Trochanteritis of the hip joint.

Trochanteritis of the hip joint is a degenerative and inflammatory disease of the femoral tendons, in which they are affected at the point of connection with the femur. A number of questions immediately arise: what it is, how to treat it, what doctor to consult, what to expect, and what is its prognosis.

Causes of the trochanteritis of the hip joint.

There is a fairly wide variety of causes that can lead to the development of such a condition as trochanteritis of the hip joint. First of all, this condition develops in people who experience increased loads on the musculoskeletal system, are constantly subjected to physical overstrain, stress. It is often observed in athletes, professionally engaged in sports, in persons with hypertraining - excessive training of skeletal muscles. In this case, most often the hip joints are affected by persons engaged in such sports that create a load on this particular joint: it may be running, walking, Nordic walking, gymnastics, athletics. Of course, the pathological condition can be preceded by trauma to the musculoskeletal system, whether it is a contusion, dislocation or fracture. Often persons with excessive body weight are subjected to the disease in question, since their metabolic processes are sharply disturbed, and there is an additional load on the lower extremities (bones, muscles, ligaments, tendons).

The cause may be a violation of the hormonal background, or certain anatomical and physiological features of the body, acting as risk factors or aggravating factors. Violations of the normal state of the immune system, in particular, autoimmune aggression, can cause the development of this condition. Sometimes trochanteritis occurs against the background of transferred infectious diseases, or some time after them. The most dangerous is considered the impact of bacterial endo- and exotoxins, products of their metabolism (bacterial intoxication), as well as the impact of viral infection. Even persistent viruses in the blood, being in an inactive form, can cause the development of the disease. Often the disease develops against the background of fungal infection. It is also often diagnosed in patients with tuberculosis infection. Sometimes the cause is also other pathologies of the musculoskeletal system. For example, trochanteritis can develop against the background of increased tone of the gluteal muscles, which arose against the background of osteochondrosis, osteoporosis, scoliosis. The cause can also be systemic disorders in the femur, which occur against the background of age-related changes. For example, in people over 60 years old with symptoms of osteoporosis, metabolic disorders, endocrine and immune disorders often occur, there are acute inflammatory processes, chronic foci of infection, which eventually leads to the development of trochanteritis.

Risk factors

There can be many risk factors for developing trochanteritis of the hip. For example, hip trauma can act as the main risk factor leading to the development of the disease. This is hardly the main reason for the development of this pathological condition. Do not think that only a serious fracture can cause the development of pathology. As a risk factor, even a minor hip contusion, ligament sprain or dislocation can act as a risk factor. In addition, if the injury occurred against the background of metabolic disorders, reduced immunity, disturbed hormonal background, or at the age of over 60 years, when destructive processes prevail in the body, the risk increases manifold. Any trauma or microdamage of the hip can act as a trigger factor that contributes to the development of the pathological process. To minimize the risk, when receiving a hip injury, you need to go to the nearest trauma center or surgical department as soon as possible. This will help to avoid complications.

Gout may be a risk factor for the development of the disease. Often trochanteritis develops in those individuals who have gout even in remission. The very fact of the presence of this disease in the patient's anamnesis is sufficient. Gout is a serious disease of the musculoskeletal system, which develops quite rapidly and is accompanied by an acute inflammatory process and pain in the area of the first toe of the foot. In this case, the pain is attack-like in nature, it begins suddenly, mostly in the evening. At the same time, there is redness of the skin, the patient is difficult, and sometimes impossible to stand on the foot. When combining this pathology with trochanteritis, the pain can cover not only the finger, but also the thigh, irradiate throughout the leg. The pain is more prolonged, attacks occur much more often.

Having a history of scoliosis, or even scoliotic posture, can be considered a risk factor for trochanteritis. This is due to the fact that scoliosis causes the spine to curve sideways. Consequently, there is a deformation of the musculoskeletal system as a whole. There is a heavy load on the legs and asymmetrical load distribution. The presence of asymmetry (one shoulder higher than the other, incorrect position of shoulder blades, hips) is considered a significant risk factor in the development of trochanteritis.

Conditions such as arthritis, arthrosoarthritis, and arteritis enter as risk factors. In general, these conditions can be characterized as inflammatory processes occurring in the joints, nearby vessels. In this case, inflammation can progress up to the development of a severe generalized inflammatory process affecting multiple joints, including the hip joint. It is also worth noting that the inflammatory process increases if a person has chronic inflammatory processes, there are sources of infection, acute allergic, infectious, diseases, psychological trauma, severe stress. Progression of inflammation contributes and increased fatigue, malnutrition, insufficient sleep, disorders of the immune system, hormonal background, disorders of tissue metabolism. As risk factors are also environmental conditions, such as prolonged stay in a damp, cold room, the presence of drafts, can aggravate the course of the disease or provoke its development. Vitamin deficiency, lack of certain nutritional components in the body, such as proteins, fats, carbohydrates, can lead to the development of trochanterosis. Excessive body weight, as well as weight deficiency, can lead to the development and maintenance of the inflammatory process. Osteoarthritis is accompanied by degenerative and deforming processes. In this case, first develops an inflammatory process in the joints, then there are numerous functional disorders, there is destruction of tissues (muscle, bone tissue). It often develops as a consequence of arthritis, as well as the result of age-related changes occurring in the human body. It often develops against the background of multiple inflammations, low immunity, frequent colds, infectious diseases.

