Coxarthrosis hip - it is a fairly common disorder caused by damage to the cartilage. Osteoarthritis - a condition in which inflammation or trauma cause damage to cartilage, resulting in becoming pain, swelling, and deformity of the affected joints.

In normal cartilage closed ends of bones that connect the joints, preventing friction against one another. In addition, they function as shock absorbers, reducing the load on the bone during motion. Amortization properties of cartilage due to high water content in cartilage. Thanks to this cartilage can change shape under pressure, and then - to recover it; thus, they are a person for many years. For small damaged cartilage can recover to a certain extent, but after serious cartilage damage are not updated.

With few exceptions, coxarthrosis and other types of osteoarthritis develops slowly over many years.

There are two main types of osteoarthritis Osteoarthritis - take care of the joints healthy longer :

• Primary - this is usually a kind of generalized disease, in which are affected several joints, such as hip and knee joints, the joints of the fingers, and so on;
• Secondary osteoarthritis is caused by injury or various diseases, such as hemochromatosis.

Causes of hip coxarthrosis

The exact causes of coxarthrosis often remain unknown. The hip joint, as well as any other joints throughout life almost constantly exposed to more or less severe stress, but it does not always lead to the development of coxarthrosis. Typically, this is a violation beginning to develop as a result of inflammation in the joint or bone, due to the emergence of problems with the ligaments and tendons, or as a result of direct damage to the cartilage. Development koksartroza can contribute the following factors:

• Strong pressure on the hip joints, injuries or surgeries on joints. The risk of developing this disorder is particularly high in people who play or have played professional sports or heavy physical labor, are injured and returned to training or work, has not recovered completely. Many years later, the result of this can be coxarthrosis of the hip;
• Age. The risk of coxarthrosis increases with age, to the extent that, as the muscles weaken, and the cartilage wears out;
• Coxarthrosis family history. It is assumed that a predisposition to the development of this disorder can be caused by genetic factors;
• Rheumatoid arthritis Arthritis - a variety of forms and complications   or gout in his personal history;
• Being overweight or obese. Have extra kilos leads to excessive stress on the joints, due to which increases the risk of disease and coxarthrosis.

Symptoms of hip coxarthrosis

When coxarthrosis normally decrease mobility of the hip joints. Because of this, the patient can be difficult to cope with even the most simple tasks, such as putting on socks and shoes, or get into the car; difficulties also appear when you perform some physical exercise. Pain in groin area is also one of the typical symptoms of coxarthrosis hip Symptoms of hip coxarthrosis: What are the symptoms and what cured ; it usually increases with movement.

Although in most cases the pain in the hip joints is particularly strong when walking and running, in some patients, and it does not go dormant.

Coxarthrosis hip joints and can cause symptoms such as swelling in the affected joints, stiffness of joints, which is particularly pronounced in the morning or after a long period of time, people sat or stood on the site. In some cases, the patient can feel or hear a bone in the hip rub against each other due to the fact that the damaged cartilage is no longer able to perform their normal functions.

When such symptoms should be as soon as possible to seek medical help.

Diagnostics

As a result of discussions with the patient and the primary survey experienced physician can very likely to assume that a person coxarthrosis Coxarthrosis - inflammation of the hip joints . To confirm the diagnosis X-rays is usually carried out, in some cases using other methods of medical imaging. It may also be made a blood test to rule out other conditions that can cause similar symptoms.

Psoriatic arthritis is a form of arthritis that affects some people with psoriasis. Most people initially develops psoriasis, and only then they are diagnosed psoriatic arthritis, joint problems but sometimes appear before skin problems. Psoriatic arthritis occurs most often in people aged 30 to 50 years.

Symptoms

Psoriatic arthritis and psoriasis - a chronic disease that are exacerbated over time. Sometimes it comes improvement, or even a more or less long-term remission, which is then followed by deterioration.

