Hip synovitis: causes, symptoms, treatment
Problems with joints can occur regardless of the person's age. Often skeletal diseases develop even in children. At the same time, visible reasons can sometimes be difficult to establish. For example, synovitis of the hip joint is a complex inflammatory pathology that can cause serious consequences.
What is a disease?
This disease is characterized by the appearance of inflammation in the synovial membrane of the hip joint. In most cases, pathology requires thorough treatment, as it is fraught with complications that can immobilize a person and even lead to blood poisoning.
Synovitis of the hip joint can be provoked by completely different factors. From the explanation of the causes of inflammation often depends on the type of therapy that will be appointed by the doctor.
Reasons for the onset of
The following factors may provoke hip synovitis:
- Serious injury due to a fall or stroke.
- Neurological or hormonal disorders.
- Severe allergic reaction.
- Dystrophic or degenerative joint damage. Instability of articulation.
- Inflammation of nerves.
Varieties of pathology
Hip synovitis can be classified as follows:
- Reactive. It arises as a consequence of a response to a certain stimulus or pathological process occurring in the body. Most often it is the result of a severe allergy.
- Transit. Most often it develops in children under 15 years old. The cause of the appearance of this pathology is usually considered an infectious or viral disease. Another factor can be too much physical stress on the joint.
- Traumatic synovitis. Based on the name, we can say that this type of disease develops due to traumatic or mechanical damage to the joint.
- Infectious. Appears due to the impact of pathological microorganisms on synovial membranes. In this case, the effect can be made through lymph, blood or directly.
Also, the synovitis can be acute or chronic. They differ in the intensity and completeness of the manifestation of symptoms. By the peculiarities of the course, it is also possible to isolate serous, purulent, hemorrhagic and mixed synovitis. Correct diagnosis of pathology will make it possible to prescribe adequate treatment.
Symptomatology of the acute form of the pathology
It all depends on the form and nature of the disease. Echographic signs are considered the most informative. They provide enough information for diagnosis and treatment. You can determine the echographic signs using ultrasound. For example, this study will help to identify the change in the shape of the joint( its increase).
The patient himself observes such symptoms of the disease:
- Moderate pain, which can become stronger during changes in body position or palpation.
- Swelling of the joint.
- A slight change in the shape of the joint.
- Impossibility of leg sideways and some restriction in movement.
- Fluid accumulation in the joint.
These signs are inherent in the non-infectious form of the disease. If the pathological process is of an infectious nature, then it can manifest as follows:
- A more pronounced sensation of pain.
- Redness of the skin.
- Local or general temperature increase.
- Pronounced limp.
- Limited motion.
- General weakness.
- Symptoms of general intoxication of the body.
Symptoms of the chronic form of pathology
If the synovitis has already passed into a chronic form, the patient has such symptoms:
- Aching pain of low intensity, which is almost constant.
- Swelling, which is very slow.
- Possible dislocation of the joint due to its instability.
- Isolation of exudate( in some of the most difficult cases).
Diagnostic features and possible complications
For the correct diagnosis, the patient should consult an orthopedic specialist. It may also be necessary to consult a surgeon and traumatologist. The physician should conduct such studies:
- External examination. Palpation will make it possible to determine the most painful area, the degree of enlargement of the joint.
- ultrasound. This procedure will help to examine the joint from the inside. That is, the study makes it possible to determine the echographic features.
- Radiography. It is not always used, because it is less informative than the previous method. Most often, x-rays are prescribed in case of trauma to detect abnormalities in the structure of the articulation.
It should be noted that synovitis, the symptoms of which we have already considered, can give serious complications. For example, with inadequate treatment, it turns into a chronic form and periodically makes itself felt. Also presented pathology provokes the development of purulent arthritis.
Features of traditional and non-traditional treatment
If you have synovitis of the joint, treatment should be complex. It involves the elimination of symptoms and the inflammatory process itself. In addition, the patient should take multivitamins to strengthen immunity. If the patient has a fever, he can take an antipyretic.
In general, the treatment scheme provides for the implementation of such activities:
- Immobilization of the joint with a tire and a pressure bandage. It is imposed for a week.
- Puncture of the joint, in which the effusion is removed from its cavity. Then he goes to histological and other examinations.
- Therapy with medications: Voltarenom, Ibuprofen, Movalis.
- If a relapse occurs, the following drugs can be used: "Brufen", "Indomethacin", glucocorticosteroids.
- A chronic form of pathology requires the use of enzyme inhibitors that are injected.
- Physiotherapy. To eliminate symptoms and effectively combat inflammation, phonophoresis, manual therapy, and therapeutic gymnastics are used.
You can also take the folk medicine:
- Take a glass of rye grains and pour them 2 liters of water. Put the mixture on a fire and boil for half an hour. The fire must be slow. Next, cool the resulting broth and strain it. After that, add to it half a liter of vodka, 1 kg of honey, and 5 large spoons of chopped barberry root. The product should be infused for at least 14 days. After that you can take it 2-3 spoons before meals.
- Very useful is laurel oil. To make it, you need a few crushed laurel leaves that need to be poured with linseed or olive oil. Next, you need to insist the remedy in a dark place for about 2 weeks. Subsequently, the substance is used for rubbing into the affected joint.
Surgical treatment of
disease If conservative therapy does not help, surgery may be required. The hip joint has a very high load, so a person can not lead a normal life if it does not function as expected. Naturally, the surgical way is extreme. In the most difficult situations, an endoprosthesis of the hip joint is established.
This operation is very complicated and requires the presence of high-tech equipment. Before its carrying out the patient's medical history is carefully studied, it is examined. What kind of endoprosthesis of the hip joint will be installed, the attending orthopedic physician decides.
Intervention lasts 2-3 hours. First, the surgeon must make his way to the damaged joint, with muscles and tissues receiving minimal injury( if using modern equipment).Damaged bones and cartilage are removed. The joint is prepared to install the prosthesis.
Next, in fact, the installation is made, which can be ceramic, plastic, metal or combined. After installing the prosthesis it is regulated. Operation( on the hip joint a fixing tire is applied) helps to fully restore the functionality of the joint after the rehabilitation course.
Prevention of pathology
To prevent the problem from overtaking you, observe such preventive measures:
- Try to eat in a balanced way and take complex multivitamins.
- Do not allow injuries to the hip joint.
- At the first signs of the problem, try to contact the doctor right away.
That's all the features of the disease. Be healthy!