People with osteoporosis also fall into the risk group, as this disease is a metabolic disorder in which the amount, density and mass of bone tissue decreases dramatically. This develops muscle weakness, fragility and increased brittleness of bones, which leads to frequent fractures, bone damage. And any trauma is known to increase the risk of developing trochanteritis of the hip joint. First of all, the risk of developing trochanteritis contributes to the lack of vitamins, trace elements, and violation of the hormonal background. First of all, women in menopause are at risk.

An important risk group consists of patients with diseases and disorders of endocrine profile, with disorders of hormonal status. Attention is drawn to the violation of the trochanteric index, which determines the optimal size and proportions of the thigh. Violation of this index occurs against the background of violations of the hormonal background. Incorrect indicators act as a predictor indicating the risk of developing trochanteritis. Violations occur primarily in connection with hormonal disorders, decreased immunity, and the development of inflammatory processes. This index depends on the level of thyroid hormone, on cortisol, as well as on the level and ratio of sex hormones. First of all, the risk of changes in the trochanteric index, and, accordingly, the risk of developing trochanteritis of the joint, increases with thyroid pathology. The most susceptible to this condition are persons who experience iodine deficiency. These are, above all, people who live in regions experiencing iodine deficiency, as well as pregnant women.

Of course, an important risk group is patients with excessive body weight. This is due to the increased load on internal organs, on the lower extremities. When metabolic, immune and hormonal disorders are combined with excessive weight, the risk increases manifold.

Unstable pelvis syndrome. Overload and overstrain of the pelvic muscles can lead to the development of functional blocks, painful sensations. As a consequence, an inflammatory process develops. It can affect the hip joint, which entails the development of such a condition as trochanteritis. In some cases, the development of trochanteritis can occur in connection with the pathology of the lumbar spine. In the risk group for this factor can fall patients with herniated discs, protrusion, herniated discs, displaced vertebrae, other lumbar diseases.

Symptoms of the trochanteritis of the hip joint.

As a rule, hip trachanteritis has no specific symptomatology, so it is quite difficult to diagnose. Most often, the symptom is one and only one - pain in the area of the hip joint. But in some cases, the patient can not even accurately determine the localization of pain. He just feels pain in the leg, which does not have a precise localization, or sometimes changes its location. The nature of pain, its severity and intensity depend on many factors, including the stage of the disease, concomitant pathologies. Many patients note pain that affects the entire posterior surface of the thigh, from the hip joint itself to the knee. The intensity of pain can also vary. In addition, it can vary significantly and change episodically. In the case of chronic inflammatory process, the pain is aching, in the case of acute inflammatory process, it is an acute pain that begins suddenly, runs hard, and also stops suddenly, or turns into a dull pain. Acute pain is episodic in nature, while chronic pain, as a rule, lasts for a long time, practically does not stop.

One of the symptoms of trochanteritis may be impaired movement in the hip joint, as well as discomfort when walking, changing position. Especially pain and discomfort increase with sudden movements. It is quite difficult to give rotation and withdrawal of the joint to the side. It is also worth noting that pain often appears in the evening and at night, decreasing in the morning and during the day. In the chronic form, as a rule, dull aching pain does not subside, and bothers the patient both at night and during the day.

Acute trochanteritis

A disease of the hip joint that develops rapidly without any precursor symptoms. It starts acutely, with sharp, piercing pain in the joint. But in some cases, the patient can not even accurately determine the localization of pain. Pain can be just in the leg, in the pelvic or even inguinal region, or sometimes the pain changes its location (irradiation of pain along the nerve fiber). The nature of the pain depends on many factors, including the stage of the disease, concomitant pathologies. Often with acute trochanteritis, pain affects the entire posterior surface of the thigh, from the hip joint itself to the knee. In the case of an acute inflammatory process, it is an acute pain that begins suddenly, runs severely, and also stops suddenly. If it passes into a chronic form, it turns into a dull pain. Acute pain is episodic in nature, bothers a person acutely, strongly, but temporarily, with certain even or irregular intervals. A sign of acute trochanteritis can act as a violation of movements in the hip joint. Many patients note discomfort when walking, changing position. Sharp movements are almost impossible to make, it is difficult to give rotation and withdrawal of the joint to the side. Another sign of acute trochanteritis - pain appears in the evening and at night, not allowing a person to sleep. It decreases in the morning and during the day.

Chronic trochanteritis

Trochanteritis can occur in a chronic form. It also has no specific symptomatology, so it is quite difficult to diagnose. The main symptom is pain in the area of the hip joint. There is pain that affects the entire posterior surface of the thigh, from the hip joint to the knee. When chronic trochanteritis develops, the pain is dull and aching. Chronic pain, as a rule, runs for a long time, practically does not stop.

The pain is accompanied by impaired movement in the hip joint, discomfort when walking, changing position. In the chronic form, as a rule, dull aching pain does not subside, and bothers the patient both at night and during the day. It can continue for long years, and painkillers are not always effective.

An exacerbation of trochanteritis

Trochanteritis can be aggravated in the presence of risk factors, against the background of other somatic and psychosomatic diseases, with overstrain, nervous stress, malnutrition, against the background of hormonal disorders, immunity, metabolism, homeostasis.

There may be many risk factors for developing trochanteritis of the hip. For example, trauma to the hip or another part of the lower limb. Both a serious fracture and a minor microdamage can lead to the development of trochanteritis. Damage to the femoral head is especially dangerous. Exacerbation of chronic trochanteritis can occur in the presence of such conditions as hip contusion, ligament sprain or dislocation. Often exacerbation occurs without significant causes in patients over 60 years of age, when destructive processes prevail in the body. Any trauma or microdamage of the hip can act as a trigger factor.

