Many people suffer from various kinds of pathologies of the musculoskeletal system. This is due to a change in bone and cartilage, metabolic disorders, as well as previous injuries.
The hip joint is the largest in the human body, therefore it has significant stresses throughout life, and therefore it is often affected. In this case, coxarthrosis is diagnosed. Treatment of the disease is carried out using various techniques.
Injuries to the hip joint are very effective for coxarthrosis, they earned positive reviews, since in this way you can not only eliminate soreness, but also restore the mobility of the affected area. The medicine is injected directly into the affected area or periarticular tissue and after a few days the patient can forget about pain and stiffness.
Causes of the onset and course of the disease
Methods of treating coxarthrosis of the hip joint are largely dependent on the cause of the disease. The hip joint can be affected by external and internal factors, which need to be considered in more detail. Endogenous or intrinsic factors are such as:
- genetic predisposition;
- metabolic disease;
- congenital pathologies;
- hormonal disorders;
- obesity;
- bone disease.
Doctors say that if the parents or close relatives of a person suffered from coxarthrosis, then he can also develop this disease. Another cause is dysplasia. Constant stresses, excessive loads on the joint, a sedentary lifestyle, and also bad habits can aggravate and accelerate the course of the disease.
Symptoms of the disease are numerous and quite specific, so it is rather difficult not to notice them and not to understand that the joint is damaged. The problem is that they appear only in 2 stages. In the initial phase, symptoms may be completely absent. Among the most characteristic manifestations of coxarthrosis of the hip joint, it is necessary to distinguish such as:
- muscle weakness;
- painful manifestations;
- fast fatiguability.
The nature of the pain varies depending on the stage of the disease. Initially, discomfort is felt only after physical activity, a long walk or a working day spent on the feet. If a person takes a comfortable position and rests a bit, then the pain will pass.
Over time, it occurs regardless of whether a person has experienced stress or was at rest. It does not decrease, even if the patient does not move. Often this causes a disturbance in night sleep. If you take an x-ray, you can notice a slight deformation of the head of the joint.
At the initial stage, the structure of bone tissue changes slightly, but already at the second stage, the situation worsens significantly. The slightest excess of load provokes acute pain and lameness. After some time, disability occurs and the range of motion decreases sharply.
At the third stage of the course of coxarthrosis, the joint is constantly disturbing, it is difficult for a person to move, and he can do this only by leaning on a cane. In addition, many other signs are also noted. These include such as:
- dystrophy of muscle tissue;
- change in limb length;
- soreness in the sacrum or spine.
At this stage, injections into the hip joint with coxarthrosis can be quite effective, but surgery is often required. In this case, the removal of damaged parts and the implantation of the prosthesis are carried out.
At the fourth stage, severe deformation and destruction of the joint is noted. In this case, injections can only temporarily reduce pain. At this stage, only surgical treatment is required, since the joint becomes completely motionless.
The basic principles of treatment
Answering the question of how to treat coxarthrosis of the hip joint of the 2nd degree, it must be said that complex therapy is required. The leading treatment methods are considered such as:
- the use of medications;
- physiotherapy;
- massage;
- physiotherapy;
- joint extension;
- diet.
During the treatment, it is necessary to use not only intraarticular injections, but also tablets, solutions and ointments for external use. All drugs used should have a restorative, analgesic, vasodilating effect.
Massage and physiotherapy help to improve blood circulation, which contributes to a more rapid flow of beneficial substances into the affected joint. Physiotherapy exercises makes the hip joint more mobile, and also prevents the development of osteophytes.
Many are interested in how to treat coxarthrosis of the hip joint of the 1st degree and later stage, so that the existing pathology can be quickly and effectively eliminated. Intra-articular injections are of great importance. Injections help to quickly eliminate unpleasant symptoms, as well as restore mobility of the connection.
Indications for intra-articular injection
Hip injections for coxarthrosis reviews are mostly positive. Such injections belong to the main component of therapy aimed at curing this complex disease. The introduction of drugs directly into the area of localization of the pathology brings the greatest result in comparison with other forms of the drug.
However, due to the complex anatomical structure of the pelvis and the negative effects of coxarthrosis, only agents that are used for basic therapy can be injected.
For a more effective treatment, drugs and their dosage are selected only by the attending doctor. Self-medication can cause irreparable harm to health, lead to disability or even death. Intra-articular injections are prescribed for:
- pain relief;
- improving cartilage nutrition;
- preventing an even greater narrowing of the intraarticular space;
- increase metabolism;
- strengthening the muscular system;
- increase joint mobility.
