Synonyms in the broadest sense
Hip joint arthrosis, arthrosis of the hip joint, coxarthrosis, coxarthrosis, hip arthrosis, arthrosis of the hip jointThe medical part about coxarthrosis (hip joint wear) can be found in the section on orthopedics. The following topic deals with the physiotherapeutic examination and treatment of coxarthrosis. The basis for the physiotherapeutic and sports therapy treatment plan is the medical diagnosis, history and course and the actual condition of the affected hip joint.
1. clinically inconspicuous arthrosis, as it is still free of complaints in everyday life, possibly pain after high exertion, often accidental findings The X-ray image may already show slight cartilage damage. In the case of functional findings, slight restrictions in the abduction and internal rotation movement, no changes in the gait pattern. Beginning with sports therapy, rehabilitation sports or physiotherapy/manual therapy as prophylaxis makes sense.
2. clinically conspicuous activated (inflammatory) hip joint arthrosis with episodic pain and movement restrictions, often occurring during or after exertion, cartilage damage and osteophytes (bony outgrowths at the edge of the bone) visible on the X-ray, joint space slightly narrowed. Intensification of physiotherapy/manual therapy and rehabilitation sports. Drug therapy depending on pain and inflammation findings.
3 Chronic hip joint arthrosis with constant pain and disability, significant movement restrictions, especially of the abduction and internal rotation movement due to inflammatory reaction, pronounced narrowing of the joint space in the X-ray image, pebble cysts (cartilage and bone necrosis), bony deformation of the hip joint. Medication or surgical therapy and physiotherapy/manual therapy necessary, accompanied by rehabilitation sports. The physiotherapeutic treatment is not so much based on the different stages, which are never exactly defined and flow into each other, but rather on the current symptoms, the performance and the objectives of the patient.
On the basis of the medical diagnosis, the physiotherapist makes an exact diagnosis and filters out the main individual problems of the patient. Are pain, limited movement or restrictions in everyday life in the foreground? What can be the cause of the pain, which does not always have to be synonymous with the diagnosis of hip arthrosis?
Or does the physiotherapeutic treatment primarily serve to prepare for a planned joint replacement operation? What is the patient’s compliance (cooperation, motivation) and social situation? Exact physiotherapeutic findings and functional analysis lead to a hypothesis of pain development and functional impairment.
This forms the basis for the treatment strategy and the success of the treatment. Each treatment is preceded by comprehensive information on medical backgrounds and the course of hip arthrosis.
- Are there congenital hip problems?
- What kind of symptoms are there – pain, functional impairment?
- Localization of the complaints?
- How long do the complaints last?
- Was there a triggering amplifying event?
- What medical treatments have already been performed?
- What are the main problems in everyday life?
- Does the patient need aids?
- Is an operation planned?
- What strategies for pain relief has the patient tried himself? With or without success?
