Hip osteoarthritis, also known as osteoarthritis or coxarthritis, is a wear and tear of the joints that causes symptoms such as localized hip pain, which occurs mainly during the day and when walking or sitting for a long time.
This disease causes cartilage degeneration, and it is very common to appear in the hip, as it is an area that bears much of the body weight and is always on the move and usually occurs in people over 45, but it can also happen.younger people, especially in the case of athletes who use the joint a lot.
- Treatment should be guided by the orthopedist and consists of relieving symptoms through the use of medication and physical therapy.
- Surgery can be performed as a last resort.
- When there is no improvement with clinical treatment.
- It is performed by scraping the inflamed part or replacing the cartilage with the hip replacement.
The most common symptoms of hip osteoarthritis include
This disease is caused by wear and tear of the hip joint, usually in people with genetic predisposition, which occurs with old age, but hip osteoarthritis can also occur in young people, due to local injuries caused by sport, such as running and lifting weights, for example.
See other conditions that can cause hip pain.
In some people, symptoms can be so severe that they can disrupt daily activities and even be a source of retirement.But, to avoid this, it is necessary to strictly follow medical treatment and follow-up.
Diagnosis of hip osteoarthritis is made by the orthopedic doctor after the assessment of symptoms and the control of hip x-ray Some words that can be written in the X-ray report and suggest osteoarthritis of the hip are: joint space, subchondral sclerosis, marginal osteophytes, cysts or geodes.
Other tests your doctor may order include CT, which may indicate a bone tumor, and MRI, which can be used to assess the condition of your femoral head.
The main forms of treatment are
Some changes that may be helpful in relieving pain and aggravating the condition are: decreasing the frequency or intensity of physical activity that causes osteoarthritis, reducing weight, and using a cane, always holding it in the opposite hand next to the pain to decrease hip overload.
Pain relievers, prescribed by your doctor as dipirone or acetaminophen, can be used up to 4 times a day to relieve symptoms. When symptoms are very severe, the use of more powerful painkillers, such as tramadol, codeine and morphine, in addition to injecting corticosteroids directly into the hip.
Anti-inflammatory medications, such as diclofenac and ketoprofen, or corticosteroids, such as prednisone, are only indicated during periods of worsening symptoms and should not be taken routinely due to the risk of kidney damage and stomach ulcers.
Supplements such as hydrolyzed collagen, glucosamine or chondroid can still be used to help renew cartilage and improve osteoarthritis in some people.
Physiotherapeutic treatment can be performed with the use of analgesic devices, the use of thermal bags, massages, manual traction and exercises, to improve the amplitude, lubrication and function of the joint, and should be performed daily or at least 3 times a day.Week.
Exercises such as aquagym, pilates, cycling or other pain-free exercises are important for strengthening muscles and protecting the body’s joints, so it is recommended to strengthen the thigh muscles, and to stretch, functional exercises.
Os exercícios podem ser iniciados com faixas elásticas, mas é importante ir aumentando o grau de dificuldade usando pesinhos que podem chegar até 5kg em cada perna. Veja alguns exercícios que também são indicados para artrose no quadril nesse vídeo:
Osteoarthritis surgery should be performed when other treatments are not sufficient to control pain, involves partially or completely removing damaged cartilage, and in some cases needs to be replaced by a hip prosthesis.
After the procedure, it is necessary to rest for about 10 days, which varies according to the needs of each person, in cases where the prosthesis is placed in the hip recovery takes longer and it is necessary to persist with physical therapy for about 1 year or more, so that the movements recover in the best way.See what you can do to speed recovery after hip replacement.
Hip osteoarthritis is due to the natural wear and tear of this joint, age or frequent injuries, such as running, for example, in these cases the head of the femur that fits perfectly into the acetabulum of the hip is no longer fully fitted.The surface of the joint becomes irregular and rough and results in osteophytes, causing pain and decreased ability to move.
Some situations that favor the installation of hip osteoarthritis include:
The best way to keep these situations under control is important to eliminate pain and prevent the progression of osteoarthritis.
It is very common for a person to suffer from osteoarthritis in one place, to have it in others, such as the knees or shoulders, for example, to know more about the causes and actions to take in case of osteoarthritis.