Diagnostics of pain in the hip joint, treatment with pills, ointments, exercises and folk remedies

To get an idea of what processes can cause pain in the hip joint, it is necessary to know its structure.

the causes of pain in the hip joint

the anatomy of the joint

A Simple synovial joint formed by two bones – femur and Ilium. Acetabulum located in the Ilium, is a place of contact with the spherical head of the femur – together they form a movable joint, the joint which provides the ability to perform rotational movements.

This natural "hinge" covered with cartilage tissue, elastic and smooth. It is the cartilage that produce joint fluid, acts as a lubricant that ensures the smooth gliding of the bones, uniform distribution, and easing the load when walking. Synovial fluid filling the joint cavity, cartilage forms on the surface of a solid elastic film that protects the fabric from the damaging effects of mechanical loads.

In addition, lubrication is both nutritious material. At a young age the water content in the cartilage is up to 80%, after 40 years of progressive decreases, so decreases the flexibility and bounciness of the joints. The physically developed person good work the thigh and gluteal muscles, taking part loads and reduce the risk of injury of the joint.

Why there is pain on the right

Healthy hip joints don't hurt. Some soreness in the hip region may reappear after exercise with high loads, after practice stretching or a long walk. But these feelings have nothing to do with the pain caused by inflammatory or destructive process in the joint area.

In medicine there is an extensive classification of diseases of the hip joints (on the origin and nature of course), but the most common are arthritis, arthritis, injuries.

Symptoms of osteoarthritis

Osteoarthritis – a disease extremely rare in young age. This degenerative change of articular tissue, characterized by loss of functionality of the cartilage. Synovial fluid ceases to be produced in sufficient quantity, resulting in friction between the head joint and the fold of the Ilium. Over time this leads to thinning of the tissues of the joints, fragility of the joint, loss of mobility.

the Symptoms of osteoarthritis

People who feel pain in the hip joint on the right due to developing osteoarthritis, unable to take the leg to the side, to sit in Turkish, to rise to a high level. He feels the pain in your groin, buttocks, leg (knee). The intensity of pain in the right hip joint increases after prolonged walking, heavy lifting. At rest, the discomfort passes. General physical condition remains generally satisfactory, so the patient is not in a hurry to go to the doctor.

Osteoarthritis is one feature – the pain itself disappears, the code of man "at odds", and emerges with renewed vigor after sleep and rest. However, the disease invariably progresses, leaking with periodic exacerbations, between which can be very impressive (from two to eight months).

Methods of diagnostics of coxarthrosis

Osteoarthritis of the right hip joint (coxarthrosis) is often diagnosed in women after 50 years, due to physiological characteristics of the female body, that is with hormonal changes during menopause. Besides pain in the affected area may appear dry and rough characteristic crunch, which is fundamentally different from painless "playing" of healthy joints. If untreated, a person begins to limp, is often observed limb deformities (leg shortening), and therefore it will drastically increase the load on the lumbar spine.

of the Hip on x-ray

It is Very important to diagnose the disease. In medical practice are widespread, when in progressive coxarthrosis the patient begin to heal from complicated degenerative disc disease, taking as the main symptom of shooting pain in leg, pain in the lumbar and groin. And, conversely, are diagnosed with "hip", while the patient is suffering from inflammation of the tendons (trochanteritis).

the Comparison of healthy and diseased or damaged hip joint on x-ray

With similar symptoms should be carefully differentiationpathology, based on a comprehensive diagnosis. This data radiographs, ultrasound, MRI. One of the most important external signs of coxarthrosis is the stiffness, to the extent that people can't freely put your foot on the foot or wear shoes.

Conservative and surgical treatment

Osteoarthritis refers to irreversible destructive processes, but at the same time, patients can lead a normal life provided that the destination timely and proper therapy, and with careful implementation of the recommendations of a specialist in terms of physical loading and exercise.

Initially, relieves pain, prescribers, activating the power of cartilage, then it is recommended that special exercises that strengthens the gluteus and hip muscles. The exercises assigned specialist, you must perform regularly, without gaps and interruptions.

However, in the third stage of the disease, code the joint head and acetabulum is severely deformed, without surgical intervention do not (destroyed joint is replaced with a titanium implant). The stronger the muscles the more the blood circulation and the slower process of destruction of articular tissue.

the Pathology of the hip joint

The Question of the decision to arthroplasty is complex because in old age the risk of postoperative complications. The representatives of the middle age group may have problems in 15 years after surgery, when it comes time to change the artificial joint again. However, surgical method allows you to completely remove the pain, restore functionality of the joint and greatly improve the quality of life.

