Causes of synovitis of the hip joint and its treatment

Causes of synovitis of the knee joint

So, in most cases the cause of inflammation is:

• fur damage character that emerged as a result of traumatic experience. Pathologies cause destruction of the connective tissue of the joints;
• changes inside the joint cavity caused by loss of mobility and elasticity of tissues. In such situations, a slow infection develops and pus appears.

The traumatic type of synovitis is considered the most common. It has been studied almost completely and has a wide range of treatment variations.

Symptoms of the disease

Symptoms of synovitis are important for an accurate diagnosis. Among the signs of synovitis that indicate inflammation, there are several dominant ones that are inherent in all varieties of this disease:

• dull pain;
• the formation of exudate in a huge amount, which leads to an increase in the size of the joint;
• disruption of the normal functioning of the joint.

Knowing the symptoms will help you determine the nature of the injury in a short time. If the above signs of inflammation are detected, you should seek help from a specialist as soon as possible.

Typology

In medicine, the following classification of synovitis is proposed:

• infectious – there is infection with a pathogen;
• traumatic – due to mechanical injury;
• reactive – develops due to prolonged mechanical trauma, for example, at work (car mechanic, builder, athlete, etc.);
• aseptic – for endocrine diseases (for example, diabetes), blood diseases (hemophilia) and metabolic disorders (gout);
• allergic - allergens affect the synovial membrane when it has increased sensitivity.

To make a correct diagnosis, it is imperative to tell the doctor about all possible signs and sensations during the inflammatory process.

Diagnosis of synovitis

Diagnosis of pathology should be based on the patient’s complaints, as well as on the research performed. To make a correct diagnosis, instrumental research methods are usually used. To confirm synovitis, the following diagnostic methods are prescribed:

• radiography of the joint;
• Ultrasound of the joint;
• joint puncture;
• arthroscopy;
• CT;
• MRI.

Surgery

If conservative methods of treating synovitis are ineffective, the patient is prescribed a surgical operation - synovectomy. It can be arthroscopic or performed in the traditional open way. The disadvantages of the latter technique include a high likelihood of developing complications: the formation of postoperative hematomas, scars and cicatrices, painful sensations that do not subside for a long time and limited range of movements. As a result, the duration of hospitalization and rehabilitation period increases. Therefore, open synovectomy is usually performed only for complicated synovitis of the hip joint.

Let's consider the main types of research.

X-ray of the joint

Radiography is considered one of the simplest, inexpensive and fastest methods. An X-ray will help the doctor identify the inflammatory process in the synovium of the joint, based on a visual determination of the amount of fluid in the joint. X-rays also help determine the size of the joint space and the condition of the joint surfaces. Basically, doctors prescribe studies of both joints (healthy and diseased) in order to compare and identify the degree of inflammation.

Ultrasound examination of the joint

A joint ultrasound is a non-invasive test (does not damage tissue) that helps identify the cause and extent of joint damage. This diagnostic method also helps to find out the thickness of the synovial membrane, the volume of specific fluid that filled the joint, as well as determine the condition of the articular surfaces and tissues. It should be emphasized that ultrasound and x-rays, unlike puncture, can be used to diagnose synovitis in children.

Joint puncture

Joint puncture is considered the most effective diagnostic option, as it helps determine the type of fluid obtained through bacterial examination (microorganisms can be detected in the synovial fluid). Also, with the help of this study, you can detect bloody discharge, fibrin, pus and much more. In order to perform a puncture, the skin in the puncture area is thoroughly treated with a 5% iodine solution, and then wiped with 70% alcohol. This is due to the fact that iodine during puncture can enter the synovial membrane and cause chemical reactions. burn. It should be noted that the research method and the patient’s position during puncture of different joints are different. So, for example, puncture of the knee joint can be performed at one of four points.

Anatomy

The synovium is located around joints and ligaments, providing them with protection. This occurs due to the release of a small amount of fluid (lubricating secretion), which reduces friction and provides shock absorption.

The exact cause of hip synovitis is unknown, but some theories include a history of trauma to the femur or a recent viral illness such as an upper respiratory tract infection, bronchitis, or otitis media.

