Arthritis means joint inflammation in literature. Some forms of arthritis - osteoarthritis - are calcifications that are localized only to the joint and result in cartilage peeling. Other forms of arthritis – rheumatoid arthritis – cause joint inflammation as a result of a systemic disease. Such systemic arthritis is called inflammatory arthritis.
There are three most common types of inflammatory arthritis affecting the hip joint;
- Rheumatoid Arthritis- An immune system disorder that usually affects both sides of the body.
- Ankylosing Spondylitis - It is a disease that progresses with chronic inflammation of the spine and affects the sacroiliac joint.
- Systemic Lupus Erythromatosis - It is a systemic disease that progresses with immune system disorder.
Clinical Symptoms and Findings
The classic symptom is joint pain. Hip inflammatory arthritis is characterized by stiffness and pain in the groin and lateral part of the thigh. Pain usually worsens in the morning and decreases with activity throughout the day. Pain limits movements and makes walking difficult.
Diagnosis
During the physical examination, your doctor will test the stiffness and range of motion of the painful hip. may want. Your doctor may want to know whether these pains are in both or one hip, if you walk with a limp, or if you have pain in other joints. X-rays and laboratory tests may be required. X-rays will give information about narrowing, cartilage loss and inflammation in the joints. Laboratory tests will give information about rheumatoid factor or other autoantibodies.
Treatment
Treatment varies depending on the diagnosis.
Non-Surgical Treatment.
If there is an infection in the hip, relief can be achieved with medical treatment.
- Anti-inflammatory drugs; Aspirin, Ibuprofen
- Steroids are powerful anti-inflammatory. It can be applied orally or as an injection or cream.
- Drugs that delay the progression of the disease, such as methotrexate and sulfasalazine.
- Physical therapy helps to increase joint range of motion. Increases muscle strength. Swimming is very useful in ankylosing spondylitis.
- Assistive devices in daily life are recommended. lyre; long shoe horn, walker, cane etc.
Surgical Treatment
If there is no response to medical treatment, surgery may be recommended. . Surgery varies depending on age, level of joint involvement, type of inflammatory arthritis and progression of the disease. Talk to your doctor about surgical options and don't be afraid to ask about possible outcomes. Although complications are possible in every surgery, your doctor will take the necessary steps to minimize this risk.
Surgical options include;
- Total hip replacement; It is recommended in advanced ankylosing spondylitis and rheumatoid arthritis.
- Bone grafts are applied to areas of osteonecrosis
- Core decompression surgery to reduce the pressure in osteonecrotic bone areas
- Synovectomy in patients whose joint cartilage is not very affected. It can be effective.
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