The main symptoms of psoriatic arthritis:

• Swollen fingers and toes. In patients with psoriatic arthritis fingers may become swollen and painful. Swelling and deformity of some joints of the hands and feet may occur before the appearance of other symptoms.
• Pain in the feet. Psoriatic arthritis Arthritis - a variety of forms and complications   It can also cause pain in the points where tendons and ligaments attach to bones - especially in the back of the heel (Achilles tendon).
• Lower back pain. Some people on the background of psoriatic arthritis develops such a breach as spondylitis. It causes inflammation, advantageously between vertebrae of the lumbar spine and joints of the pelvic region.

Causes

Psoriatic arthritis develops when the body's immune system begins to attack healthy cells and tissues. Abnormal immune response causes inflammation of the joints, as well as the overproduction of skin cells.

Reasons for autoimmune disorders are not entirely clear; probably involved in their development as genetic factors and environmental factors. Many people with psoriatic arthritis have a family history of psoriasis and / or psoriatic arthritis. Scientists have identified certain genetic markers that are apparently associated with the development of psoriatic arthritis.

Physical trauma and exposure to environmental factors, such as viruses and bacteria can be triggers of psoriatic arthritis in humans, having a genetic predisposition to the disease.

Diagnostics

No test can help diagnose with precision psoriatic arthritis, but diagnostic methods help to rule out other causes of joint pain Joint pain - how to understand what is going on? For example, rheumatoid arthritis Rheumatoid arthritis - when the sore joints   and gout.

• X-ray is used to detect changes in the joints that occur in psoriatic arthritis.
• Magnetic resonance imaging (MRI). This method of medical imaging may be used to check the status of the tendons and ligaments.
• Rheumatoid factor - this is the antibody that is often found in the blood of patients with rheumatoid arthritis, but usually lack psoriatic arthritis. Rheumatoid factor analysis allows to eliminate one of these diseases.
• Analysis of joint fluid. Using long, thin needle from the patient's joint take a small amount of fluid for analysis. The presence in the synovial fluid of crystals of uric acid is an indicator of gout; their absence will help confirm the "psoriatic arthritis."

Treatment

Arthritis Cure psioriatichesky impossible, so treatment focuses on controlling inflammation, preventing joint pain and limited mobility.

Nonsteroidal anti-inflammatory agents

Drugs such as ibuprofen and naproxen can help control pain, swelling and inflammation, prevent joint stiffness in the morning. Typically, NSAIDs are the drugs of first choice in the treatment of psoriatic arthritis. In some cases, prescribe prescription NSAIDs.

However, NSAIDs can cause irritation of the stomach and intestines, and Propafenone sometimes lead to bleeding in the gastrointestinal tract. Other possible side effects include kidney damage, fluid retention, hypertension and heart failure. In addition, NSAIDs may worsen skin problems in patients with psoriasis.

Basic anti-rheumatic drugs

Drugs of this type limit the damage that can cause joints psoriatic arthritis. These drugs act slowly - their effect may be noticeable only after a few weeks or months. From basic antirheumatic drugs for the treatment of psoriatic arthritis is most often used metatreksat. It, however, can cause serious side effects, including problems with the lungs, kidneys and liver.

Immunosuppressants

For the treatment of psoriatic arthritis most commonly used immunosuppressants, such as azathioprine, cyclosporine and leflunomide. Since immunosuprssanty have potentially dangerous side effects, they are used only in the most severe forms of psoriatic arthritis.

Tumor necrosis factor-alpha (TNF-alpha)

In very severe psoriatic arthritis doctor may prescribe receiving TNF inhibitors. Medicaments block the activity of this group of proteins that cause inflammation in some types of arthritis, and improve the signs and symptoms of psoriasis The symptoms of psoriasis - a great variety . TNF-alpha inhibitors are drugs such as adalimumab, etanercept, infliximab and golimumab.

Some side effects of TNF-alpha inhibitors may be threatening the patient's life, so before taking detailed discussion of the risks and benefits that these drugs can bring in a particular case.