Intra-articular injections help in the treatment and can delay the process of joint destruction, however, it is very important to choose the right drug.
What intraarticular injections are prescribed
What injections are done for coxarthrosis of the hip joint - very many people are interested in this question, since it is important to choose the right medicine to quickly normalize well-being. Among them, it is necessary to highlight such as:
- anti-inflammatory drugs;
- chondroprotectors;
- muscle relaxants;
- glucocorticosteroids.
Initially, anti-inflammatory drugs are prescribed for coxarthrosis of the hip joint, as this helps to eliminate pain and stiffness in the affected area. However, it is worth remembering that these funds are not treated, but only anesthetized. In addition, scientists have proven the negative effect of NSAID drugs on cartilage. Their appointment becomes justified only if the pain becomes simply unbearable.
Chondroprotectors for coxarthrosis of the hip joint contribute to the restoration of cartilage tissue and should slow down the development of the disease. This group of drugs will help strengthen decaying cartilage. It is recommended to use them at the very early stages of the course of the disease, as this will allow you to get the best result.
Muscle relaxants help eliminate muscle cramps with coxarthrosis. The thing is that the human body, trying to avoid the occurrence of painful manifestations, often overloads individual muscles. Muscle relaxants help eliminate cramps and normalize blood circulation in the affected area.
In addition, hormonal drugs are prescribed that help reduce pain during the exacerbation period. However, it is worth remembering that they quite negatively affect the surface of the joints and cartilage. Additionally, when applied, a stable psychological dependence is formed with their frequent use.
Chondroprotectors
Chondroprotectors for coxarthrosis of the hip joint are indispensable for the treatment of this pathology, but only if the joint tissue is not completely destroyed. If the disease is at the third and fourth stages, then it is completely pointless to use these drugs. In this case, only surgery will help.
The main components of chondroprotectors are chondroitin and glucosamine. In their structure and structure, they are identical to the tissues of the articular cartilage. They begin to act only after some time from the start of therapy. The result will appear no earlier than in 6 months.
However, if chondroprotective therapy is carried out regularly and sequentially, without interrupting the course of treatment, then it is possible to quickly restore joint tissues and restore their mobility. Such drugs contribute to the production of synovial fluid. Cartilage tissue nutrition improves, and deformation stops. Cartilage gradually begins to recover. However, for this, glucosamine and chondroitin must be supplied in sufficient quantities in its tissue. To prevent the destruction of cartilage, such medicinal solutions are prescribed as:
- Mucosat;
- "Contrikal";
- "Don";
- Chondrolone
- "Elbona";
- "Arteparon";
- "Glucosamine sulfate."
With coxarthrosis of the hip, injections are given 6 times daily. Then you need to take a break for 1 year, and then the treatment is repeated. In the absence of synovial fluid production, the use of chondroprotectors is supplemented by injections of hyaluronic acid.
The drug "Don" with coxarthrosis of the hip joint is administered exclusively intramuscularly 3 times a week. The course of treatment with such a drug is 4-6 weeks. The drug "Elbon" with coxarthrosis of the hip joint is used exactly according to the same scheme as the "Don". In addition, they have similar basic components, but excipients are slightly different.
The drug "Alflutop" is a bioactive concentrate. It is used for intramuscular and intraarticular injections. These injections are injected into the joint with coxarthrosis in a single dosage of 1-2 ml. The course should be 5-6 injections with an interval of 3-4 days.
“Artradol” injections contain 100 ml of chondroitin sulfate. This drug is administered intramuscularly in 1 ampoule every other day. If the patient tolerates Arthradol injections well, then with 4 injections, the dosage can be doubled. For 1 course, 25-35 injections are recommended, and re-treatment is prescribed after six months.
According to the instructions for use, Mucosat injections is a powerful chondroprotector that eliminates inflammation and restores damaged cartilage tissue. The drug stops the progression of the disease and effectively copes with its main causes.
As stated in the instructions for use, Mucosat injections are made every other day at 0.1 g per procedure. After 4 injections, you can increase the dosage to 0.2 g. The course of therapy is 25-30 injections. As prescribed by the doctor, it can be repeated after 6 months.
Hyaluronic Acid Injection
It is part of the synovial fluid designed to lubricate the joint surface. With coxarthrosis, the amount of this substance decreases sharply, so it is replaced with synthetic agents to eliminate inflammation and prevent oxidation processes.
