Treatment of coxarthrosis of the hip: how to halt disease
December 4, 2014
- Treatment of coxarthrosis of the hip: how to halt disease
- Surgery
Coxarthrosis - a disease of the hip joint, where it cartilage is gradually destroyed, which leads to pain in the joint, decreased range of motion, and, finally, a reduction or loss of ability to work. Treatment of coxarthrosis of the hip is better to start at the earliest stages of the disease. This will significantly slow down the progression of the disease and, despite the diagnosis, for years to lead active, healthy lives.
There are ways to treat coxarthrosis of the hip, which are used today.
Physical activity
This is one of the most important and effective ways to treat all types of osteoarthritis, including coxarthrosis. Some patients think that the council move more with the disease, which causes pain during movement, contrary to logic. Actually limitation of physical activity leads to aggravation of symptoms of coxarthrosis, and accelerates disease progression.
Regular load needed to strengthen the muscles located in the hip joint, to maintain a high tone all muscle groups for normal blood circulation. Anyone with coxarthrosis should train regularly, regardless of age and fitness level. When coxarthrosis first degree, most patients can self-select the appropriate load, based on their own feelings and common sense - training should be sufficiently intense to muscles how to work, but there should be no pain in the joints. When coxarthrosis second and third degree of exercise for the patient should choose a doctor.
Weight loss
If you have been diagnosed with coxarthrosis
Coxarthrosis - inflammation of the hip joints
hip, and you are overweight or obese, you should immediately start to get rid of unnecessary kilograms. A person with excess weight coxarthrosis may progress faster than people whose weight is normal.
Medication
Drug treatment in coxarthrosis of the hip joint is directed primarily at relieving pain. In most of the guidelines for the treatment of this disease as a drug of first choice recommend the use of paracetamol. In milder forms of coxarthrosis four grams of acetaminophen a day is enough to relieve the pain in the hip joint. For most patients, the difference between treatment with paracetamol and non-steroidal anti-inflammatory drugs (NSAIDs) and immaterial as to cause less side effects, it is better to give preference. However, paracetamol may still cause some side effects, so those who take it for a long time, need to be screened regularly by a doctor.
NSAIDs are usually used in more severe pain when paracetamol does not help to a great extent alleviate the symptoms of coxarthrosis. In addition to traditional NSAIDs, such as ibuprofen, naproxen or diclofenac may be used preparations of this type, related to the so-called group coxib, such as celecoxib or etoricoxib. This new generation of NSAIDs is particularly effective relieve inflammation.
Oral administration of NSAIDs can be recommended and appointed with caution to patients with asthma, angina, as well as patients who have certain diseases of the stomach.
To facilitate the very severe pain opioids can be used, such as codeine. Opioids are potent analgesics, which are sold only by prescription. When coxarthrosis often are assigned relatively light opioids, such as tramadol, codeine and dihydrocodeine, but even they can not be taken for a long time. In addition to side effects such as drowsiness, nausea, and constipation, which can cause dependence. More potent opioids such as morphine, oxycodone, hydromorphone, and at the hip coxarthrosis not administered. If the patient suffers from constant severe pain and can not do without analgesics, he needed surgery.
Topical NSAIDs are very effective for the relief of mild to moderate pain in the joints
Joint pain - how to understand what is going on?
. In the first week of their effect is much weaker than that of oral NSAIDs, but after two weeks, they relieve the pain almost as effectively. Among the side effects of these drugs - burning, itching and skin rash, which in many cases are a few days after the start of treatment. Some experts believe that topical NSAIDs, as well as many other outdoor tools help in coxarthrosis, last but not least, due to the placebo effect
Placebo - an effective tool for self-hypnosis
. However, these agents are widely used as analgesics with OTC, and instead of them.
Kapsaitsinovaya ointment - another external agent that can be used in coxarthrosis of the hip joints. Its active ingredient is an alkaloid derived from hot peppers, and capable of acting on pain receptors, alleviate the pain. Ointment gives visible results immediately, but after the fourth week of its application, according to surveys of patients, the pain weakened on average by 33%. Capsaicin is very safe, although about 40% of cases it causes side effects such as burning, tingling and redness of the skin, which applied the ointment.
Intra-articular corticosteroid injections are needed in cases where other means are ineffective. However, the result of these injections do not always live up to expectations. In many cases, they provide relief only for a short period - from one to three weeks, but because of the risk of serious side effects of corticosteroid injections can not be too often. It happens that after injection the pain goes on for a long time, but, unfortunately, it happens only occasionally.
