Symptoms of advanced hip arthrosis
Symptoms of advanced hip arthrosis are increased pain, which increases in intensity and duration. This pain leads to an increasing restriction of certain movements in the affected patient and significantly changes the gait pattern. As with incipient hip arthrosis, the initial pain is also a symptom of advanced hip arthrosis.
However, patients with advanced hip arthrosis do not only complain of starting pain in the morning, but also of hip pain when lying down, at rest, or at night. Due to the advanced destruction of the joint cartilage, the pain is no longer as diffuse as it was at the beginning of hip arthrosis. They can now be better assigned to the affected area.
As a symptom of advanced hip arthrosis, the patient typically notices a radiation of the pain in the direction of the groin or even into the knee joint of the affected side. Due to the radiation of pain, the diagnosis is often difficult to make at the beginning. The symptom of advanced hip arthrosis is often a gentle limping when walking, which occurs particularly after long distances and leads to a change in the normal gait pattern. In this case, patients with hip arthrosis often limp on the side affected by the arthrosis.
Symptoms of activated hip arthrosis
Activated hip arthrosis is an arthrosis that is accompanied by the classic inflammatory symptoms not caused by bacterial pathogens. The typical signs of inflammation are: All these symptoms can be added to the already existing symptoms in the context of an activated hip arthrosis.However, not all symptoms need to occur at the same time. The patient may only notice overheating and reddening of the hip joint, but not yet any swelling or functional impairment.
- Overheating (Calor)
- Redness (Rubor)
- Swelling (tumor)
- Pain (dolor) and additionally
- Restrictions of movement (Functio laesa).
Complaints with hip arthrosis
With progressive hip arthrosis, the symptoms are primarily load-dependent pain. At the beginning, these usually occur after long periods of standing or walking or after endurance sports. Walking uphill or downhill can also cause severe pain, as can climbing stairs.
The pain is often described as pulling and pushing. It is easily localized in the affected joint, but can also radiate into the leg on the affected side or even to the trunk. If the movement is interrupted and a rest is taken, the pain usually disappears again.
Once the cartilage has completely disappeared due to all the friction, the bone begins to rebuild to compensate for the increased friction. This leads to renewed bone formation in the joint space, which cannot adapt to the physiological movements of the hip. This means that further friction occurs during the movements.
If the complete cartilage has disappeared or newly formed bone has taken its place, there is bone on bone. This can cause moderate to severe pain even at rest. Patients with advanced hip arthrosis take a gentle posture and avoid movements that cause pain.
The incorrect postures adopted have the consequence that the once healthy opposite hip is also incorrectly loaded. Arthrosis therefore usually develops on both sides, although sometimes with some delay. Advanced arthrosis can also lead to functional limitations of the physiological movements.
Particularly painful movements include turning the leg outwards and inwards and lifting the leg. Movements that correspond to a squatting position also lead to increased pain.
