Many people suffer from various pathologies of the musculoskeletal system. This is due to changes in bone and cartilage tissues, metabolic disorders, as well as previous injuries.
The hip joint is the largest in the human body, so it has significant loads throughout life, so it is often affected. In this case, coxarthrosis is diagnosed. Treatment of the disease is carried out using various methods.
Injections into the hip joint are very effective for coxarthrosis, they deserve positive reviews, because in this way you can not only eliminate pain, but also restore the mobility of the affected area. The medicine is injected directly into the affected area or periarticular tissues and after a few days the patient can forget about pain and stiffness.
Causes of the occurrence and course of the disease
Methods of treatment of coxarthrosis of the hip joint largely depend on the causeoccurrence of the disease. The hip joint can be affected by external and internal factors that need to be considered in more detail. Endogenous or internal factors are such as:
- genetic predisposition;
- metabolic disorder;
- congenital pathologies;
- hormonal disorders;
- obesity;
- diseases of bone tissue.
Doctors say that if a person's parents or close relatives suffered from coxarthrosis, then he may also develop this disease. Another reason is dysplasia. Exacerbate and accelerate the course of the disease can be constant stress, excessive stress on the joint, a sedentary lifestyle, as well as bad habits.
The symptoms of the disease are numerous and quite specific, so it is quite difficult not to notice them and not understand that the joint is damaged. The problem is that they appear only in stage 2. In the initial phase, signs may be completely absent. Among the most characteristic manifestations of coxarthrosis of the hip joint, it is necessary to highlight the following:
- muscle weakness;
- painful manifestations;
- quick fatigue.
The nature of pain varies depending on the stage of the disease. Initially, discomfort is felt only after physical activity, a long walk or a working day spent on your feet. If a person takes a comfortable position and rests a little, then the pain will pass.
Over time, it occurs regardless of whether the person experienced stress or was at rest. It does not decrease, even if the patient does not move. Often this causes a disruption of night sleep. If you take an x-ray, you can see a slight deformation of the head of the joint.
At the initial stage, the structure of the bone tissue changes slightly, but already at the second stage, the situation worsens significantly. The slightest excess of the load provokes acute pain and lameness. After some time, disability sets in and the range of motion decreases sharply.
At the third stage of the course of coxarthrosis, the joint is constantly worried, it is difficult for a person to move, and he can do this only by relying on a cane. In addition, there are also many other signs. These should include such as:
- muscle tissue dystrophy;
- changing limb length;
- pain in the sacrum or spine.
At this stage, injections into the hip joint for coxarthrosis can be quite effective, but surgery is often required. At the same time, the damaged parts are removed and the prosthesis is implanted.
At the fourth stage, there is a strong deformation and destruction of the joint. In this case, injections can only temporarily reduce pain. At this stage, only surgical treatment is required, as the joint becomes completely immobile.
Basic principles of treatment
Answering the question of how to treat coxarthrosis of the hip joint of the 2nd degree, it must be said that a comprehensivetherapy. The leading methods of treatment are considered to be:
- medication use;
- physiotherapy;
- massage;
- physiotherapy exercises;
- stretching the joint;
- diet.
When carrying out treatment, it is necessary to use not only intra-articular injections, but also tablets, solutions and ointments for external use. All drugs used must have a restorative, analgesic, vasodilating effect.
Massage and physiotherapy help improve blood circulation, which contributes to a faster flow of nutrients to the affected joint. Therapeutic exercise makes the hip joint more mobile, and also prevents the development of osteophytes.
Many people are interested in how to treat coxarthrosis of the hip joint of the 1st degree and a later stage, so that the existing pathology can be quickly and effectively eliminated. Intra-articular injections are of great importance. Injections help to quickly eliminate unpleasant symptoms, as well as restore joint mobility.
Indications for intra-articular injections
Injections in the hip joint with coxarthrosis reviews are mostly positive. Such injections are the main component of therapy aimed at curing this complex disease. The introduction of drugs directly into the area of localization of the pathology brings the greatest result in comparison with other forms of medicine.
However, due to the complex anatomical structure of the pelvis and the negative impact of coxarthrosis, injectablethe method can only administer funds that are used for basic therapy.
For more effective treatment, drugs and their dosage are selected only by the attending doctor. Self-administration of medications can cause irreparable harm to he alth, lead to disability or even death. Intra-articular injections are indicated for:
- pain relief;
- improving cartilage nutrition;
- prevent further narrowing of the intra-articular space;
- increase metabolism;
- strengthening the muscular system;
- increase joint mobility.
Intra-articular injections help in the treatment and allow you to delay the process of destruction of the joints, but it is very important to choose the right drug.
What intra-articular injections are prescribed
What injections are given for coxarthrosis of the hip joint - this question is of interest to many, since it is important to choose the right medicine in order to quickly normalize well-being. Among them, it is necessary to highlight such as:
- anti-inflammatory drugs;
- chondroprotectors;
- muscle relaxants;
- glucocorticosteroids.