The therapeutic effect of hyaluronic acid largely depends on the size of the molecules in the drug and the stage of the disease. At the initial stages, it is recommended to take funds with a small molecular weight in order to activate the production of the substance. At more advanced stages, concentrated solutions are used that are required to lubricate the surface of the hip joint.
Hyaluronic acid, intended for intra-articular injection, contains sodium salt. In addition, the following drugs are used for treatment:
- "Fermatron";
- "Sinocrom";
- Gialgan-Phidia;
- Suplazin.
With the course of coxarthrosis, hyaluronic acid injections should be made 3-5 times daily. An effective drug administration schedule is 2 injections at the joint with a break of 7 days. The third injection should be done only after 6 months. Painful manifestations disappear 2 weeks after the start of therapy, and the effect lasts about 1 year.
Corticosteroid hormones
For treatment, corticosteroid hormones are often prescribed in the form of injections into the hip joint with coxarthrosis. A review of drugs will help to make the right choice, as well as determine how these funds help and what effect they have. The most common and popular is Cortisone. It helps to quickly and permanently eliminate even the most severe pains, prevents the destruction of cartilage, and its effect persists for several days. However, when it is used, many side effects can occur, and it has certain contraindications.
Corticosteroid hormones help completely eliminate the unpleasant symptoms of coxarthrosis, including swelling, pain, and inflammation. Use of such drugs is possible only under the strict prescription of a doctor. Among the most popular corticoids, it is necessary to distinguish such as:
- "Hydrocortisone";
- "Phlosterone";
- "Diprospan";
- Kenalog.
Such drugs cannot resume the functionality of the hip joint or prevent the process of its destruction. Steroids are prescribed only for exacerbation of the disease to remove excess fluid from the joint bag. At the initial stage of treatment, a test injection is always done to see the reaction of the body.
Painkillers
If the soreness is not too pronounced, then the introduction of anti-inflammatory drugs is sufficient. To eliminate intense pain, stronger painkillers for coxarthrosis of the hip joint will be required. In particular, analgesics are widely used:
- Lidocaine
- "Analgin";
- "Ketanov";
- "Tramadol."
It is worth remembering that painkillers only eliminate the unpleasant symptoms of the disease, but do not treat it. They temporarily make nerve endings less sensitive, as a result of which the discomfort disappears. In addition, they can be used rarely and only for a short time.
Blockade
How to treat coxarthrosis of the hip joint grade 2? This question is of interest to so many patients, since at this stage the pains become more pronounced. In this case, complex therapy and stronger painkillers are performed. Medical blockade is used to introduce one or more drugs into the cavity of the joint bag to relieve pain and eliminate inflammation.
In addition, injection can be done in adjacent tissues. The drug is administered by an experienced specialist under the supervision of an ultrasound machine, since it is necessary to ensure that the needle hits the cavity accurately. In addition, manipulation necessarily requires special equipment.
Plasma treatment
Answering the question of how to treat coxarthrosis of the hip joint of the 1st degree, it must be said that plasmolifting is an effective technique. The procedure involves subcutaneous administration of the patient’s own plasma, saturated with platelets.
This treatment is carried out even with advanced stages of coxarthrosis. According to studies, such a procedure helps to speed up the process of restoration of cartilage tissue by 30%, to eliminate soreness, swelling and other signs of the disease after the first injection.
However, it is worth remembering that when the cartilage tissue is destroyed in the joint of the hip joint, plasmolifting is only effective in 44%. The patient should undergo a therapeutic course every 6 months. In the absence of improvements, replacement of the joint with an endoprosthesis is recommended.
How to do injections
The technique for performing an injection into the hip joint with coxarthrosis is rather complicated, therefore, injection should be done only by a qualified specialist. On how the injection will be performed, it largely depends on how functional and mobile the joint becomes. First of all, you need to remember that it is strictly forbidden to inject drugs into the joint cavity and adjacent tissues independently. Otherwise, you can infect or hurt the nerve endings.
Injections are performed in the joint space, namely in a small gap between the elements of the joint. In order for the needle to get exactly where it is needed, X-rays are additionally used and full sterility must be observed. Sometimes drugs are not injected into the joint itself, but adjacent soft tissues. This procedure is much simpler and often used to eliminate pain with hormonal drugs.
Contraindications
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Patient Reviews
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Patients say that after intra-articular administration of chondroprotectors, periods of remission become longer, and also help eliminate unpleasant symptoms and normalize well-being.
Some patients say that the introduction of drugs into the joints causes some discomfort, but over time, there is relief.