The exacerbation may occur against the background of gout, as trochanteritis often develops in those with a history of gout. When combining this pathology with trochanteritis, pain can cover not only the finger, as in gout, but also the entire thigh, irradiating throughout the leg. With combined pathology, the pain is more prolonged, attacks occur much more often.

A history of scoliosis, or even scoliotic posture, deformity of the musculoskeletal system as a whole can lead to an exacerbation. The exacerbation occurs also when a heavy load is placed on the legs, there is an asymmetric distribution of load. Such conditions as arthritis, arthrozoarthritis, arteritis, enter as risk factors that provoke an exacerbation of trochanteritis. Increased fatigue, insufficient nutrition, insufficient sleep, disorders of the immune system, hormonal background, tissue metabolism disorders, and even prolonged stay of a person in a damp, cold room contributes to the exacerbation.

Overweight, underweight, or underweight can lead to the development of exacerbations. People with osteoporosis are also at risk.

Frequent exacerbations are observed in patients with diseases and disorders of the endocrine profile, with disorders of hormonal status, in women in menopause, in persons with iodine deficiency and thyroid diseases.

Pain with trochanteritis

In trochanteritis, patients complain of pain. It is usually sharp or dull pain (depending on the form of the disease: acute or chronic). In most cases, pain is the only sign of this disease. Pain in the hip joint. Often the pain extends to the entire area of the hip, up to the knee. Often affects the back of the thigh. Painkillers will help relieve the pain.

Bilateral trochanteritis

The name speaks for itself: bilateral trochanteritis is a disease of the hip joint that affects both joints at once. In this case, as a rule, the pain is equally pronounced, both on the right and left side of the hip, can cover the entire posterior surface of the thigh.

People with osteoporosis are also at risk, as this disease is a metabolic disorder in which the amount, density and mass of bone tissue is drastically reduced. People with this diagnosis are often subjected to hip injuries, which is why the disease develops, there is a rapid transfer from one hip to the other. The risk of developing bilateral trochanteritis is exposed to patients who are deficient in vitamins, trace elements, and hormone disruption, as well as patients who are overweight. When metabolic, immune, and hormonal disorders are combined with excessive weight, the risk is multiplied.

Symptoms do not differ from those of unilateral trochanteritis. The patient is concerned about pain in the hip joint. In this case, it is easier to make a diagnosis. The case is more difficult if the patient can not so accurately determine the localization of pain. He simply feels pain in the leg, which does not have a precise localization, or sometimes changes its location. This phenomenon is observed quite often. It is called pain irradiation, that is, the spread of pain to neighboring, unaffected areas. The intensity of pain can also be different. It depends, first of all, on the form of the disease. In the case of the development of a chronic inflammatory process, the pain has a nagging character, in the case of an acute inflammatory process, it is acute pain. Acute pain is episodic in nature, while chronic pain is prolonged and does not stop.

It is notable for impaired movement in both joints, as well as discomfort when walking, changing position. In bilateral trochanteritis, pain can reach such limits that a person cannot lean on the limb, cannot stand on the leg, and therefore becomes bedridden. The muscles gradually weaken (myasthenia gravis). This condition has an unfavorable prognosis and may result in disability.

For the treatment of bilateral trochanteritis, complex methods are used. The basis should be physical rehabilitation, including methods of therapeutic and adaptive physical training, massage, active-passive gymnastics, swimming. To relieve pain and inflammation, drug therapy is used, in particular, anti-inflammatory, antipyretic agents. In severe pain, anesthetic agents are used. Drug therapy is more often used in the acute form of the disease, when it is necessary to quickly relieve pain and control the inflammatory process. In the chronic form, it is more appropriate to emphasize homeopathic, folk remedies, physical rehabilitation.

Trochanteritis of the right hip joint

As it is easy to guess from the name of the disease, trochanteritis of the right hip joint is a condition in which the pathological process covers the right joint. In this case, there is a risk of developing bilateral trochanteritis in the event that treatment is not carried out, or it is carried out incorrectly.

There are quite a few causes of right joint impingement. First, the disease can develop after traumatic injury to the right hip. Secondly, the cause may be a recently transferred infectious or inflammatory disease, especially if it developed against the background of right-sided localization of the inflammatory process. For example, trochanteritis can be a consequence of bilateral or right-sided pneumonia, pyelonephritis, right-sided bronchitis, and so on. Often traumas of the hip joint lead to the development of a similar condition. The most dangerous is considered the impact of bacterial products of their metabolism (bacterial intoxication), as well as the impact of viral infection. Right-sided trochanteritis can develop against the background of increased tone of gluteal muscles, against the background of osteochondrosis, osteoporosis, scoliosis.

The presence of a history of scoliosis, scoliotic posture is one of the main reasons for the development of right-sided trochanteritis. This is due to the fact that scoliosis causes the spine to curve sideways. If the spine is curved to the right side, accordingly, there is a deformation of the musculoskeletal system as a whole. First of all, the legs are subjected to a heavy load, there is an asymmetrical distribution of the load. To a much greater extent, the load is placed on the right side, on the right hip joint, due to which an inflammatory process occurs in it.

Often develops as a consequence of arthritis, especially if the arthritis is right-sided. Often develops on the background of multiple inflammations, low immunity, frequent colds, infectious diseases. Right-sided trochanteritis can occur in critically ill and bedridden patients, during prolonged hospitalization, especially if they lie on the right side.

