About the disease
Hip osteoarthritis is a progressive, chronic disease, which attacks and destroys the hyaline cartilage of the hip joint. This disease can be developing statically for many years. At the beginning of osteoarthritis of the hip a person may experience mild pain and some difficulty when walking. If the hip osteoarthritis is not treated in time, it can lead to a surgical procedure of a joint replacement. This replacement may be needed if the hip joint is severely deformed and immobilized. In other cases the patient does not need the operation, the osteoarthritis of the hip can be cured by the conservative treatment, begun in the early stages.
Usually people over 60 years are diagnosed with the osteoarthritis of the hip. The reason for that are the changes of cartilage, that usually loses its elastic mobility with age. If there is no other pathology, the hip osteoarthritis rarely becomes too severe. Sometimes young people can also have hip osteoarthritis. It happens because of the following four reasons:
- Obesity: overweight puts pressure on the leg joints, which affects the cartilage
- Hereditary predisposition to the diseases of the joints
- Congenital abnormalities of the hip joint
- Consequences of injury, car accident or professional sport trauma
- Mild pain in the groin, thigh and buttocks
- Painful sensations arise only when standing up and walking
- The pain stops after a minute or two of walking
The symptoms of osteoarthritis of the hip during the second stage are:
- Constant pain in the lower back, groin, hip and even knee of the affected side
- Walking becomes more difficult
- Deformation of the joint becomes noticeable
During the third stage of hip osteoarthritis the patient experiences such hip osteoarthritis symptoms:
- Walking without a cane becomes extremely difficult
- The distortion of the hip is visible even through clothes
- The sound of hip crunching is heard during the movements
- The joint loses its mobility
- Range of motion decreases
The rheumatologist or orthopedist can diagnose the patient with the osteoarthritis of the hip during the simple X-Ray of the hip.A doctor can also perform ultrasound to determine location of disease.
- Physiotherapy. During the physiotherapy the doctor strengthens the muscles around the affected area, stretches the ligament and normalizes the motion of the person. He also restores the cartilage, removes the spasms and pain, using in some cases the massage and hirudotherapy(treatment with leeches) can also be used as a hip osteoarthritis treatment. The saliva of leeches improves the blood circulation and renegates some cells.
- Arthroscopic surgery aime to restore and repair the cartilage of the hip joint.
- Hip replacement. During the third stage the doctors can replace the affected joint with a metal prosthesis. Conservative therapy is used only to relieve the pain and prepare he patient for the operation. After the operation patient can lead the same lifestyle as before except that he can not play sports professionally or do hard labor.