Wear in the hip joint
When it comes to wear and tear, the knee is the weakest link in the human body. This joint is most affected by osteoarthritis. The hip is in a solid second place. Every year, as many as 20,000 new cases of osteoarthritis in the hip joint are diagnosed by general practitioners.
Hip osteoarthritis – doctors prefer to speak of coxarthrosis – mainly develops in older people over 55 years of age. In addition, twice as many women as men suffer from wear and tear in the hip joint.
In osteoarthritis, the cartilage in the hip joint gradually wears away over time. As the cartilage wears away, it becomes frayed and rough, and the protective joint space between the bones decreases. This can result in bone rubbing on bone. To make up for the lost cartilage, the damaged bones may start to grow outward and form bone spurs (osteophytes) (source: 01 ).
How the hip joint works
The hip joint is a ball joint that consists of two parts. The spherical head of the femur fits exactly into the hip socket of the pelvis. As a result, this flexible joint can move in all directions without any problems. The leg can be straightened, bent, and moved sideways in and out without putting too much strain on the hip joint.
The acetabulum and femoral head are lined with a thick layer of cartilage. This has a shock-absorbing effect and ensures that both bone ends of the hip weight can continue to slide smoothly over each other. It is not surprising that this joint is very sensitive to wear and tear. During a 5 kilometer walk, the hip joint is loaded about 10,000 times with a weight of 300 kilos.
Cause of osteoarthritis in the hip
It is not known exactly how osteoarthritis can develop. The fact is that with age, the quality of the cartilage can deteriorate in everyone.
Osteoarthritis (arthritic hip) is, therefore, nothing more and nothing less than a natural wear and tear process. But also congenital defects, inflammation, and damage caused by injury can cause osteoarthritis in the hip joint. People who work more heavily on the hip joints or who are overweight are more likely to be affected by coxarthrosis.
The consequences of osteoarthritis in the hip
In osteoarthritis in the hip joints, the intermediate cartilage wears down. As a result, the two bone ends can slide over each other less smoothly. In addition, shocks from movements cannot be absorbed as well. Eventually, the cartilage may disappear completely.
At that point, the raw bone ends move past each other. The bone will respond to the increased pressure with ‘osteophyte formation’: abnormal bone growth occurs at the edges of the hip joint. This makes the joint wider so that the pressure is distributed over a large surface. In this way, the body tries to limit the effects of osteoarthritis to some extent.
The symptoms of osteoarthritis in the hip
An important indication of osteoarthritis in the hip is pain in the groin, which often radiates to the buttock region, the thigh, and the knee. Start-up problems can also arise.
There is then pain and stiffness when getting out of bed or from a chair. As the wear and tear progress, moving the hip joint becomes increasingly painful and difficult. Routine actions – such as tying shoelaces, climbing stairs, and getting into a car – then become more and more problematic.
Inflammation can also develop in the joints. When the wear is present for a longer period of time, the leg can assume an outwardly turned position. This results from the shortening of the capsules, ligaments, and muscles around the hip joint.
Diagnosis of Arthritic in the hip
The doctor can usually make the diagnosis by asking questions and performing a physical examination. X-rays of the hip joint are only taken when in doubt or if surgery is being considered. When the cartilage has worn down, this can be clearly seen in the photo: the joint space is then narrowed. The possible consequences of the condition, such as osteophyte formation, are also visible on an X-ray.
Treatment of osteoarthritis in the hip
Bronx Vbs High Short Heel Black Boots m0Ov8wyNnPOnce cartilage is damaged, it cannot be repaired. The treatment is therefore aimed at reducing the pain and stiffness of the joint. Usually, a referral to a physiotherapist follows.
Using exercises, he teaches the patient how to keep moving without overloading the hip joint. In case of pain, the doctor can also prescribe anti-inflammatories. However, many patients complain of unpleasant side effects while taking these drugs.
A good alternative is a liquid combination of Green-lipped mussel and Curcumin. These natural anti-inflammatories relieve pain without the side effects that the so-called NSAIDs exhibit. This natural, liquid food supplement is available without a prescription at pharmacies, advice chemists, and health food stores.
If the complaints become more serious, the head or bowl can be replaced by means of surgery. In the event of extensive wear and tear, the entire joint can also be replaced by an artificial copy.