In addition, patients with hip coxarthrosis
Coxarthrosis hip joint - cartilage damage
may require certain drugs from the group of antidepressants. Different types of osteoarthritis and depression often go hand in hand. Many people experience depression due to chronic pain, inability to move as freely as before, the prospects of surgery with all the complications. Numerous studies have shown that the psychological state of a person strongly influences the intensity of the pain he feels. If a person is showing signs of depression, it is important to start as soon as possible to take measures to combat it; This helps not only relieve pain, but also enhance the quality of life in general.
The deposition of salts in the neck - what to do?
November 17, 2014
The deposition of salts in the neck - this is not quite correct explanation of what happens in the human body. However, many believe that all the ills of the salts, so the body should be cleaned regularly. Unfortunately, everything is much more complicated and cleaning does not help, required a complex therapeutic measures.
What actually happens in the body during the deposition of salts in the neck
Frequent headaches, dizziness, sometimes fainting, pain in the neck, shoulder blade and arm, hand numbness
Numbness of hands - not such a harmless symptom
Constantly changing galloping blood pressure, tinnitus, diplopia. This is not a complete list of symptoms that are associated with the deposition of salts in the neck.
But experts believe that salt is not to blame, the problems start due to the wear and tear of the intervertebral discs. This special depreciation gasket between the individual vertebrae, which do not allow them to break down. Gradually, under the influence of different causes in the disc begins degenerative dystrophic (metabolic) disorders, which lead to their destruction. The absence of depreciation can not affect the status of the cervical vertebrae - begins to break their bones.
Change its shape vertebrae begin to compress the spinal nerve roots, which are motor and sensory fibers innervate the region of the head, neck and upper limbs, the chest cavity. What becomes the cause of the characteristic symptoms.
This process is called osteochondrosis of the cervical spine - a dangerous disease, as in the cervical region are arteries supplying the brain regions that are responsible for cardiovascular and respiratory.
Osteochondrosis is usually a lot older. But it can develop at a young age, even in children. The reason for the early development of degenerative disc disease is heredity - especially the structure and metabolism of tissues of the spine. People with a family history should be as early as possible to take preventive measures to prevent the development of osteoarthritis.
Factors predisposing to the development of osteoarthritis, is a sedentary lifestyle and a variety of bad habits (smoking, alcohol, drugs and medicinal substances), industrial hazards, any chronic diseases that lead to metabolic disorders, poor diet and so on.
Symptoms of salt deposits in the neck
Cervical osteochondrosis
Osteochondrosis - learn how to properly distribute the weight
It begins with the emergence of pulling pain in the neck, numbness of the skin and crawling after a long stay in a forced position (for example, after sitting at the computer). All this passes quickly after active movements, but returns again more and lasts longer. Sometimes, the first signs of cervical degenerative disc disease are persistent headaches and dizziness, aggravated by any movement of the head.
Osteochondrosis of the cervical spine can appear in a variety of syndromes.
One of the main is a radicular syndrome, which is a result of reducing the size of the intervertebral holes due to lower height drives. This leads to compression of nerve roots and the appearance of motor, sensory and metabolic disorders in the areas of innervation of nerve compression. There are severe burning pain, worse when moving head. Sometimes the roots are infringed, which is accompanied by severe pain - cervical lumbago and protective spasm of the neck muscles, increases the pain. Pain can hold from several minutes to several hours or days.
Another characteristic of cervical degenerative disc disease syndrome - a syndrome vertebral artery - a blood vessel supplying the brain region where the vital centers - respiratory, cardiovascular, and others. Squeezing of the arteries leading to oxygen starvation of the brain tissue. Hence the main features of vertebral artery syndrome: a constant headache (sometimes hurts half of the head), dizziness, worse when moving the head, seizures sudden loss of coordination (patient falls, threw himself, but then after a few seconds or minutes stands alone as if nothing happened), sudden fainting, blurred vision, swallowing, thermoregulation.
Another set of symptoms of cervical osteochondrosis
Cervical osteochondrosis - the lot of office workers
They are vegetative-vascular disorders. They are connected with the compression of the autonomic nerve fibers that make up the spinal nerves. This sudden changes in blood pressure, heart attacks, heart pain
Pain in the heart - always consult a doctor
of different nature, the pain in other internal organs.
Treatment of salt deposits in the neck
To cure low back pain is impossible, but it is really to suspend or slow down the destruction of the intervertebral discs and vertebrae. Appointed gentle treatment for the spine (achieved by wearing special orthopedic collars), massage the muscles of the back and neck area, physiotherapy, pain and relieves muscle tension neck medicines, physiotherapy, acupuncture courses. Of great importance is a healthy active lifestyle, a balanced diet, proper sleeping arrangement and jobs.
The deposition of salts in the neck - is a complex and incompletely understood process. To deal with them will help only a comprehensive approach: a combination of a healthy lifestyle and diet with medical and orthopedic treatment.
Galina Romanenko
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