Diet for pain in the hip joint

Principles of treatment of coxarthrosis (table 1)

Integrated approachTherapy without medicineDrug therapySurgery
to Assess the degree of major risk factors (overweight, physical activity, dysplasia of the knee), pain intensity, nature of the damageTraining: correct handling of cane and a Walker (if the lesion covers both joints). Physiotherapy, diet. Physiotherapy: electrical stimulation, thermotherapyParacetamol, opioid analgesics, stimulants, NSAIDs, symptom-modifying drugs slow-acting (HS, HS, Artra), intra-articular injections of ha, if the analgesics are not effectivehip replacement

Treatment of coxarthrosis involves the use of symptomatic drugs quick and delayed action. The first group – simple analgesics (paracetamol) for the relief of pain in the first place, and nonsteroidal anti-inflammatory drugs (NSAIDs) prescribed to patients in whom paracetamol was ineffective. Among NSAIDs most often are currently being appointed:

  1. Diclofenac in pill or injection form.
  2. Nimesulide (the advantage of it is chondroprotective action).
  3. Meloxicam.
  4. Lornoxicam.
  5. Aceclofenac.
  6. Celecoxib.

The number of opioid Analgesics can be used for severe pain, but a short time. Glucocorticosteroids (corticosteroids) in the injection periartikulyarno or in the joint area can also have a pronounced anti-inflammatory effect, however there are a number of opinions that this group of drugs can worsen the condition of cartilage and aggravate the course of the disease. Most often performed metipred injection, kenalog, hydrocortisone, diprospan. Among the chondroprotectors (group of drugs, which argue most) prefer "the don", "Structum".

One Cannot deny the role of folk remedies used in the treatment of diseases. Basically it is the different diets (recommended the inclusion of jelly in the diet to improve the nutrition of cartilage tissue), analgesic ointment, rubbing, compresses. In some cases, folk remedies for relieve pain but not to cure the disease.

the Pathology of the hip joint

trauma

The Reason for the development of osteoarthritis of the hip can be injured, e.g., fracture of the bottom or brim of the acetabulum, or articular head of the femur, resulting in a deformation of the bones surrounding the joint. Pain on the right side increases when walking, but completely fails and at rest.

In practical traumatology in the treatment of intra-articular pathologies apply fixation to prevent displacement of bone fragments of their interconnected plates or special screws. When improper knitting of the bones increases the risk of osteoarthritis.

hip Dysplasia

The Pain right in the joint may develop due to incorrect structure (dysplasia). As a rule, this defect is congenital and the reasons are not completely understood. The nature of pathology is that immature acetabulum is not deep enough, so it can't fix the articular head. Dysplasiafor a long time can not bother humans, but women have a dysplastic joint starts to hurt in the second half of pregnancy, when the increased load on the musculoskeletal system and changes the hormonal balance.

Aseptic necrosis of the articular head of the femur

sometimes Osteoarthritis develops as a result of necrosis of part of bone tissue. This condition in medicine is called "avascular necrosis of the femoral head". The causes that trigger the disease, is not precisely defined, but poor blood supply to the articular head is the most likely factor contributing to the development of the disease. The disease can manifest itself after an injury, dislocation or fracture of the joint.

Arthritis

Arthritis is a group of diseases of the joints associated with inflammation as a result of exposure to infectious agents or noninfectious nature (autoimmune loss). Unlike coxarthrosis, arthritis often suffer from the young people and children. In most cases, the hip joint is affected only after the initial manifestation of the disease, as the pathological process primarily applies to hands and knees.

An Inflammation of cartilage and the synovial membrane often causes excruciating pain, which may manifest swelling and redness around the joint.

Comprehensive diagnostics necessary to identify the causes of coke and development of the treatment regimen. In children the hip joint can become inflamed after a sore throat, meningitis, otitis, sinusitis, scarlet fever and other hard occurring infections.

the drug Indomethacin

with the development of coke (which is a systemic disease) indicates the emergence of a strong pain in the groin and a limp. Can pain the joint is not only right, but also knee, lower leg, foot, toes. In the absence of emergency treatment of the hip joint loses mobility, the disease continues to progress, affecting the muscle, connective and cartilaginous tissue. Arthritis pain are so strong that often the cause of disability (person unable to work or lead a normal life). Fully to alleviate the suffering do not help either folk remedies or analgesics sold in pharmacies without prescription.

Classification

Arthritis affecting the hip joint can be rheumatoid, infectious-allergic, reactive. The disease occurs either in an acute form (which is characterized by recurrent seizures and long-term interruptions), or chronic, accompanied by relapses.

The nature of lesions are distinguished primary and bone primary synovial arthritis. When primary bone forms first bone becomes inflamed, and then the synovial membrane. This process is most typical for tuberculous forms of disease.

