Trochanteritis of the hip joint: symptoms and treatment


Trochanteritis of the hip joint is an inflammatory disease in which the ligaments and muscles in the hip are affected. In medical practice, this pathology is also characterized by the term «bursitis».

This disease occurs usually in women aged 45 years and over, when due to menopause in the female body hormonal changes occur. But the disease can develop in men and women at an earlier or later age due to ingestion of microorganisms or permanent trauma to this area.

Reasons

There are three forms of vertebral bursitis:


  • Aseptic;
  • septic;
  • Tuberculosis.

Aseptic form is the most common — with it the inflammatory process in the ligamentous apparatus of the hip joint develops as a consequence of the influence of various physical factors. In particular, the reasons for the development of this form of the disease can be as follows:


  1. a sharp increase in body weight (including pregnancy)
  2. permanent weight bearing
  3. traumatic joint damage, for example, when falling on its side
  4. long-term presence in the same position (with a sedentary lifestyle, with sedentary work, etc.)

If we talk about the septic form of the disease, it arises as a consequence of the activity of staphylococci in the body. Such pathology can occur in people suffering from severe infectious diseases caused by staphylococcus, having a history of chronic inflammatory processes (tonsillitis, carious teeth, etc.).

One of the most obvious forms of trochanitis is tuberculosis. It occurs in people who have suffered this disease in childhood or adulthood. Diagnosis of this form is the easiest, because on X-ray the doctor can see tubercular foci, which testify to the lesion and its character. Diagnosis of other forms of trochanitis is difficult, due to the absence of pronounced clinical changes in the analyzes, and severe deformations on the x-ray.

Symptoms

Symptoms of such a disease are associated with its form. The most obvious are with tuberculosis lesions of the ligamentous apparatus of the thigh. With this form, the symptoms will be as follows:


  • gradual increase in pain in the affected joint from one or both sides
  • development of swelling in the place of the affected joint
  • A feeling of pain when the person moves his legs to the side.

With tuberculous trochanteritis, complications often occur, such as the development of abscess and suppuration in the lesion. Therefore, sometimes patients need surgical treatment of such a pathology, since conservative therapy and treatment with folk remedies have no effect.

Symptoms of the disease with an aseptic form are less pronounced. A sick person can complain of pain in the joint without restricting mobility. This allows you to diagnose trochanteritis of the hip joint from various arthrosis, in which, in addition to pain in the joint, there is also a restriction of mobility.

In addition, with an aseptic form, there are symptoms that are not present with arthrosis, namely:






  1. the presence of painful points
  2. vegetovascular disorders in the foot of the foot with the affected joint.

As for the septic form, it is the heaviest. The patient has symptoms such as fever to febrile indices, impaired mobility in the joint due to its destruction by staphylococcal infection. With this form of the disease, the treatment of the disease can be surgical (joint replacement) if the person has turned too late for medical help.

Treatment features

Timely address to the doctor at the stage when the symptoms only appeared, allows a person to completely recover from the pathology. If a person turns too late for medical help, the prognosis of the course of the disease may be unfavorable, since the main complication of this pathology is the violation of movement in the joint due to the destruction of bone tissue. In addition, the pain that a person undergoes in this disease first under stress and then at rest, gives him a lot of trouble, and worsens his quality of life.

In aseptic form, treatment is shown as:


  • ensuring the rest of the injured limb (immobilization)
  • use of physiotherapy methods such as electrophoresis, shock wave therapy, magnetotherapy, paraffin applications and others
  • using therapeutic gymnastics;
  • taking medications (analgesic tablets, as well as non-steroidal anti-inflammatory drugs).

When tubercular form of the disease requires treatment with anti-TB drugs, and with septic disease — the course of antibiotic therapy.

Folk remedies can be treated only in conjunction with drug therapy. However, in itself, the treatment with folk remedies does not give the desired effect — it allows only a little dull pain, while the inflammatory process in the ligamentous apparatus will continue to increase, which can lead to the development of complications.

The most common ways of treating folk remedies of vertebral bursitis are the use of various infusions for compresses and rubbing. For example:


  1. Trituration with alcohol solutions of the affected joint (calendula, chamomile and other herbs infused with alcohol)
  2. external and internal use of the tincture of the saber (use with caution, as this is a poisonous plant).

Sometimes the disease has to be treated surgically — when the head of the tibia is completely destroyed. Then patients require implantation of the joint, in conjunction with drug therapy and physiotherapy.