Initially, anti-inflammatory drugs are prescribed for coxarthrosis of the hip joint, as this helps to eliminate pain and stiffness in the affected area. However, it is worth remembering that these drugs do not cure, but only anesthetize. In addition, scientists have proven the negative effect of drugs of the NSAID group oncartilage tissue. Their appointment becomes justified only if the pain becomes simply unbearable.
Chondroprotectors for coxarthrosis of the hip joint enhance the restoration of cartilage tissue and should slow down the development of the disease. This group of drugs will help strengthen the collapsing cartilage. It is recommended to use them at the earliest stages of the course of the disease, as this will allow you to get the best result.
Muscle relaxants help eliminate muscle spasms in coxarthrosis. The thing is that the human body, trying to avoid the occurrence of painful manifestations, often overloads individual muscles. Muscle relaxants help eliminate cramps and normalize blood circulation in the affected area.
In addition, hormonal drugs are prescribed to help reduce pain during an exacerbation. However, it is worth remembering that they have a rather negative effect on the surface of the joints and cartilage. Additionally, when they are used, a stable psychological dependence is formed with their frequent use.
Chondroprotectors
Chondroprotectors for coxarthrosis of the hip joint are indispensable for the treatment of this pathology, but only if the joint tissue is not completely destroyed. If the disease is in the third and fourth stages, then it is completely pointless to use these drugs. In this case, only surgery will help.
The main components of chondroprotectors are chondroitin and glucosamine. In their structure and structure, they are identical to the tissues of articular cartilage. Act theybegin only after some time from the beginning of therapy. The result will appear no earlier than in 6 months.
However, if you carry out therapy with chondroprotectors regularly and consistently, without interrupting the course of treatment, you can very quickly restore the tissues of the joints and restore their mobility. Such drugs contribute to the production of synovial fluid. The nutrition of cartilage tissue improves, and the deformation stops. Cartilage gradually begins to recover. However, for this, glucosamine and chondroitin must be supplied in sufficient quantities to its tissue. To prevent the destruction of cartilage tissue, such medicinal solutions are prescribed as:
- Mukosat;
- Kontrykal;
- "Dona";
- "Chondrolon";
- Elbona;
- "Arteparon";
- Glucosamine sulfate.
In case of coxarthrosis of the hip joint, injections are made 6 times daily. Then you need to take a break for 1 year, and then the treatment is repeated. In the absence of synovial fluid production, the use of chondroprotectors is supplemented by injections of hyaluronic acid.
The drug "Don" in coxarthrosis of the hip joint is administered exclusively intramuscularly 3 times a week. The course of treatment with this remedy is 4-6 weeks. The drug "Elbona" for coxarthrosis of the hip joint is used in exactly the same way as "Don". In addition, they have similar main components, but the excipients are slightly different.
The drug "Alflutop" isis a bioactive concentrate. It is used for intramuscular and intraarticular injections. These injections are injected into the joint with coxarthrosis in a single dosage of 1-2 ml. The course should be 5-6 injections with an interval of 3-4 days.
Injections "Artradol" contain 100 ml of chondroitin sulfate. This remedy is administered intramuscularly in 1 ampoule every other day. If the patient tolerates Artradol injections well, then from 4 injections the dosage can be doubled. For 1 course, 25-35 injections are recommended, and re-treatment is prescribed after six months.
According to the instructions for use, Mucosat injections are a powerful chondroprotector that eliminates inflammation and restores destroyed cartilage tissue. The drug stops the progression of the disease and effectively copes with its main causes.
As stated in the instructions for use, Mukosat injections are given every other day at 0.1 g per procedure. After 4 injections, the dosage can be increased to 0.2 g. The course of therapy is 25-30 injections. It can be repeated after 6 months by doctor's prescription.
Hyaluronic acid injections
It is part of the synovial fluid, designed to lubricate the joint surface. With coxarthrosis, the amount of this substance is sharply reduced, so it is replaced with synthetic agents to eliminate inflammation and prevent oxidation processes.
The therapeutic effect of hyaluronic acid largely depends on the size of the molecules in the preparation and the stage of the disease. At the initial stages, it is recommended to take funds with a smallmolecular weight to activate the production of the substance. In more advanced stages, apply concentrated solutions required to lubricate the surface of the hip joint.
Hyaluronic acid, intended for intra-articular injections, contains sodium s alt. In addition, the following drugs are used for treatment:
- Fermatron;
- Synokrom;
- Gialgan-Fidia;
- Suplazin.
When coxarthrosis occurs, it is necessary to inject hyaluronic acid 3-5 times daily. An effective scheme for administering drugs is 2 injections into the joint with a break of 7 days. The third injection should be done only after 6 months. Painful manifestations disappear 2 weeks after the start of therapy, and the effect lasts about 1 year.