People with osteoporosis also fall into the risk group, as this disease is a metabolic disorder in which the amount of bone tissue decreases sharply. The risk of developing trochanteritis is promoted by a lack of vitamins, trace elements, insufficient nutrition. Patients with iodine deficiency are most at risk of developing trochanteritis. This is primarily people who live in regions experiencing iodine deficiency, as well as pregnant women and patients with thyroid pathology. An important risk group is patients with excessive body weight. This is due to the increased load on the lower extremities.

Trochanteritis of the right hip joint, as well as its other forms, has no specific symptomatology. The condition is quite difficult to diagnose. It almost always requires differential diagnosis based on the use of instrumental methods of investigation, such as X-ray, CT, MRI, and, more rarely, ultrasound. On the basis of a single symptom - pain, it is quite difficult to make an accurate diagnosis. The fact is that pain is not a specific sign of trochanteritis, it can be a symptom of many injuries and diseases of the lower extremities.

For the treatment of right-sided trochanteritis, complex methods of action are used. The basis is drug therapy in the acute phase. After the removal of acute inflammation, methods of physical rehabilitation are applied. In this case, it is necessary to perform various sets of exercises that have an impact not only on the legs, but also on the entire body as a whole. Currently, almost all rehabilitation programs include relaxation, breathing exercises, as they trigger recovery processes, allow the body to rehabilitate as quickly as possible.

Left-sided trochanteritis

Left-sided trochanteritis refers to a form of trochanteritis in which the left hip is involved in the pathological process. Most often the cause is scoliosis, in which the curvature of the spine is shifted to the left side. This leads to an incorrect distribution of the load, in particular, to the fact that the left joint has more weight and greater load, which entails inflammation. Recently transferred inflammatory and infectious diseases affecting the left side, lead to the fact that as a complication, left-sided trochanteritis can develop. We are talking about various somatic diseases, such as left-sided bronchitis, left-sided pneumonia, pyelonephritis, some gynecological and urological diseases.

Of course, the cause can be trauma to the left joint. Any trauma or even microdamage to the left hip can act as a trigger factor that contributes to the development of the pathological process. Gout can act as a risk factor for the development of the disease. Gout is accompanied by an acute inflammatory process and pain in the area of the first toe of the foot. When combined with trochanteritis, pain can cover not only the toe, but also the thigh, irradiate throughout the leg. Left-sided gout entails the development of left-sided trochanteritis. Some heart diseases, can also entail the development of left-sided trochanteritis. Arthritis, arthrozoarthritis, arteritis, act as risk factors.

An important risk group is patients with diseases and disorders of endocrine profile, with disorders of hormonal status. Overload and overstrain of the pelvic muscles can lead to the development of functional blocks, painful sensations, trochanteritis.

As a rule, trochanteritis of the left hip joint also has no specific symptomatology. It is bothered by pain localized on the left side. The intensity of pain can be different. In the case of chronic inflammatory process, the pain is aching, in the case of acute inflammatory process, the pain is sharp, attack-like in nature.

Traditionally, LFK is used for treatment and recovery. It should be remembered that motor activity is the key to the health of the musculoskeletal system. It is necessary to apply special physical exercises for the muscles of the whole body, for the lower extremities, as well as relaxation, breathing exercises. In general, it is recommended to carry out complex treatment: physical exercises, massage, active-passive gymnastics or swimming. Drug therapy is prescribed in order to relieve the inflammatory process, prevent complications. With properly selected treatment, trochanteritis of the hip joint can be completely cured.

Diagnostics of the trochanteritis of the hip joint.

In order to diagnose trochanteritis of the hip joint, you need a consultation with an orthopedist or surgeon. These specialists will conduct a general examination, palpation of the hip joint, and possibly the spine, back and lower back. This is necessary, because often inflammation of the hip joint is a consequence of inflammatory changes in the spine, back muscles. Feel the bones, muscles and tendons for deformities, soreness, neoplasms, clamps. A person can perform some exercises, according to which the necessary parameters are evaluated (functional tests). Sometimes additional diagnostics with the use of special equipment is applied, for example, X-ray, tomography (CT, MRI), ultrasound. If additional consultation with a specialist is required, the doctor will give a referral.

The main method of diagnosis in the diagnosis of trochanteritis of the hip joint is instrumental diagnostics. The most common and frequently used methods are radiologic examination, computerized, magnetic resonance tomography. These methods allow you to visualize the picture of pathology, examine the hip joint, the pelvic region as a whole, as well as the lumbar, spine, other adjacent areas. In addition, when using CT and MRI, it is possible to study the adjacent tissues in detail, to assess the nature of changes in them. It is possible to examine not only the skeleton, but also soft tissues. It is also possible to assess whether there is damage to the surrounding tissues, whether there is an inflammatory process. CT and MRI are the most informative methods. But these methods have certain contraindications, and they are quite expensive, which does not always allow them to be used, especially in rural areas, away from the metropolis.

In this regard, radiologic examination (X-ray) is now widely used as the main method of diagnosis. This is a fairly simple, convenient method. With the help of X-rays, you can get a contrast image of the desired area. X-rays provide detailed information, accurate characteristics of the hip joint, if necessary, you can also get the characteristics of the spinal column, other parts of the musculoskeletal system.

