HIP JOINT
Bursitis Trochanterica ( mucosal inflammation of the hip):
The mucous membrane inflammation of the hip (bursitis trochanterica) is an inflammation-related process involving the mucus bag of the large trochanter major of the thigh bone.
In mucous membrane inflammation of the hip, pain occurs in the upper, outer region of the thigh, especially during palpation and finger pressure, during walking and during changes of direction. In the acute phase, it is possible that the patient lags, has difficulty in walking and climbing stairs.
Causes:
The causes are traumatic, repeated micro-traumatizations and functional overloads of tendons running along the pouch. A muscular and anatomical imbalance can trigger this disease; For example, a shorter leg, a twisted pelvis, and an erroneous application of the foot produce greater friction on the mucus bag.
Also a wrong or exaggerated training behavior can trigger the inflammation, because the structure is irritated by a permanent rubbing.
Therapy:
– In the acute phase, the most important measures are cold treatment and resting, but this is not always sufficient.
– Use of laser therapy or shockwave therapy
– Infiltration with anti-inflammatory drugs
Arthritis of the hip joint:
Hip joint arthritis is the wear of the hip joint accompanied by high-grade cartilage damage in the cartilage lining of the hip.
Causes:
– A birth-related dislocation of the hip and hip joint (hip dysplasia)
– accident-related defects due to bone fractures (posttraumatic coxarthrosis)
– Circulation disorders (necrosis of the head) and wear-induced changes of the articular cartilage.
Symptome:
Painful restricted internal rotation of the hip joint and a resulting minor mobility. Due to the cartilage loss, the hip head gets in contact with the bony hip socket and results in a pain that is mainly projected onto the inguinal region.
Therapy:
early to moderate hip joint arthritis can be treated with intra-articular injections. The early stages are treated with intra-articular hyaluronic acid injections. In this process, cartilaginous substance (hyaluronic acid) is inserted directly into the hip joint.
High-grade hip arthritis is often treated by total replacement of the hip joint (artificial hip joint).