Coxarthrosis 3 degrees - is the late stage of development of osteoarthritis of the hip joints, which are amazed by all the structures of the patient's joint. If at this stage coxarthrosis Coxarthrosis - inflammation of the hip joints   left untreated, it can begin necrosis of the hip joint - a serious offense, causing severe pain, lameness, muscle atrophy.

Symptoms koksartroza 3 degrees

At the last stage of coxarthrosis in the affected joints are left with a healthy synovial fluid, the joint space is reduced due to heavy damage to the cartilage bones rub against each other, and all this leads to inflammation, pain and stiffness of the joints. There are one-sided and double-sided coxarthrosis grade 3; as the name implies, in the first case, one struck the hip joint, and the second - both the joint. In both cases, arthralgia Joint pain - how to understand what is going on?   gradually increases, and if at first it may take place during the holidays, then eventually the pain becomes chronic. Often, patients experience severe pain, even at night, which leads to disruption of sleep, causes depression and irritability Irritability - you try to control my temper .

In general, severe coxarthrosis often have a negative impact not only on the physical but also the psychological state of patients. This is due to chronic pain and the fact that people lose the ability to properly carry out their work, play sports, travel - all of this has to do, overcoming pain in the hip joints.

Stiff joints - another common symptom koksartroza 2 degrees Coxarthrosis 2 degree - the process of deformation . Usually, it is most pronounced in the morning and after a long period of time people spent without movement. However, even if a person is constantly moving, joint mobility remains very limited. In addition, because of the pain and stiffness of the joints there is a limp, which is particularly noticeable with unilateral coxarthrosis 3 degrees.

Coxarthrosis 3 degrees and disability

Coxarthrosis 3 degrees may cause that perform certain types of work for the person becomes extremely difficult or impossible. Some people with this disorder have to temporarily or permanently give up work; first of all it concerns physical labor, but sometimes even sedentary work in coxarthrosis becomes unbearable - at least, before a person will make the operation.

The definition of disability - a rather long and complicated process, and even the doctor can not always tell in advance exactly which group will be assigned a specific patient. However, in coxarthrosis 3 degrees most likely setting 2 disability. This group includes people who can take care of themselves at home with the help of assistive devices, and those who can move around with the help of any tools (usually crutches or sticks). These people can perform certain kinds of work, but that they also need special adaptations in the workplace.

Patients diagnosed with coxarthrosis 3 degrees, and who feel that they can not work just as well as before and / or who while working compounded symptoms of the disease, it is necessary as soon as possible to talk to your doctor about the establishment of disability . He needs to know where to go for medical and social examination, during which a group of experts decides the extent to which coxarthrosis affected the able-bodied person. In the Russian Federation, the second and third group of disability set at one year, the first group - two years (although the probability that in coxarthrosis will be installed the first group of disability is very low). Accordingly, people with a particular group need to undergo regular re-examination to re-validate a disability.

How to treat coxarthrosis grade 3

When the pain in the hip joints, which do not take place during the holiday or after taking analgesics as soon as possible to see a doctor. The sooner you start treatment, the more likely that coxarthrosis not have time to cause a significant decrease in performance.

In most cases, the treatment of coxarthrosis 3 degrees is assigned a surgery to replace a hip joint. If the operation for some reason can not be done at once, or it has contraindications, symptoms can be alleviated with the help of analgesics, cold and hot compresses, injections of corticosteroids. Unfortunately, all this gives only a temporary effect. Not help in coxarthrosis grade 3 and weight loss, physical therapy, and intra-articular injections of hyaluronic acid - these measures can only be effective in the early stages of coxarthrosis. In the third step the hip joints are damaged so that conservative treatment may not be restored damage or significantly slow the development of disease.

Ketorol - a powerful anesthetic drug that belongs to the non-steroidal anti-inflammatory drugs (NSAIDs). It helps with pain of different origin from dental and head to severe pain on the background of trauma and cancer.

All NSAIDs have anti-inflammatory, analgesic and antipyretic properties. But each individual product has its own "specialty". Thus ketorol is mainly analgesic, antiinflammatory and antipyretic action in a much less pronounced.

The mechanism of action ketorol

Ketorol mechanism of action is based on the fact that it inhibits the action of an enzyme which participates in the formation of prostaglandins - complicated biologically active substances that cause an inflammatory reaction.

But prostaglandins inter alia also protects the gastric mucosa from various adverse effects. Therefore, after blocking their activity can result in various side effects from the gastrointestinal tract, from simple irritation to erosive and ulcerative processes.

Another side effect of the drug is that it affects the blood, reducing the number of blood platelets. This feature, combined with erosive and ulcerative lesions of the stomach and intestines can cause gastrointestinal bleeding. In addition, ketorol can cause nasal, uterine bleeding Uterine bleeding outside of menstruation - a sign of a serious breach , Bruising with small injuries.

Application ketorol

Apply ketorol with moderately severe and severe pain of various origins. But more often it is pain that occurs on a background of injuries (severe injuries, fractures, sprains Dislocation - Prevention and Treatment , Cut and gunshot wounds), burns, frostbite with tissue necrosis or postoperative pain (before the surgery was not used because of the risk of bleeding.

Apply ketorol and such chronic diseases that are accompanied by severe constant pain. For example, in rheumatoid arthritis, ankylosing spondylitis Ankylosing spondylitis - a lot of patience is required , Osteochondrosis. But in these cases ketorol try to use a short course, and only during the acute inflammatory process.

Ketorol can be used for pain of any origin. For example, in dental pain, including during dental treatment. Short course ketorol also can be administered with strong pains during menstruation, pain in the ear, infringement and inflammation of the peripheral nerves.

Contraindications in the appointment ketorol

Ketorol appointment is contraindicated in various diseases of the stomach or intestines, especially if they had been accompanied by bleeding, with blood clotting, bleeding is suspected in any field at a hemorrhage in the brain (hemorrhagic stroke), which is characterized by the violation of the integrity of a cerebral blood vessel. Since the bulk of ketorol eliminated via the kidneys, its reception is contraindicated in violation of renal function.

Ketorol may cause allergic reactions, however it is contraindicated in cases where there is an allergy to some NSAIDs, and are hypersensitive to the drug itself.

Ketorol contraindicated in pregnancy, during birth and during breast-feeding Breast-feeding: feed - and no nails!   child. In pregnancy it can have a negative impact on the fetus and during labor - affect the duration of the first stage of labor or labor under the influence of ketorol contractions become shorter and sparse. Ketorol may also inhibit the contractility of the uterus and the fetal circulation.

Ketorol should be used with caution:

• for violations of liver and kidney function;
• in chronic cardiovascular disease, high blood pressure;
• when erosive and ulcerative lesions of the stomach and intestines in remission, as well as if the past were gastrointestinal bleeding;
• in elderly patients - the dose should be lower than that of younger patients.

If signs of liver function abnormalities (jaundice), skin rash, increased number of eosinophils in the blood ketorol to cancel.

During treatment ketorol may appear side effects such as headache, dizziness, insomnia, mood changes, and therefore at this time it is not recommended to engage in potentially hazardous activities that require increased attention and psychomotor speed reactions, for example, to drive a car.

Ketorol not combined with all medications. So, when concomitantly with other NSAIDs or anticoagulants (drugs to lower rolling capacity of the blood) may cause bleeding, some drugs that lower blood pressure (ACE inhibitors) - renal dysfunction, with some diuretics, such as furosemide, - reduction of its diuretic action.

Ketorol - NSAID with pronounced analgesic properties.

Galina Romanenko