.
Symptoms in children
Symptoms of hip sprain in children and adolescents may be similar to those in adults. However, it is sometimes difficult to establish whether this is a stretch or another type of injury. Parents should know what symptoms this trauma in children is characterized by.
After stretching, pain occurs. It can be insignificant or strong enough (depending on the degree of damage). Some time after the injury, the joint may become less mobile. Particularly dangerous in children is a sprain that is not manifested by pain. It goes unnoticed. The situation will gradually worsen. An injury that has not been cured leads to a recurrence of an injury to the ligaments and the joint itself.
If the pain after stretching is acute, you need to see a doctor. The kid can get scared and cry. Need to reassure him. A damaged joint must be immobilized. Over time, edema may appear. This situation requires proper treatment.
After the injury, the child cannot move his leg, as before. It causes pain. Movement becomes stiff. Over time, a swelling or hematoma appears at the site of the injury. Swelling can occur immediately after stretching. The surface of the skin becomes hot.
A child’s hip sprain can also be mild, moderate, or severe. In the first case, you need to provide rest for the injured limb. Sports and physical education will need to be temporarily stopped. The joint will need to be developed gradually. Medium and severe stretching requires hospitalization. Gypsum will be applied to the baby if the ligament is torn. It is worth considering that the symptoms of sprain are similar to a dislocation or a fracture. Therefore, diagnostics must be entrusted to professionals.
Diagnostics
Hip sprain in adults and children requires proper diagnosis. Be sure to find out what sensations arise in the victim when moving the leg, what is the mobility in the joint. On palpation, pain occurs in the damaged area. If the sprain is moderate or severe, you should contact an orthopedist or traumatologist.
At the reception, the doctor will examine the victim and ask him some questions. This will establish the severity of the damage. A detailed survey is conducted on the circumstances in which the injury appeared, as well as the soreness of the movements. The joint loses mobility, which is determined by examination. The doctor will move the patient’s leg in different directions. This will allow us to draw conclusions about how mobility decreased. The doctor also palpates the surface of the joint. In the place where the gap occurred, the sensations will be as painful as possible.
A visual inspection is also carried out. The doctor notes the appearance of swelling, hematoma, etc. If the patient is able to move himself, the orthopedist will offer to perform some simple exercises. When stretched, some of the movements are almost impossible to perform.
Sometimes it’s not enough just to examine the patient and ask him about existing symptoms to make a correct diagnosis. Hip sprain treatment is prescribed after a patient undergoes an x-ray. This eliminates the likelihood of other pathologies. Fractures and dislocations are sometimes difficult to distinguish from sprains. X-rays provide complete information about the condition of the tissues of the joint.
First aid
How to treat hip sprain? It is necessary to provide first aid to the victim. This will significantly reduce the likelihood of complications. First, a person needs to be put on a flat surface and immobilized the joint. The patient should be in a reclining position. Under his knees they put a roller or a small pillow. In this position, the muscles will not additionally stretch.
Cold is applied to the affected joint. The hot water bottle should be held for 15-20 minutes. This will avoid the appearance of swelling and extensive hematoma. When transporting the victim to the doctor, the cold must be kept on the joint.
Any foot load is also necessarily excluded. The injured person must not step on the affected limb. A bandage is applied to the joint with an elastic bandage. This will reduce mobility. Most of all, in this case, a spiky bandage is suitable. The ligaments of the hip joint must be completely unloaded. Do not stretch them further. However, when applying a bandage, do not overdo it with the bandage. This can cause a sharp decrease in blood flow to the limb.
If the pain is severe, pain medications should not be taken before a doctor's examination. This can make diagnosis difficult. After examination, it is quite acceptable to take painkillers. In this case, almost any tool that is sold in a pharmacy is suitable.
Self-medication can be hazardous to health. If the pain is severe, a full examination is necessarily carried out. Untreated injury will cause repeated sprain or even tearing of the ligaments. After a full diagnosis, the doctor will prescribe the correct treatment. It must be comprehensive. Particular attention is paid to the rehabilitation period.
Treatment
Many patients are interested in the question of how much the hip sprain heals. It depends on the degree of damage, the characteristics of the body, as well as the method of treatment. For mild to moderate damage to the ligaments, treatment is carried out at home. The doctor gives a number of recommendations on how to behave properly in such a situation.
It will take some time to move only on crutches. You can’t step on the foot. If this requirement is neglected, complications may arise. Tissue healing will be long. Gypsum is applied to small children. This eliminates mobility in the joint. It is extremely difficult to make a child not move his leg.
The leg is positioned so that it is bent at the knee and is above body level. This will avoid the appearance of edema. In adults, the damaged area is fixed with an elastic bandage. It cannot be tightened too much. The bandage is removed periodically.
Cold is applied in the first few days. The procedure is performed every 4 hours. Its duration is 15 minutes. When the swelling has passed, it will be possible to apply warming ointments.
Hip sprain treatment includes painkillers. They are prescribed by a doctor. If the hematoma and swelling are extensive, drugs based on aspirin and ibuprofen are excluded. In other cases, ointments such as Lyoton, Traumeel S, Fastumgel are used. They relieve pain.
Ointments and gels
During the treatment of hip sprain, different ointments can be used. They have different effects on the affected area. In the first few days, until the swelling and swelling decrease, in addition to cold, special ointments are used. They reduce the intensity of pain. Such compositions have a cooling effect. They help eliminate swelling. These drugs include Nikovena and Heparin Ointment. They are used as directed by a doctor.
When the edema passes (after 3-4 days), it is necessary to change the tactics of treatment. Ointments during this period should be warming. This speeds up the healing process. However, before the swelling passes, their use is strictly prohibited. This can cause a number of complications, an increase in edema and hematoma.
Many warming ointments are made on the basis of bee or snake venom. Therefore, they are contraindicated in people with allergies. For children, such drugs are also prescribed extremely rarely. In babies, such drugs often cause irritation, rashes and other allergic reactions. For adults, such ointments will be a real salvation. They also slightly reduce pain. Popular warming ointments include Nikoflex, Dolpik, Kapsoderm.
Rehabilitation and Prevention
When stretching the ligaments of the hip joint, exercise therapy is one of the most effective methods during the rehabilitation period. Exercises are prescribed by a doctor. The approach to each patient is individual. Special gymnastics is carried out at regular intervals. The load is gradually increasing.
The doctor may prescribe other effects during rehabilitation. This, for example, may be ultrasound, electrophoresis, infrared exposure to an injured area of the body.
To avoid future sprains in the hip joint, you need to exercise regularly. Moreover, exercises are done only under the supervision of a professional trainer. Muscles need to be warmed up before training. Every day they perform stretching according to a special technique. Shoes and clothes should be comfortable. Sharp movements should be avoided.
ethnoscience
When stretching the ligaments of the hip joint in combination with the main treatment, traditional medicine methods and recipes are used. You can cook special compresses. For example, yogurt (200 ml) is mixed with clay (100 g). Finely chopped cabbage (200 g), grated onion halves and raw potatoes are added to this. The medicine is applied to the damaged joint for the whole night.
If the pain is severe, you can apply lotions from the juice of one lemon and 3-4 cloves of garlic. After drying, the dressing is wetted again in the prepared liquid. Compress can be made from grated onion with sugar (tablespoon).
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