Osteoporosis of the hip joint: symptoms and treatment, diagnosis

Osteoporosis of the hip joint in women and men reduces the strength of bones. By the way, most often from this disease suffer representatives of the weaker sex during the menopause. Therefore, the symptoms and treatment of osteoporosis of the hip joint should be known first of all to all women. Often, pathology leads to fractures. There may also be other signs of calcium deficiency in the body.

What is this ailment

Symptoms and treatment of hip osteoporosis have been known for a long time. The disease is a pathological change in the tissues of the bones. A similar disorder occurs with a deficiency of calcium and phosphorus. As a result, the strength of bone tissue decreases, the risk of bruises and fractures increases. For the patient it becomes dangerous to lift weights, and also to fall even from a small height.

This disease has other names: "glass" or diffuse osteoporosis. Often the disease occurs in one place and gradually spreads to other parts of the body.

The hip joint takes on a load of both static and dynamic nature, and therefore, in the case of osteoporosis, it is this department of the musculoskeletal system that is most often subjected to various injuries. Thus, fracture of the neck of TBS leads to almost complete immobilization, and in the elderly and to death.

Why there is a disease

Often, washing out of bone tissues of elements that increase their strength, is due to the disorder of certain metabolic processes. As a result, the content of mineral salts in the body decreases. Among the reasons for the development of osteoporosis of the hip joint is:

• Disorders in the work of the hormonal system;
• Deficiency of vitamin D, which occurs when there is a shortage of sunlight in the autumn-winter period;
• The age factor at which the disorder of the parathyroid gland function begins to progress , and also the metabolic processes of the organism occur;
• Malnutrition, leading to a deficiency of calcium and phosphorus;
• During the menopause, estrogen secretion decreases;
• Bad habits: abuse of alcohol, drugs, and smoking;
• Heredity, predisposition to the disease;
• Congenital pathologies, among which shortening of one of the limbs, scoliosis, dysplasia in children, etc .;
• Surgical intervention associated with the removal of one or more internal organs;
• The use of drugs that can wash out calcium and minerals, for example, anticonvulsant drugs, corticosteroids and diuretics.

Some statistics

If we examine the statistics of the disease in more detail, we can note that:

• In 45% such a disease as osteoporosis, affects the hip joint and femur;
• In 90% of cases, a breach of the integrity of the neck of the hip occurs due to developing osteoporosis;
• Approximately 8% of all cases after a neck fracture patients return to normal life;
• After disruption of the integrity of the neck of the hip joint, approximately 75% of all cases a person becomes disabled, and about 20% of patients die due to an injury.

Osteoporosis is the fourth most dangerous disease in the list. And the death of a patient can occur as a result of trauma or fracture of the neck of the hip joint. The disease gives way to the leading places only diabetes mellitus, oncological diseases and disorders in the work of the heart.

It should be noted that the development of osteoporosis increases the risk of injuries and fractures of the bones, of which TBS consists: the acetabulum, located on the side of the pelvic bones, the epiphysis of the femur and so on.

Symptoms of osteoporosis of the hip

Often described disease occurs almost without symptoms. However, the gradual destruction of bone tissue occurs continuously. In this case, dividing bone cells - osteoblasts - do not regenerate. Signs of the disease begin to manifest after a while. And, as a rule, this happens when a third of the osteoblasts ceases to function.

The development of any ailment can be detected only in the definition of provoking factors and the corresponding symptoms. Thus, pain in osteoporosis of the hip joint is observed:

• On the front of the thigh, as well as from the side, with increasing loads (with the development of the disease, discomfort increases);
• In the buttocks and groin - sudden.

Pain sensations are variable. They can be chronic or acute. Pain increases with exercise, and when rest is reduced. In this case, there are changes in the gait - the patient thus tries to eliminate the feeling of discomfort. This pathology is characterized by the absence of factors that cause pain, as well as insomnia and worsening of the general condition.

Symptoms and treatment of hip osteoporosis have been studied for many years. And at a doctor's appointment, patients often complain of fatigue, irritability, depression, and disability. 12 months after the appearance of the first signs of the disease, the patient may experience weakness in the leg.

What are the degrees of the disease?

Symptoms and treatment of hip osteoporosis depend on the stage of the disease. The main difference is in the pathological changes revealed during the diagnosis. At the moment, there are 4 degrees of osteoporosis of the hip joint:

1. At this stage, the patient only has a suspicion of ailment.
2. There is an osteoporosis of a mild form.
3. The disease becomes more pronounced.
4. There are signs of a serious illness.

How is the diagnosis of osteoporosis TBS

Symptoms of osteoporosis of the hip joint, unfortunately, do not always allow timely detection of the disease, so if any of the previously listed signs occur, the following studies are carried out:

• MRI - allows to determine the exact location of the focus of rarefaction in bone tissues.
• Densitometry is a diagnostic method that identifies the initial form of the disease by measuring the density of bone tissue.
• Fluoroscopy is one of the available diagnostic methods, but which has low sensitivity. Determine the disease can only be after losing 30% of bone mass.
• Analysis of urine and blood. This method is used to refine the diagnosis and allows you to determine the amount of phosphorus and calcium in the blood, as well as the level of alkaline phosphatase, insulin, parahormon, thyroxine, estrogen and cortisol.

