What are the symptoms of osteoarthritis of the hip joint, and how to treat it effectively?

What is hip osteoarthritis, what are its symptoms and how is it treated? Osteoarthritis is a disease that deforms and destroys joints. Treating hip osteoarthritis is a very long process. In the middle of the last century, coxarthrosis was considered a punishment for a patient, inevitably leading him to an early disability. But due to the development of medical science, hip osteoarthritis can be stopped and cured in the initial stage of the disease.

What is hip arthrosis?

Osteoarthritis is a disease in which there is a slow destruction and deformity of the joint due to changes in the structure of cartilage tissue. Arthrosis is often confused with arthritis, however, these are different diseases, although they may be present at the same time, for example, osteoarthritis, arthritis of the hip joints. The difference between osteoarthritis and arthritis is that with osteoarthritis, deformities occur not due to inflammation of infectious tissues, but due to deviations in metabolic processes.

Osteoarthritis of the hip joint

Combination therapy is used - knowing the reasons why the pathology arose, helped determine the correct tactics for treating osteoarthritis of the hip joint. When determining how to treat hip osteoarthritis, the doctor may focus on medication and physical therapy. The issue of surgical intervention may also arise if very serious changes have affected the hip joint - medication-based treatment will be ineffective.

Causes of occurrence

Coxarthrosis can be caused by trauma or appear due to old age. Also, coxarthrosis can be congenital. However, the main risk factors are as follows:

  • diabetes mellitus;
  • hypothyroidism;
  • overweight;
  • poor inheritance (genetic predisposition).

These reasons can provoke coxarthrosis at any age. For risk groups, it is advisable to undergo a preventive examination every six months with a specialized specialist who deals with joint problems.

Interesting! Many people do not know which doctor treats osteoarthritis of the hip and other joints and unknowingly go to a traumatologist. A doctor who can help in this situation is called an arthrologist.

An arthrologist is a specialized specialist who knows not only all the tactics and medicines for the treatment of osteoarthritis, but will also be able to choose the types and analogues of these drugs, according to individual indicators.

Osteoarthritis is often diagnosed in patients over 40 years of age. The disease develops in stages, there are three possible stages:

  • Metabolic abnormalities occur. Followed by violation of the synthesis of substances. Cartilage nutrition is deteriorating.
  • Insufficient nutrition makes cartilage less elastic. Gradually it becomes thinner. The interosorbent lumen decreases.
  • As cartilage tissue thins, the load on bone tissue increases and bone deformities occur.

With hip arthrosis, degenerative changes in cartilage tissue may become apparent to the patient only years later, not immediately in stage 1.


Each stage has its own characteristic features. It is important to determine at what stage of hip arthrosis, the symptoms and treatment at each stage differ radically. Depending on the stage of the disease, medication or surgery may be prescribed.

Medications are considered effective only in stages 1 and 2. In stage 3, for a complete cure, surgery is required, otherwise the person remains incapacitated.

In stage 1, they can reverse the process, and in the transition from 1 to 2, and in 2, they can stop the process of cartilage destruction and slightly improve the condition of cartilage tissue. Phase 1 is characterized by the following manifestations:

  • grief appears only during physical activity;
  • concentration of pain in the joint area;
  • the pain goes away on its own after rest;
  • limb movement is not restricted;
  • Muscle tissue condition is normal.

For grade 1 osteoarthritis, only radiographs and tomography are effective.

Stage 2 osteoarthritis is characterized by the following manifestations:

  • wandering pain in the thigh area;
  • pain does not go away on its own - pain relievers are required;
  • motor activity is difficult and limited;
  • muscle atrophy is present.

In case of 2nd degree arthrosis, no hardware studies are required - the disease is diagnosed during a visual examination. However, they are sent for MRI and X-ray to determine the size of the deformity.

In 3 stages, osteoarthritis has the following manifestations:

  • chronic pain;
  • movement is only possible with a cane;
  • shorter affected limb.

Signs of osteoarthritis in the hip joint will be subtle, and the characteristic symptoms of osteoarthritis may be completely absent or not expressed.

Characteristic manifestations of osteoarthritis

The symptoms of osteoarthritis and its nature depend on the stage of development of the pathology. The most pronounced symptom is pain. The patient may even feel that he has a hip fracture - the pain syndrome is so strong. The photo shows that the femoral neck and hip joint are very close.

Osteoarthritis of the hip is insidious and in the early stages can be mistaken simply as fatigue. For this reason, treatment is delayed. Sometimes it is even necessary to replace the joint with an endoprosthesis, as all drugs are already powerless. The photo shows an x-ray with common replacement options.


Coxarthrosis mainly gives these types of symptoms:

  1. Pain syndrome. The main source of pain is difficult to determine. If they appear on vacation, it is worth a visit to an arthrologist.
  2. Some movement restrictions, slight lameness.
  3. After a while, the diseased limb becomes a little shorter than the healthy one.
  4. Muscle atrophy is present - diagnosed on palpation.

Progressive research methods are required, as osteoarthritis of the hip joint does not always give symptoms and its treatment is possible only if there is accurate data.

Treatment of Coxarthrosis

After being examined by an arthrologist and passing the necessary examinations, the doctor decides how to treat osteoarthritis of the hip joint. First of all, the disease is assigned the ICD code 10. This makes it easier for the doctor to choose the right treatment tactics.