Differential diagnosis

Differential diagnosis is almost the main stage of diagnosis in trochanteritis. This is due to the fact that this disease does not have any specific signs that would indicate the development of trochanteritis. There is such a basic sign as pain. However, it can be a sign of many diseases, and therefore it is necessary to differentiate pain as a symptom of trochanteritis from the characteristic manifestations of other diseases and syndromes. This is a very important stage, which allows you to accurately diagnose, and subsequently the cause of its occurrence. It is on how accurately the diagnosis will be made, depends on the tactics of the chosen treatment and its effectiveness. Without making a diagnosis, it is impossible to prescribe treatment. In the course of differential diagnosis of trochanteritis, most often apply instrumental methods of research, the main of which is X-ray. If there is such a possibility, CT and MRI methods are used.

Treatment of the trochanteritis of the hip joint.

To treat trochanteritis of the hip joint, complex methods of influence on the body are used. To relieve pain and inflammation, drug therapy is used, in particular, anti-inflammatory, antipyretic agents. In severe pain, analgesics are used.

Traditionally, LFK is used. As practice shows, no matter how effective the drug treatment, it will not have the desired effect if it is not supported by physical training. Motor activity is the key to the health of the musculoskeletal system. In this case, you need to perform various sets of exercises that have an impact not only on the legs, but on the whole body. It is necessary to apply relaxation, breathing exercises.

In general, it is recommended to carry out complex treatment. It is mandatory to select effective physical exercises, massage. Often include active-passive gymnastics or swimming. Drug therapy is prescribed to relieve the inflammatory process, prevent complications. You can also use folk medicine, for example, compresses, baths, taking herbs inside. But in this case, it is necessary to consult a doctor beforehand.

Compresses for trochanteritis

In trochanteritis, it is recommended to apply compresses to relieve pain and alleviate the condition. They should be applied directly to the place of the most intense pain. Compresses help to improve blood circulation, tissue nutrition, eliminate swelling, control pain and inflammation. As active substances can be used as various components, but as practice shows, the best way to prove themselves are bee products - honey, propolis, feather. Let's consider the main recipes of compresses for trochanteritis, based on the use of honey.

Making compresses is simple. First, a base is prepared according to the recipes below. Then the prepared base is applied in a thin layer on gauze or light cotton cloth. After that, the gauze is applied with the mixture to the skin, on top of which a cellophane or film is put on to provide a thermal (greenhouse) effect. A light cotton towel is put on top, and dry heat (for example, a woolen handkerchief). The compress should be kept for an average of 15 minutes. More is not recommended, because you can get burned skin (honey has a high activity). After removing the compress, it is recommended to wash off the honey residue with water or a damp napkin.

• Recipe #1. Honey with lemon zest

It is recommended to grate 1 large lemon together with the pips, zest. Mix with honey. All this is thoroughly mixed, set aside for about an hour in a dark place. After the remedy is infused for an hour, it can be used for compresses.

• Recipe #2. Coffee mixture with honey

As a basis is taken ground coffee and honey, in a ratio of 1:1. Pour a glass of boiling water, insist for an hour. Then add 1-2 tablespoons of propolis, mix thoroughly. Used for making compresses. You can also use the resulting solution to remove the remnants of the compress and wash the thigh with severe pain. To do this, before use, 2 tablespoons of the remedy is dissolved in 50 ml of warm water.

• Recipe #3: Honey-garlic mixture.

Garlic is passed through a meat grinder. In the resulting mass add honey (in a ratio of 1:1), stir. Apply as a compress to the most painful areas 2-3 times a day for 7-10 days.

• Recipe #4. Walnuts and honey

The walnut shells are burned. The resulting ashes are mixed with honey in a ratio of 1:1. A thin layer of the mixture is applied to the affected area of the thigh. Apply a compress.

Recipe #5. Sea buckthorn and cloudberry fruits with honey

Sea buckthorn and cloudberry fruits are taken in equal parts, crushed, pour a glass of vodka (at the rate of a glass of fruit a glass of vodka). Add about 2-3 tablespoons of honey, stir thoroughly. Infused for 5-10 days. Apply to the affected areas under a compress.

• Recipe #6: Ginger, cinnamon and clove powder with honey

A teaspoon of ginger with half a teaspoon of ground cinnamon and the same amount of ground cloves. Mix with two tablespoons of honey. Infused for 1-2 hours, applied to the thigh in the area of inflammation 2-3 times a day for 10-14 days.

• Recipe #7. Semolina with honey

A cup of semolina is mixed with half a cup of honey. Infuse for 1-3 hours, then apply to the affected areas (under a compress) three times a day for 28 days.

Medications

Most often in trochanteritis of the hip joint, painkillers and anti-inflammatory drugs are prescribed. They are taken mainly orally. It is important to observe precautions - consult a doctor beforehand, because any drug, especially if it is taken orally, has a systemic effect on the body. Accordingly, side effects may occur, the situation may not improve, but only worsen. The main precautions are mandatory consultation with a doctor, and strict compliance with the prescribed treatment regimen and dosage.

Let's look at the possible applications for them.

Acetylsalicylic acid (aspirin) is prescribed 0.25 - 1 gram per day, depending on the severity of the pain syndrome. In the first day, 4-5 grams of the drug are prescribed per day. Gradually, the dosage can be reduced.

Sodium salicylate is administered orally at 0.5-1 grams per intake. With a pronounced pain syndrome is prescribed in large doses, 5-8 grams per day, 1-2 grams for each intake, during the first day. The course of treatment is 10-15 days.

Ascophen is prescribed 1-3 tablets per day, Asfen - 2-4 tablets, Novocephalgin - 1-3 tablets, depending on the severity of the condition.

Citramon is prescribed in the form of tablets or powder, according to the instructions.

