- Treatment of coxarthrosis - the sooner the better
Drugs for treatment of coxarthrosis
Unfortunately, there are no specific drugs that could treat coxarthrosis
Coxarthrosis - inflammation of the hip joints
But with the help of certain medicines can quickly relieve the symptoms.
As a rule, the OTC analgesic especially recommend taking for pain caused by coxarthrosis. Its better to take on a regular basis, not just when the pain becomes almost unbearable. It is quite safe, but do not exceed the specified on the packaging of the recommended dose. If you have a history of liver disease, before taking paracetamol you should consult with your doctor.
Nonsteroidal anti-inflammatory drugs
Nonsteroidal anti-inflammatory drugs (NSAIDs) should be accepted, if the paracetamol does not help, or if there are contraindications to it. For drugs of this type include, for example, ibuprofen, diclofenac
Diclofenac - relieve inflammation and pain
And naproxen. They reduce inflammation and relieve the pain, but do not have a direct influence on the development of coxarthrosis. There are ointments with NSAIDs, but in coxarthrosis usually more effective are tablets.
Because of this violation will have to take NSAIDs for at least several weeks before their reception should consult a doctor. As a rule, they are not recommended to take patients who have a history of such disorders as asthma, angina, heart attack or stroke.
Sometimes patients who recommend taking NSAIDs also prescribe drugs from the group of proton pump inhibitors (PPIs). NSAIDs long-term use can damage the stomach lining, which protects it from the wall of the stomach acid. PPIs reduce the concentration of acid in gastric juice, thereby reducing the risk of damage to the stomach.
Opioid analgesics can relieve even the most severe pain that can not cope with other drugs. On the other hand, they can cause various side effects such as drowsiness, nausea, constipation, as well as addictive - because this type of preparations which are administered only in rare cases.
One of the common opioids - codeine; This drug is a part of some analgesics in combination with paracetamol. The group also includes opioid analgesics tramadol
Tramadol: kills the pain
and dihydrocodeine, which are issued in the form of tablets and solutions for injection. Tramadol is not indicated for patients suffering from epilepsy, and dihydrocodeine is contraindicated in people who have a history of chronic obstructive pulmonary disease. Pregnant women opioids, as a rule, do not prescribe.
If the patient has to take opioids for a long time, it is also prescribed laxatives to prevent the occurrence of constipation.
Capsaicin - an alkaloid, which was prepared from several species of chilli peppers - blocking nerves that transmit pain signals. As a rule, it takes effect at once: the first results can become visible in a couple of weeks after the application of the ointment, and a month later the pain may disappear almost completely.
The ointment should be applied to the skin over the hip joints several times a day, but no more frequently than once every four hours. Avoid getting ointment to damaged or inflamed skin and mucous membranes are not - capsaicin can cause severe burning, which will take only a few hours. After using the ointment kapsaitsinovoy it is necessary to wash your hands.
Immediately after applying the ointment, most people feel a slight burning sensation - this is normal, and the longer we will use the ointment, the less pronounced will become the side effect.
Capsaicin should not be used immediately after a bath or shower - when applied to the skin steamed burning may be too strong.
In severe forms of coxarthrosis taking pain pills and ointments use may not be enough to alleviate the pain. In such cases, a doctor may prescribe to the patient intra-articular injections of corticosteroids - potent anti-inflammatory drugs. One injection can alleviate the symptoms of coxarthrosis for several months, in some cases - for six months.
Some time after injection, the patient may experience discomfort and pain in the hip, but these side effects are not more than a few days. In rare cases, intra-articular injections of corticosteroids and may cause side effects such as indigestion, nausea and sleep disturbances
Dreams: how to understand our dreams
But this happens rarely.