Regardless of the tactics chosen, the treatment is based on 6 basic principles:

  • pain relief;
  • cartilage replenishment and restoration;
  • improved blood flow to the affected area;
  • reducing the load on the joints;
  • strengthening of muscle tissue;
  • restoring joint mobility.

To achieve all goals, it is customary to use a combination therapy. For example, the whole positive effect of using chondroprotectors will be destroyed if the load on the diseased joint is not reduced. Thus, in the treatment of osteoarthritis, 2-10 types of approaches are used - it all depends on the severity of the disease and the general indicators of the patient. The most common approaches are as follows:

  1. The non-steroidal group of medicines is combined with exercise therapy and other physiotherapeutic measures (massages and others).
  2. Chondroprotectors in combination with hyaluronic acid. Often used as restorative therapy.
  3. Vasodilators can be combined with chondroprotectors as well as non-steroidal anti-inflammatory drugs and exercise therapy.
  4. Anesthetic ointments can be used as an adjunct to any of the other treatments. They themselves do not have a positive effect on the joint.
  5. Corticosteroids as intra-articular injections in combination with physiotherapy.

Hip laces are often used to restrict joint movement. Physiotherapy and non-traditional techniques.

Physiotherapy and non-traditional techniques


In addition to drug therapy, the patient may need to undergo physiotherapy procedures and may even use unconventional methods as part of treatment.

Interesting! If you follow the principles of a healthy diet and bring your body mass indicators to normal, it is possible to significantly ease the course of the disease and reduce the severity of symptoms.

The most common additional procedures that undergo osteoarthritis patients are:

  1. Manual therapy means that a specialist, using massage techniques, facilitates the course of the disease.
  2. Exercise therapy (improvement gymnastics) - a large number of different options for physical exercises, varying in the complexity of execution. Helps restore atrophied muscle.
  3. Folk remedies - most doctors are against this method, but they may consider it as an adjunct therapy. With the right approach, it increases the effectiveness of drug therapy.
  4. Homeopathy - official medicine has not proven the effectiveness of homeopathic therapy, however, some patients claim its positive effects and improvement of the general condition.
  5. Apitherapy is a highly controversial technique based on the treatment of bees and the properties of bee venom.

The following procedures also apply:

  1. Magnetotherapy is used as an adjunct therapy as well as an adjunct. Due to the influence of magnetic fields on the human body, blood flow is improved and metabolic processes are gradually restored.
  2. Hirudotherapy - due to the diluting blood components contained in caterpillar saliva, blood flow is improved and blood enters the atrophied muscle vessels in a larger volume.
  3. Mud therapy brings some nutrients through the skin and has a tonic effect.
  4. Shilajit is used both separately and as part of compresses and tinctures. Formal medicine does not deny, but does not confirm a positive action, everything is based on the individual sensitivity of the patient.
  5. Self-massage is used to increase blood and lymph flow. Before performing, you should consult an experienced chiropractor or massage therapist. The specialist will learn the correct movements and help to process their correct execution.

Any additional measures must be agreed with the participating specialist.

Nuance! Traditional medicine, contrary to many claims, is neutral about complementary therapeutic measures. However, if they are performed incorrectly (for example, sudden movements and strong pressure during self-massage), they can worsen the course of the disease.

Some methods related to alternative medicine may be contraindicated - an allergic reaction or other adverse manifestation is possible after application.

Surgical Treatment


In the later stages of the disease, treatment using traditional and alternative medicine methods does not bring the desired positive result. Surgery can be a joint replacement, or manipulation using a laser.

Replacing a node allows you to maximize all the motor capabilities of the node. The biggest disadvantage, except for the high cost of the surgeon's work directly, is not the very long service life. On average, a joint prosthesis needs to be replaced every 15 years.

Laser therapy for operated coxarthrosis is already used when the articular part of the bone is rejected. Thanks to this method, it is possible to remove the damaged area and replace it with an insert made of artificial material.

Any surgical intervention for coxarthrosis is a purely temporary measure. However, if not performed, then with stage 3 osteoarthritis, a person will become incapacitated without the ability to move normally on their own.


Preventive measures for osteoarthritis of the thigh are based on the elimination of risk factors that can cause coxarthrosis. Preventing coxarthrosis consists of following a healthy lifestyle and following general strengthening measures:

  1. Accept and love an active lifestyle. The greatest risk in pathology is the lack of any joint movement - salts are deposited and other complications arise. Activity Light but systematic physical activity is required.
  2. Monitor your diet. You need to adhere to such a dietary style so that there are no weight problems. However, you should refrain from using large amounts of table salt in dishes. The same goes for spicy and spicy dishes. The food should be complete and contain all the necessary micro and macro elements.
  3. Do not neglect routine medical examinations - this will allow you to detect the disease at an earlier stage.
  4. Avoid hypothermia - such a negative effect can cause inflammation in the joints and lead to osteoarthritis.

If you suspect coxarthrosis, do not try to diagnose it yourself. Even an experienced doctor can not always at first glance and only after questioning the patient accurately and confidently declare that this is coxarthrosis. And even more, it is unacceptable to prescribe therapy on its own - even medicines, at least some others. Lack of awareness of the impact on the body and possible side effects can lead to sad consequences.