Medical Health Care Advices

First Phase:

Treatment in the early stages is based on proper medication and good therapy.

Drugs:

- Analgesics pure (target only pain) such as paracetamol. Are the initial treatment for their little side effects.

- Anti-inflammatory painkillers such as ibuprofen or diclofenac or rofecoxib. Useful in sharpening boxes, but should be administered with caution in the elderly and to kidney and liver disorders not severe. If severe or the patient has peptic ulcer should not take them.

You should not take cortisone or similar drugs. In addition, drugs that try to stop osteoarthritis, such as glucosamine sulfate, are slow acting (effect takes weeks or months to manifest), but very tolerant and allow lower doses of other drugs.

Rehabilitation:

It is very important and is based on the fitness gym.

In some cases may be associated cycles Relieving massage, electrotherapy and ultrasonoterapia in a specialized center for rehabilitation.

The exercises that the patient should tone up the muscles and stretch the joint. Should be progressive, smooth and painless to avoid fractures, as the joint becomes stiff and avoid sudden friction on the cartilage already worn.

Second Phase:

When pain can not be controlled or limited invalidate the patient, surgery is indicated, with several options for physical activity, the condition of the bones and the degree of injury:

Arthrodesis:

Melt the femur to the pelvis, so that the joint disappears. The problem is that the hip remains stationary. You can enter in workers who use physical force with great destruction arthritic, but it is a technique rarely used.

Osteotomy:

Cuts are made in the bone so that it changes the orientation of the head in its setting with the cup. Indicated in young people with little injury arthritic and good mobility.

Hip replacement:

Involves replacing the joint with a prosthesis. It is a common intervention in the Insalud but with a number of risks and complications that the patient must understand and weigh.

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