With a pronounced pain syndrome in trochanteritis of the hip joint, analgesic injections may be prescribed. Such means as azathioprine in a dose of 100-150 mg / day, calcium chloride - 5-10 ml of 10% solution slowly, intravenously. Calcium gluconate is administered intravenously or intramuscularly in 5-10 ml of 10% solution.

To relieve an attack of acute pain administer dimedrol 1 ml of 1% solution intramuscularly, suprastin - 1-2 ml of 2% solution intramuscularly (in one syringe).

Pain relievers may also be prescribed: ascophene, asfen, novocephalgin, citramone, salicylamide, methyl salicylate (or salicylic acid), pyramidone, amidopyrine, pyramine, novomigrofen, pyrcophene, apicodin, analphene, diafen, paracetamol. All of the above remedies are taken in strict accordance with the instructions. In case of severe pain, you can try ketolorac, ketanol (strong analgesic, take with caution).

Salicylamide. Administered orally 0.25-0.5 g. 2-3 times a day. The main effect is analgesia. The drug also relieves fever and inflammation. In severe attacks of pain, 0.5 grams are prescribed 3-4 times a day. In the future, the dosage can be increased to 1 g 3-4 times a day. If the effect is sufficient, the dosage can be reduced to 0.25 g 2-3 times. The drug can be taken up to 8-10 times a day, without exceeding the maximum recommended daily dosage. It should be taken into account that when taking the drug, side effects are possible - nausea, diarrhea, vomiting, headache, dyspeptic disorders.

Amidopyrine. It has a powerful analgesic, anti-inflammatory, antipyretic effect. It is prescribed 0.25-0.3 grams per day. In acute attacks of pain and a pronounced inflammatory process, the daily dosage can be increased to 2-3 grams per day. Precautions: during prolonged use it is necessary to conduct periodic blood tests, as the drug may cause inhibition of hematopoiesis (leukopenia, thrombocytopenia - the most common side effects). Allergic reactions in the form of rash, urticaria, other skin reactions may also occur.

Analgin. A fairly common and frequently prescribed drug. It has a pronounced analgesic, anti-inflammatory and antipyretic effect. It is administered orally at 0.25-0.5 g 2-3 times a day. The maximum daily dose is 3 grams. In severe pain, intramuscular administration of the drug is indicated: 1 ml of 50% solution of analgin is administered intramuscularly 2-3 times a day.

Butadiol. Analgesic, anti-inflammatory agent. It is administered at 0.1-0.15 g (single dose). It is taken 4-6 times a day. Appointed with meals, or after meals. In severe attacks of pain, the daily dose is 0.45-0.6 grams. As the pain syndrome decreases and the inflammatory process subsides, the daily dose can be reduced to 0.3-0.4 grams per day. Duration of treatment - 2-5 weeks, regardless of the severity of the pain syndrome.

Phenacetin. It is a potent anti-inflammatory and analgesic agent. It is prescribed 0.2-0.5 grams 2-3 times a day. Well tolerated by the body. Possible side effects in the form of allergic reactions, nausea and vomiting. In large doses and with prolonged treatment can cause a decrease in hemoglobin. But it is fairly quickly restored after withdrawal of the drug.

Exercises for trochanteritis

Let's consider the exercises that can help with trochanteritis. First of all, you need to understand that the load should be done not only on the hip joint, but on the entire musculoskeletal system as a whole. This is due to the fact that the pathology of the joint of the lower limb depends on the condition of the entire body as a whole, and primarily on the spine, pelvis. On this depends on the correct position of the body and the distribution of the load. If you perform only exercises for the hip joint, there is a risk of overload and overtraining, which will only worsen the condition.

• Exercise 1.

Feet stand straight, heels together. Toes are also fully pressed together. Try to distribute the weight evenly. Do a slight backward bend. Hold for 5 minutes, gradually increasing its duration to 30 minutes.

• Exercise 2.

From the flexion (exercise 1), smoothly straighten the back, and immediately go into an incline.

• Exercise 3.

The front leg is bent at the knee, with the main weight resting on it. Hands can be held down. You can rest your fingertips on the ground.

Then slowly raise your arms up, joining your palms above your head, straightening your elbows. Stay in this position for a while, keeping your balance. Duration - from 1 minute to 20-30 minutes.

• Exercise 4.

Put your hands on the ground in front of you. The leg that was in front of you. Put it back and place it on the same level as the second leg. Distribute the weight evenly between the arms and legs. Legs try to lower to the floor as much as possible, heels pull to the floor as much as possible. Pull the arms forward, pull the spine behind them. The buttocks, sacrum, cobchicus are pulled upwards. The head is between the hands.

• Exercise 5.

Do a slow squat. Reach a position where your thighs are parallel to the ground (floor). Hold this position for 5 minutes. Gradually increase the duration of the exercise to 30 minutes or more.

• Exercise 6.

Bring your hands together in front of you, forming a "fan" in front of you. Look forward through the fingers spread apart. The palms of the hands are directed inwards, towards yourself. Then make a turn to the side, together with the hands. Legs and hips remain at the same level, the turn is made in the waist area. Without removing the legs from the previous position, make a downward bend (to the side), trying to stretch the opposite side as much as possible. Then turn palms outward, return to the central position. Repeat the same bend to the opposite side.

• Exercise 7.

Stand in the plank. The body weight is evenly distributed between all parts of the body. Gradually transfer the main weight back to the legs. Extend the arms forward, as much as possible, as far as possible. Pull the legs back, cobcicle up, and arms forward. Your back and spine should stretch as much as possible, stretching out following the spine. Distribute the weight evenly throughout the body, relax.