Rating arthritis, not to mention such an important provoking the development of the pathology factor in autoimmune diseases. Lupus erythematosus, myopathy, usually cause inflammation of cartilage and bone, and the hip joint is affected simultaneously with the ankle and wrists.

Associated symptoms

Arthritis is always a host of related symptoms (except pain in my groin on the right), which principally distinguishes the disease from the pathologies of a destructive nature. If the disease is precipitated by infection (Streptococcus, gonococcus, Pseudomonas aeruginosa), then the patient has fever, has chills and fever, and the pain is "shooting". In the area of inflammation skin is red, the muscles become immobilized.

In chronic forms of the disease, occurring with periodic exacerbations associated with symptoms are not so obvious, but almost always observed fatigue, weakness, shortness of breath while walking, reduction of body weight, loss of appetite. Sick man intuitively protects the leg to avoid exacerbating the pain, so the gait becomes careful tilting to the left side. Gradually the femoral and inguinal muscles atrophy, and in this case the patient can only walk with a Walker or in a wheelchair.

In rheumatoid arthritis, ankylosing spondylitis, hip joints are affected from two sides, even if the patient feels the pain only on the right. The feature of the lesion during rheumatic nature of arthritis is the presence of morning stiffness and increased pain in night (before dawn).

Diagnosis

The Visual examination, analysis of symptoms, clinical examination (blood, puncture fluid and joint), determining the cause, hardware diagnostics – all together these techniques allow to make an accurate conclusion about the nature of the disease, the stage of development, reason. At revealing of signs of tuberculous process should consulting a TB.

Treatment

Arthritis treated by doctors of different specialties – it all depends on the stage of the disease and the reasons that caused it. The treatment is conservative, comprehensive, includes the following areas:

  • antimicrobial treatment
  • NSAIDs
  • corticosteroids
  • mud
  • exercise program physical therapy;
  • paraffin
  • massage
  • swimming.

In the absence of an integrated approach to facilitate the patient's condition, reduce inflammation of the tissues, butto avoid atrophy of the joint will fail. Only proper treatment can minimize the disturbances of the joint function. Doctors are not recommended to treat arthritis just folk remedies. Any warming ointment or compresses or diet will not help to fundamentally solve the problem. Moreover, correctly selected popular techniques sulfur can cause injury.

Anti-Inflammatory and symptomatic arthritis (table 2)

drugsDosage
Diclofenac75-150 mg/day – 2 doses
Ibuprofen1200-3200 mg/day 4 admission
Indomethacin75-150 mg/day 4 admission
Ketoprofen100-300 mg/day – 2 doses
Nimesulide200-400 mg/day – 2 doses
Flurbiprofen200-300 mg/day – 2 doses
Celecoxib200-400 mg/day – 2 doses
Drugs with half life more than 6 hours
Meloxicam7.5-15 mg/day – disposable
Naproxen1000 mg/day – disposable
Piroxicam10-20 mg/day – disposable
Aceclofenac200 mg/day – 2 doses

Antibiotics and hormonal drugs selected by the expert with consideration of many factors, among which of paramount importance to have a physical state of the patient, the nature and stage of the disease. Given the severity of the arthritis, the doctor must choose the the drugs drugs with minimal side effects will allow to achieve tangible outcomes. It is unacceptable to assign exercises and intense physical exercises to relieve the inflammatory process.

When treating children it is necessary to constantly monitor the child's condition, to analyze the changes of clinical findings results, if necessary, involve other specialists if required by the specifics of the treatment process. In difficult cases in the development of therapies it is desirable that participation in the discussion took all relevant professionals – a surgeon, traumatologist, endocrinologist, immunologist, allergist.

Summing up all aforesaid, we can conclude that the pain in the right hip joint can be caused by:

  • trauma
  • congenital abnormalities (dysplasia);
  • individual characteristics of the structure of joint;
  • age-related degenerative changes;
  • systemic diseases.

The most Important role in the successful treatment of all diseases of the hip joint plays a well-conducted rehabilitation. Special exercises and physiotherapy help to strengthen the muscles and therefore improved blood supply to the cartilage and bone. Medical practice shows that in long-term rehabilitation course, which takes place only after elimination of all inflammatory phenomena, it is possible to permanently prevent joint destruction. This in turn helps to avoid disability, to maintain social activities and to live without pain. Therefore, when unpleasant or painful sensations in the hip area, you should immediately make an appointment with a doctor and undergo a complete diagnosis. Remember that progression of osteoarthritis can be stopped only at a later stage have to resort to hip replacement.

Sources:

  1. Traumatology and orthopedics. Tutorial. Author: G. S. Yumashev
  2. Arthrology Kalmin O. V., Galkina T. N., Bochkareva I. In