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Coxarthrosis

Coxarthrosis is another word for hip arthritis. Coxarthrosis is a condition where the joint space in the hip joint has reduced significantly due to there being less cartilage, which results in friction between the bones. Some 3% to 6% of the population are affected, with increasing age playing a major role. It mainly affects people over 50. Risk factors–other than age–include occupational stress such as heavy lifting, obesity, or competitive sports. Accidents or pelvic tilt can also promote hip osteoarthritis. Other factors, such as geographic location, may also play a role. Coxarthrosis is more common in Europe than in Asia or Africa, for example.
Hip
Osteoarthritis

What Is Coxarthrosis and How Is the Condition Diagnosed?

Coxarthrosis refers to the wear and tear of the hip joint. If coxarthrosis is ignored in the early stages, the hip will become increasingly stiff and painful with every movement. Orthopedists make preliminary diagnoses based on the symptoms their patients describe. A subsequent mobility test of the hip joint provides further clues to a possible cause. Externally, the hip joint may be swollen because it is inflamed or the muscles have a trophied, which can occur especially with strain on one side of the body that lasts for some time. Ultrasound is one way to visualize the patient's coxarthrosis, as it shows the current inflammation well.

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Symptoms of Coxarthrosis

Patients suffer the following symptoms:

  • Hip pain–during or after heavy exertion, for example
  • Pain that radiates to the knee
  • Start-up pain
  • Pain when resting or at night is indicative of inflammatory hip osteoarthritis
  • Stiffness in the hip joint
  • Defensive posture, such as limping
  • Audible cracking
Hands of an older woman holding a walking aid for osteoarthritis patients.

How is coxarthrosis treated?

Hip or orthopedic specialists have recourse to the following conservative treatment options:

  • Prevention: Exercise is good, but overexertion is bad!
  • ACP for osteoarthritis: ACP autologous blood therapy is more than just an algesia. Using the body's own natural bioactive agents such as blood platelets and growth factors, it promotes cell regeneration in mild to moderate hip osteoarthritis (stages I to III). It also naturally relieves pain and improves mobility. In ACP therapy, the patient’s own blood is conditioned to regenerate the affected hip joint with outside effects.
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  • Physical therapy includes massage and electrical, ultrasound, or thermal treatments. They minimize pain by stopping inflammation and improving joint metabolism.
  • Physical therapy helps relieve pain and prevents progression of hip osteoarthritis.
  • Medications: Analgesics such as paracetamol, non-steroidal anti-inflammatory drugs, and cortisone
  • As a last resort, the joint can be replaced with an artificial joint. This should be considered if the pain caused by osteoarthritis leads to severe limitations in daily living that cannot be controlled by conservative therapies.
A physiotherapist helps an older woman with stretching exercises.