• Exercise 8.

Squat down on one leg, with the other leg to the side. Then gradually transfer the weight from one side to the other without straightening up. The transition is performed in the squat. Multiplicity - minimum 10 times, maximum - not limited.

Gymnastics for trochanteritis

• Exercise #1.

Sit up straight. Try to straighten your spine (so that your lower back, shoulder blades, and neck are in line). Eyes closed. Try to detach yourself from the surrounding world, do not think about anything. Mentally you can regulate your state. With an inhalation we imagine how clean air enters our body, evenly distributed throughout the body, most intensively filling the painful areas. Then we make a small delay of breathing. We feel how the air is distributed all over the body, including in the area of painful sensations. The pain subsides, and as if accumulates in one point. Slow exhalation. Imagine: all pain, damage and unpleasant sensations leave the body.

• Exercise #2.

Press your legs against each other, feet also pressed tightly together. Put your hands together in a headlock. Stand in this position for about 5 minutes. It is important to control your breathing. Breathe as described in exercise #1.

• Exercise #3.

Sit on the floor, legs crossed in front of you. Close your eyes. Control your breathing (the same as in exercise #1). Duration - at least 15 minutes.

Thus, if you have been diagnosed with trochanteritis of the hip joint - it is not a verdict. The situation can be improved if you follow all the doctor's recommendations and lead an active lifestyle.

Folk treatment for trochanteritis

According to the recommendations of the folk guide, when using folk methods of treatment of trochanteritis, it is better to choose remedies that include wine. It relieves pain, strengthens the body as a whole, relaxes muscles, ligaments, tendons, makes bones stronger. It is also important that the reception of means based on wine, helps to improve immunity, normalize metabolic processes, improve metabolism, cleansing the body. All this significantly reduces the risk of developing trochanteritis. Let's consider the main recipes that have proven themselves in the treatment of trochanteritis.

• Recipe #1.

In a glass of hot red wine (200-250 ml) add a tablespoon of lavender extract, eucalyptus oil, 2-3 drops of rosemary essential oil. Infuse for at least an hour in a dark, cold place. After the remedy has infused, add a teaspoon of crushed tea rose petals. All this is mixed, used for compresses and rubbing painful areas. The advantage is that this remedy does not need to be washed off.

• Recipe #2.

To prepare the infusion you will need 200-250 ml of red wine. To this volume of wine, add a mixture of clarified milk and butter (about 50 grams of butter and 150-200 ml of milk). Thoroughly stirred, warmed until warm. Then add sage extract (a teaspoon) and 5 drops of essential oil of cloves of the field. All this is brought to a boil. After the remedy has boiled, it is immediately set aside, insist at least 3-4 hours. After that, the remedy is used as an external preparation for rubs, wraps, compresses. Internally, it can not be taken, since sage can cause ulcerative gastritis, ulcer. It can be used as a base oil for massage.

• Recipe #3.

Take in equal parts propolis, sea buckthorn oil, petroleum jelly and glycerin. Heat with constant stirring over low heat, bring to a boil. Cook over low heat for 5-10 minutes, stirring gently. Remove from the fire, cover with a lid, add 250 ml of red wine, allow to infuse for 1-2 hours. After the remedy is infused, use for rubs, compresses, massage.

• Recipe #4.

As a base take red or white wine (300-400 ml). Add about a tablespoon of the following ingredients: lemon juice, grated orange peel, ground eggshells, semolina. Boil over low heat for 3-5 minutes. Stir, then set aside and give the opportunity to insist. This remedy can be used both externally and for ingestion. For example, it can be drunk 2-3 tablespoons 2-3 times a day. You can drink an additional dose in a strong attack of pain. It can also be used for rubbing, when giving a massage. Used as a base for compresses, for lotions.

• Recipe #5.

For preparation take about 200 grams of crushed to a mashed state cloudberries (or pass through a meat grinder), 4-5 tablespoons of juice, mixed, insist at least 2-3 hours. Pour 500 ml of red wine, insist another day. Take orally 50 ml per day. With a pronounced pain syndrome can be used externally for rubs and compresses.

• Prescription #6.

Take in equal parts herb plaunus pinnae, meadow clover, chamomile medicinal (about 30 grams of each component). Pour 500 ml of red wine. Mix, heated over low heat until warm, add a tablespoon of honey, stir, insist at least 1.5-2 hours. Drink 100 ml per day for 28 days. You can divide it into 2-3 receptions. With severe pain syndrome, you can add 1-2 drops of lavender essential oil before use.

• Prescription #7.

As a base take about 250-300 ml of hawthorn syrup and the same amount of red wine. Then add about a tablespoon of the following ingredients: ground ginger, cinnamon, crushed lavender flowers. Stir, insist for at least an hour. Drink 20-30 ml per day. It can also be used externally: for wraps, rubbing, massage.

• Recipe #8.

In red wine of 500 ml add a tablespoon of rosehip fruit, calamus, 2 drops of essential oil of rosemary and lavender. Infused for 5-6 hours. Take internally 2-3 tablespoons. If there are no attacks of acute pain, you can drink 2-3 times a day. If there are attacks of pain, you should drink at each attack. With severe pain, the dosage can be increased by 2-3 times. You can also rub the painful area.