Compare the results

To diagnose the disease, it is necessary to identify the signs of osteoporosis of the hip joint, and also to compare the results of bone mineral density with certain parameters:

• A normal indicator is the T-test from +2.5 to -1 deviations from the peak bone mass.
• Osteopenia. With such a violation, the T-test is from -1 to -2.5 deviations.
• Osteoporosis. In this case, the T-test has an indicator below -2.5 deviations.
• Severe degree of osteoporosis. The T-test has an indicator below -2.5 deviations. In this case, there is more than one fracture in the patient's history.

How is the disease treated?

How to treat osteoporosis of the hip joint? To avoid negative consequences and serious complications of the described pathology, it is necessary to start therapy of the disease immediately after diagnosis. It is worth noting that the injuries received with such a disease, very slowly heal. Treatment consists of complex measures aimed at restoring damaged tissues, as well as stopping the development of pathology. In this case, the therapy of the disease is carried out under the supervision of a doctor. Treatment of osteoporosis of the hip joint includes:

1. Taking medications aimed at slowing the destruction of bone tissue. Such drugs should help to eliminate the underlying cause of the disease, as well as trigger regenerative processes.
2. Maintaining the required level of calcium in the body with medication and eliminating vitamin D deficiency.
3. Facilitation of loads on the damaged joint, application of therapeutic physical training to restore the bones of the patient joint.

It should be noted that the methods of treatment of osteoporosis of the hip or knee joint are not distinguished by the nature of the therapeutic procedures from the described disease.

Methods of Traditional Medicine

Transient osteoporosis of the hip joint and other forms of the disease can be cured if you contact your doctor in time. In the presence of such pathologies, the following can be assigned:

• Anabolic drugs that activate bone repair processes, such as testosterone, Raloxifene, Teriparatide, and so on.
• Antiresorptive medications that slow down the destruction of the tissue structure, such as "Risedronate", "Alenronat", "Eildronat", "Calcitonin".
• Hormonal drugs that help eliminate the underlying cause of the disease, and replace all the missing hormones. Such drugs are prescribed for women in menopause and with extinction of sexual function. They are able to restore the level of gestagens, androgens and estrogens.
• Medicines with calcium, which help to eliminate the deficit of this mineral, slow down destructive changes, and ease pain. Ideally suited are "Calcitonin", "Kaltreit", "Calcium Gluconate".
• Vitamin D, as well as its metabolites. Often appoint "Calcium D3", "Alfadol-Sa", "Natekal D3", "Akvadetrim".

Methods of Alternative Medicine

Some specialists also welcome folk treatment of osteoporosis of the hip joint. This is considered a good addition to traditional therapies. However, it is not recommended to take or cancel prescribed medications independently. It is worth consulting with a doctor. Most often recommend:

• Apply a compress to the affected area, which contains "Dimexid" and infusion of herb comfrey. The course of treatment - no more than two weeks.
• The area of the damaged joint can be rubbed with ointment daily. For its preparation on a water bath, it is necessary to heat 50 g of spruce resin, 25 g of copper sulfate and 150 g of olive oil. After cooling into the resulting mixture, add 2 tablespoons of onion juice.
• Take a warm bath. To do this, dilute the decoction of the willow bark in water. The procedure must be completed in 20 minutes.

Prevention of disease

Any disease is much easier to prevent than to get rid of its consequences. Preventive measures in this case include:

• Power control. The diet should contain the required amount of foods rich in fiber and proteins. It is necessary to completely abandon alcoholic beverages, as well as foods rich in cholesterol. It is recommended to eat foods that contain a large number of minerals. Milk should also be present in the ration.
• It is worth taking vitamin complexes and sunbathing.
• The way of life should be active. However, it is recommended to avoid heavy loads.
• It is necessary to perform special exercises for osteoporosis of the hip joint. This gymnastics is capable of dynamic loading. In addition, there are exercises for resistance and flexibility. When practicing gymnastics, avoid overloading, sudden movements and jerks.

List of exercises

Experts recommend the following exercises for the prevention of osteoporosis of the hip joint:

• "A bike". Lie down on your back and make circular movements with your feet.
• Stand on all fours and simultaneously raise your right arm and left leg, and then your left arm and your right leg. In this situation, you need to stay for 8-10 seconds.
• Lie on your side and lift your leg up. Hold in this position for 10 seconds. Then gently turn over to the other side and do the exercise with the second leg.

What forecast

Only timely access to a doctor and the establishment of an accurate diagnosis will avoid further development of osteoporosis TBS, its complications and consequences. If we start therapy early on in the early stages of the illness, the chances of restoring mobility will be much higher than when solving the problem quickly. On the complete cure of osteoporosis TBS gives a chance only strict compliance with all medical prescriptions and recommendations.

In conclusion

In most cases, osteoporosis of TBS occurs as a result of neglect of preventive measures that can protect bone tissue from many pathological processes. Do not forget that the development of the disease is fraught with a complete loss of mobility, so it is important to carry out preventive measures, and if there are any signs of osteoporosis TBS should immediately contact a specialist. Only a doctor can prescribe a comprehensive therapy. Self-medication in some cases may not produce results and lead to more serious complications.