One of the reasons for the development of inflammation of the hip joint is infection in the synovial fluid. This occurs against the background of any other infectious disease. In this case, fever, a significant increase in body temperature and general poor health are added to the classic symptoms. In this case, it is necessary to first deal with the source of infection.

Main reasons:

• sports injury;
• stretching;
• blood diseases;
• metabolic problems;
• endocrine pathologies;
• dystrophic joint pathology;
• overweight;
• allergy;
• bruises.

Among the infectious pathogens that most often cause synovitis are pneumococci, streptococci, staphylococci, Koch's bacillus (tuberculosis) and STIs (sexually transmitted infections).

Types of synovitis

There are acute and chronic forms of the inflammatory process. Usually, after the first manifestation of synovitis, the patient experiences relapses in the future - the disease becomes chronic. Synovitis can affect any joint, so the following classification exists:

1. Moderate inflammation of the elbow joint. The disease can manifest itself in severe form, but this happens infrequently. The disease is classified as an occupational disease of mechanics and people involved in sports. Patients experience serious discomfort up to intense pain, not only during the process of moving, but also in conditions of complete rest.
2. Synovitis of the shoulder joint. Occurs due to carrying heavy objects and injury to the shoulder or forearm. Among the signs, only pain can be identified, since the swelling itself appears only during the acute course of the disease.
3. Synovitis of the knee joint. One of the symptoms of the disease is joint instability. You can check everything in a couple of minutes - you need to straighten your knee in a sitting position and press on the kneecap, which should return to its place after displacement. Treatment of the acute phase is performed only in inpatient settings. Only in a hospital can you quickly restore the condition of the joint and avoid the acute phase.
4. Inflammation of the hip joint is considered a rare pathology among adults. Typically, this form of the disease occurs in children between 4 and 8 years of age. It is worth highlighting that in childhood, synovitis can occur without an obvious reason. Sometimes, in addition to injury, the cause of the inflammatory process is a viral infection. Synovitis of the hip joint leads to pain when moving. The diseased joint swells, and there is also some stiffness in movement. Synovitis appears spontaneously, patients complain of pain in the legs. Further pain is localized near the hip joint. In childhood, this disease can lead to temporary lameness.
5. Synovitis of the ankle joint is in many ways similar to other types of disease. The ankle swells, the skin over its surface becomes hot to the touch and becomes covered with red spots. Pain can occur not only when moving, but also at rest. This is due to the fact that the synovial membrane is considered sensitive. Also, with minimal load on the ankle, rapid fatigue occurs. Usually the cause of inflammation of the ankle joint is injury. A subluxation or direct blow to the ankle usually leads to microtrauma of the synovium and the development of synovitis.
6. Synovitis of the foot joints. Basically, the inflammatory process of the synovial membrane begins in the metatarsophalangeal joint of the big toe (it is this joint that is most susceptible to deformation). Sometimes the inflammation also spreads to the long extensor tendon of the toes (tendinitis). Often this localization of synovitis indicates serious stress on the feet. Dancers, gymnasts and ballerinas are at risk. This type of synovitis is characterized by an increase in the size of the joint, redness of the skin around it, and pain when moving. If symptoms of the disease reappear, in some cases degenerative changes in the diseased joint (arthrosis) are possible. Most often, within three weeks the inflammation goes away, and the functionality of the joint is completely restored.

There is also villonodular and suprapatellar synovitis, but these types are rarely observed in patients, they do not have characteristic symptoms and can only be diagnosed by specialists. Diagnosis of any type of synovitis is carried out using a comprehensive examination.

Basic treatment methods

At the initial stage of treatment, accumulated synovial fluid is removed from the joint cavity using a puncture. Sometimes the procedure is carried out at the diagnostic stage, when the exudate is taken for biochemical research. In severe cases of the disease, the doctor may resort to arthroscopy to determine its cause. He makes an incision in the skin over the joint and inserts a device equipped with a miniature camera and lighting into the joint cavity. Immediately after the examination, excess fluid is pumped out. The joint capsule is treated with antiseptic solutions, and if necessary, intra-articular injections of glucocorticosteroids are performed.