Leeches for trochanteritis

Hirudotherapy, or treatment with leeches, is often prescribed for trochanteritis. Such treatment is quite effective. It allows you to quickly relieve pain, control the inflammatory process, prevent many complications. The mechanism of action of this method is that the leech, biting the skin, releases an enzyme into it. Enzyme together with saliva penetrates into the affected tissues of the patient. And has a therapeutic effect there: relieves inflammation. At the same time, the saliva of the leech contains a number of substances that have a slight analgesic and anesthetic effect. The leech uses these substances to painlessly bite the surface of the victim's skin, and freely obtain the necessary amount of blood. However, these properties have learned to be widely used in medicine for anesthesia. It should also be taken into account that saliva contains a number of other substances that positively affect the course of trochanteritis. In particular, there are certain substances that thin the blood. This prevents the formation of blood clots, renews the blood, relieves inflammation, preventing the migration of leukocytes, basophils and phagocytes into the focus of inflammation. Also with the help of these substances, pain and inflammation can be controlled due to the fact that the release of histamine, which is a mediator of the inflammatory process, is reduced. Due to the bactericidal properties of saliva, it is possible to prevent the risk of septic process of any genesis (bacterial, viral, fungal).

The procedure of hirudotherapy is quite simple. A certain area (in this case, the hip joint) is treated with disinfectants and then one or more leeches are placed on the area. The leech makes a bite, after which it sucks a certain amount of blood. In the patient's body at this time comes a number of enzymes, useful substances that have a therapeutic effect on the body, preventing the development of inflammation and infection. The patient feels better. Usually the leech gets the amount of blood it needs, after which it falls off by itself. Recommended course of treatment is 28 days. Depending on the severity of the disease, peculiarities of its course, procedures are carried out daily or every other day.

Herbal treatment

In trochantereitis, especially in its chronic form, herbal treatment is recommended.

Currant leaves. It is better to use the leaves of black currants. Represents an evergreen shrub. As raw materials, young shoots are most often used. It is better to choose those that are not yet covered with leaves, or only slightly covered with a thin layer of bark, on which the buds have swollen. Accordingly, it is recommended to collect the shoots in the spring, before the first leaves appear. The shoots should be thin and annual, in no case should not be harvested woody old shoots. The herb is brewed: a glass of boiling water is recommended 2-3 sprigs of currants. First, in a glass put leaves and currant shoots, then pour boiling water over them, cover with a tight lid, allow to insist at least 30-40 minutes. Drink a glass a day. The course of treatment - 28 days. The remedy relieves inflammation and pain, prevents the risk of inflammation and infection. As side effects, or in case of overdose, there may be nausea, vomiting, headache. It can be used externally for compresses and rubs, but the effectiveness in this case is sharply reduced.

Yarrow. It is a perennial herbaceous wild plant. As a vegetable raw material, mainly stems are used. Less often used herb and flowers, both whole and cut. Yarrow is recommended to use in the form of an alcoholic infusion. In the form of an aqueous decoction, some patients also use it, but the effectiveness of the remedy is reduced by 5-10 times. The decrease in effectiveness occurs due to the destruction of the main active substances. Often included in the composition of various medicinal collections. Yarrow relieves the inflammatory process, prevents the spread of infection, prevents the development of complications. Promotes immunity, normalization of metabolic processes and hormonal background, lowering blood sugar. Has hemostatic action.

Common barberry is a perennial branching shrub. As raw materials are roots and leaves, which can be harvested throughout the active growth. Used in the form of decoction, alcoholic infusions, medicinal collections. Can be used internally or externally. In the pharmacy, the plant can be purchased in the form of a collection according to Zdrenko's prescription. Quickly relieves pain, inflammation, eliminates risk factors for the development of trochanteritis. It is recommended to use in the form of decoction: a tablespoon per glass of boiling water. The course of treatment - at least 10-14 days, or until the complete disappearance of symptoms.

Macleaya cordifolia is a perennial herbaceous plant covered with a blue plaque. The active ingredient is an orange-colored milky juice. Raw materials are represented by a mixture of pieces of stems, leaves, buds and flowers. In folk treatment, it is used in the form of decoctions, infusions, extracts. Can be used externally in the form of ointments, lotions, means for rubbing, massage. Can be used internally (drink). But inside it is recommended to drink no more than a tablespoon a day. Since the remedy is poisonous.

Postisometric relaxation in trochanteritis

Different forms of relaxation are recommended for the treatment of different forms of trochanteritis. In particular, postisometric relaxation is indicated for trochanteritis. This is a type of relaxation exercises aimed at deep relaxation of the muscles of the whole body. It is based on alternation of muscle tension and relaxation. Tension gives you a better feeling of relaxation and allows you to keep your muscles toned without tensing them. Postisometric relaxation is indicated in trochanteritis because this condition often develops due to muscle overstretching, overtraining and insufficient relaxation.

Consider the options for performing relaxation.

To perform post-isometric relaxation, it is recommended to assume a comfortable sitting or lying position.

It is better to perform relaxation sitting down, as it gives a feeling of deeper relaxation and allows you to consciously control relaxation. It is necessary to sit down, align the back as much as possible, stretch the spine from the top of the head to the cradle. Then imagine that the spine is a pillar, a rod that holds the whole body on itself. Close your eyes, distract yourself from everything extraneous, focus only on internal sensations. At the same time it is necessary to relax as much as possible, relax the whole body. You need to clearly imagine how all the muscles gradually relax, and slowly flow along the spine. To strengthen the relaxation effect, you need to control your breathing. You should breathe slowly, smoothly. At the same time, you should not move during the exercise.