Corticosteroid hormones
For treatment, corticosteroid hormones are often prescribed in the form of injections into the hip joint for coxarthrosis. A review of drugs will help you make the right choice, as well as determine exactly how these drugs help and what effect they have. The most common and popular is Cortisone. It helps to quickly and permanently eliminate even the most severe pain, prevents the destruction of cartilage tissue, and its effect lasts for several days. However, when using it, many side effects can occur, and it has certain contraindications.
Corticosteroid hormones help to completely eliminateunpleasant symptoms of coxarthrosis, including swelling, pain and inflammation. You can use such drugs only on the strict prescription of a doctor. Among the most popular corticoids are the following:
- "Hydrocortisone";
- "Flosteron";
- Diprospan;
- Kenalog.
Restore the functionality of the hip joint or prevent the process of its destruction, such drugs can not. Steroids are prescribed only during an exacerbation of the disease to remove excess fluid from the joint bag. At the initial stage of treatment, a test injection is always given to see the reaction of the body.
Painkillers
If the pain is not too pronounced, then the introduction of anti-inflammatory drugs is enough. To eliminate the intense pain syndrome, stronger painkillers will be required for coxarthrosis of the hip joint. In particular, analgesics are widely used:
- Lidocaine;
- "Analgin";
- "Ketanov";
- Tramadol.
It is worth remembering that painkillers only eliminate the unpleasant symptoms of the disease, but do not cure it. They temporarily make the nerve endings less sensitive, as a result of which discomfort disappears. In addition, they can be used rarely and only for a short time.
Use of blockade
How to treat coxarthrosis of the hip joint of the 2nd degree? This question is of interest to many patients, since at this stage the pain becomes more pronounced. In this case, a comprehensivetherapy and stronger painkillers. Therapeutic blockade is used to introduce one or more drugs into the cavity of the joint capsule to relieve pain and eliminate inflammation.
In addition, the injection can be made into nearby tissues. The drug is administered by an experienced specialist under the control of an ultrasound machine, since it is necessary to ensure that the needle enters the cavity accurately. In addition, manipulation necessarily requires special equipment.
Plasma treatment
Answering the question of how to treat coxarthrosis of the hip joint of the 1st degree, it must be said that plasmolifting is an effective technique. The procedure involves the subcutaneous injection of the patient's own platelet-rich plasma.
This treatment is carried out even with advanced stages of coxarthrosis. According to studies, this procedure helps speed up the process of cartilage tissue repair by 30%, eliminate soreness, swelling and other signs of the disease after the first injection.
However, it is worth remembering that in case of destruction of cartilaginous tissue in the joint of the hip joint, plasmolifting is effective only in 44%. The patient must undergo a therapeutic course every 6 months. If there is no improvement, replacement of the joint with an endoprosthesis is recommended.
How to do injections
The technique for performing an injection into the hip joint with coxarthrosis is quite complicated, so injections should only be done by a qualified specialist. How the injection will be performed largely depends on how functional andthe joint becomes mobile. First of all, you need to remember that it is strictly forbidden to inject drugs into the joint cavity and adjacent tissues on your own. Otherwise, you can bring an infection or hurt the nerve endings.
Injections are performed in the joint space, namely in a small gap between the elements of the joint. In order for the needle to get exactly where it is needed, an X-ray is additionally used and complete sterility must be observed. Sometimes drugs are not injected into the joint itself, but nearby soft tissues. This procedure is much simpler and is often used to eliminate pain with the help of hormonal drugs.
Contraindications
Injections into the hip joint with coxarthrosis reviews are mostly positive, but this method of therapy can provoke certain complications. In addition, it is imperative to take into account contraindications, in particular, such as:
- pregnancy and breastfeeding period;
- diabetes mellitus and thrombophlebitis;
- combination with anticoagulants;
- diseases of the pancreas;
- chronic renal and heart failure;
- ulcer;
- individual intolerance to components.
The use of intra-articular injections for coxarthrosis gives the maximum result only with the correct diagnosis and strict adherence to medical recommendations. Otherwise, there is a possibilitythe development of complications. They can occur as a result of the drug getting into the lumen of the vessels, with the wrong choice of the drug, as well as its dosage and concentration.
Infection of the needle insertion site, bleeding in or near the joint, and damage to the joint tissue may also occur.
Patient testimonials
According to reviews, injections into the hip joint with coxarthrosis bring significant relief to the patient. However, be sure to be patient, as the therapy is quite lengthy.
Patients say that after the intra-articular injection of chondroprotectors, the periods of remission become longer, and also help to eliminate unpleasant symptoms and normalize well-being.
Some patients report that the injection of drugs into the joints causes some discomfort, but relief is felt after a while.
