Surgery

Fully cured it without surgical intervention is impossible. Replacing the hip prosthesis made of metal or very hard plastic helps to get rid of the pain and restore mobility of the joints of patients. Usually surgery is prescribed when the pain caused by coxarthrosis, persists despite taking analgesics, and is especially strong when walking, when one becomes difficult to go up and down stairs, getting up, and if because of the pain have problems with dream Dreams: how to understand our dreams .

Before the surgery, the doctor examines the patient and explain to him the risks associated with the operation. These risks include:

• Blood clots

After surgery, the blood vessels can be formed thrombi are rarely moved to the lungs, heart or brain, which may lead to severe consequences. To prevent this complication, patients were prescribed medications, blood thinners, such as aspirin;

• Infection

Sometimes - fortunately, now very rare - after surgery developed infections affecting the skin and deeper layers of tissue. In most cases they can be treated with antibiotics Antibiotics - whether they will help you in the foreseeable future? But if the infection is developed next to the prosthesis, it may require further surgery, during which the prosthesis is removed and replaced with a new one;

• Dislocated hip

After surgery, it is recommended to avoid certain movements, for example, do not lean forward when you sit to the hip joint is not bent at an angle greater than 90 degrees. When careless movement can occur dislocation Dislocation - Prevention and Treatment   joint, which is required for correction of wearing the corset, and in some cases, surgery;

• Changing the length of legs

Surgeons always take precautions to avoid this complication, but sometimes after a hip replacement becomes one leg shorter than the other. Sometimes it is caused by weakness of the muscles located around the hip joint, and strengthening them, you can gradually solve this problem.

The operation is performed under general anesthesia, so a few hours before the beginning of the patients can not eat and drink. Sometimes doctors give further guidance on the preparation for the operation, for example, is recommended in a few weeks to refrain from smoking, or stop taking certain medications.

In addition, if you live alone, it is advised to have someone of your relatives or friends stay with you at least a few days, but better - a few weeks after the surgery: You will need their help. You should also make sure that you do not have to bend over any desired object - for that place them so that they were at the level of your waist, or higher.

During surgery, the surgeon makes an incision on the front or the side of the hips, removes damaged cartilage and bone, and then sets the place of the hip joint prosthesis.

Patients are advised to start walking with crutches or even sit on the bed as soon as possible after surgery. Generally, people are slowly beginning to move in the day of surgery, or the next day. It helps both accelerate the healing process and reduce the likelihood of blood clots.

A few days after surgery, the patient will have to not only walk) is - with a stick or other devices), but also to carry out special exercises that he will physiotherapist. All this is necessary to strengthen the muscles and restore mobility of the hip joint.

Usually the first examination after surgery, patients go through six to eight weeks. If the doctor is satisfied that recovery is going well, the patient can go back to their work (unless it is associated with very intense exercise) and moderately active employment some sports. Complete recovery usually takes six months to one year. As a rule, during which time a person begins to feel well enough to start to swim, walk, including long-distance cycling. However, some sports, such as jogging after hip replacement may be contraindicated.

Diagnostics

There is no single method of diagnosis of rheumatoid arthritis. The basis for the diagnosis of rheumatoid arthritis is a clinical manifestation of the disease, laboratory data (complete blood count (with the definition of erythrocyte sedimentation rate (ESR), the amount of C-reactive protein level, rheumatoid factor and antinuclear factor) and X-ray examination of the joints. In the presence of any four of the seven the following criteria are diagnosed with rheumatoid arthritis Arthritis - a variety of forms and complications . The criteria for the first to fourth must be present in the patient at least six weeks.

• Morning stiffness
• Arthritis of three or more joints
• Arthritis of hand joints
• Symmetrical arthritis
• Rheumatoid nodules
• Rheumatoid factor in the serum
• Radiographic changes
• Treatment of rheumatoid arthritis

The most common method for diagnosing rheumatoid arthritis is a routine medical examination. In the early stages, however, diagnosis is difficult.

A blood test may show an increase in erythrocyte sedimentation rate, which indicates that inflammatory processes in the body. In addition, the analysis on antibodies to cyclic citrullinated peptide and rheumatoid factor may facilitate the diagnosis of rheumatoid arthritis.

To follow the development of the disease, using X-rays.

Completely cure rheumatoid arthritis impossible. Arthritis should be aimed at reducing the symptoms of the disease, to restore metabolism Metabolism: The basis of life of all living things   in the articular cartilage (ie, to prevent further destruction of cartilage) and maximal preservation of function of the affected joints. Arthritis involves the elimination of the main causes of arthritis or treat diseases caused by arthritis. Accordingly, depending on the nature of arthritis Arthritis Arthritis - beware of ineffective drugs   It should be comprehensive, long-term and systematic. This should include both methods influence on the regenerative processes in the cartilage, and the body as a whole, using non-pharmacological, pharmacological and surgical methods for the treatment of arthritis.

For non-pharmacological treatments for arthritis include

• Reducing the load on the joints: weight loss through diet; selection of orthopedic shoes Orthopedic shoes - how to determine what is right for you?   with soft soles and fixed heel, using arch supports, knee pads, cane when walking.
• Therapeutic exercises, to be held in a sitting position, or lying in the water (ie without static loads) and should not cause increased pain in the joints. Completely excluded exercises on bended knees and squat. We recommend swimming lessons.
• Physiotherapy treatment: thermal treatments, ultrasound, magnetic therapy, laser therapy, acupuncture, hydrotherapy, massages, electric pulse stimulation of the muscles. Any physiotherapy carried out in the absence of contraindications.
• Getting rid of bad habits: smoking, excessive consumption of coffee beverages.

Pharmacological treatments for arthritis:

Local therapy: the use of non-steroidal anti-inflammatory creams, ointments or gels; intra-articular or periarticular administration glyukokortikosteraidov.

For moderate pain in the joints using simple analgesics (paracetamol), with little effect of their prescribed NSAIDs.

Currently, much attention is paid to the treatment of arthritis drugs that are able to eliminate not only pain, but to prevent, slow down or subjected to reverse development of pathological processes in the joints of arthritis at disease. These drugs are called hondroprotektorami, ie drugs that protect the cartilage. They are able to stimulate the synthesis of the basic substance of cartilage and also inhibits the production of an enzyme that destroys cartilage. If their purpose is often significantly reduced pain, increases range of motion, joint function is restored. Chondroprotectors well tolerated and rarely cause side effects.

Surgery (total joint replacement), which applies only in the most far advanced forms of arthritis, to correct deformities of the joints expressed.