Nonsteroidal anti-inflammatory drugs

Treatment of synovitis of the hip joint, like all pathologies of the musculoskeletal system, is carried out with the use of non-steroidal anti-inflammatory drugs (NSAIDs). For acute pain, the doctor prescribes them in injection form, for nagging, aching pain - in capsules or tablets. The most commonly prescribed NSAIDs contain the following active ingredients:

• ketoprofen;
• nimesulide;
• ibuprofen;
• ketorolac;
• diclofenac;
• meloxicam;
• indomethacin.

To enhance the therapeutic effect of injection solutions and tablets, the simultaneous use of ointments and gels with NSAIDs is recommended. These are Voltaren, Ketorol, Finalgel, Artrosilene, Ortofen. NSAIDs have a pronounced anti-inflammatory, decongestant, and analgesic effect. But the high clinical effectiveness of the drugs is offset by their ability to damage the gastrointestinal mucosa. To minimize complications, rheumatologists, along with NSAIDs, prescribe proton pump inhibitors - Rabeprazole, Omez, Nolpaza.

The use of non-steroidal anti-inflammatory drugs in the form of rectal suppositories - Voltaren, Indomethacin - helps to avoid undesirable consequences.

Antibiotic therapy

Often the cause of inflammation of the synovial membrane is infection. When conducting laboratory tests, the resistance of microorganisms to antibiotics of a certain group is established. In accordance with the test results, patients are recommended to take the drugs for 7-20 days. What antibiotics can be included in the therapeutic regimen:

• semisynthetic protected penicillins - Amoxiclav, Augmentin, Panklav, Flemoklav;
• macrolides - Azithromycin, Erythromycin, Clarithromycin;
• cephalosporins - Cefazolin, Ceftriaxone, Cefotaxime.

To treat specific synovitis of the hip joint, in addition to antibiotics, it is necessary to take antimicrobial agents - Trichopolum, Metronidazole, Co-trimoxazole, Biseptol. The doctor can administer injectable forms of antibacterial drugs immediately after removing the intra-articular fluid.

After antibiotic therapy, it is necessary to take medications to restore the intestinal biocenosis. The simultaneous administration of drugs from the groups of probiotics and prebiotics is practiced: Enterol, Bifidumbacterin, Acipol, Linex together with lactulose, pantothenic acid, and inulin preparations.

Other medicines

If NSAIDs are ineffective in the treatment of synovitis, glucocorticosteroids are used - Prednisolone, Hydrocortisone, Dexamethasone. They are used for oral administration or intra-articular administration. They have anti-inflammatory, analgesic, antipyretic activity. Glucocorticosteroids are not intended for long-term treatment, as they have a negative effect on bone tissue, kidneys, liver and stomach. Other pharmacological drugs are also used in the treatment of synovitis:

• chondroprotectors - Structum, Teraflex, Dona. They are used to gradually normalize the production of synovial fluid. Long-term course use (from several months to 2 years) helps prevent the spread of destructive and degenerative changes in the joints. Taking chondroprotectors at the initial stage of diseases leads to the restoration of damaged tissues;
• multivitamins with microelements. In rheumatology, the use of drugs containing B vitamins is practiced - Combilipen, Milgamma, Pentovit. They improve innervation, normalize blood circulation and microcirculation. Patients are additionally prescribed vitamin complexes with microelements - Centrum, Selmevit, Vitrum. Their course intake has a general strengthening effect, replenishes calcium, zinc, copper, and molybdenum.

To treat diseases that provoke synovitis, specific drugs are used. Therefore, for each patient, a therapeutic regimen is drawn up individually. Some pathologies cannot yet be treated, for example, rheumatoid arthritis or gout. To prevent recurrence of synovitis, maintenance therapy is carried out.

After stopping the inflammatory process, warming ointments and balms can be prescribed - Finalgon, Viprosal, Capsicum. After applying them under the influence of heat, blood circulation in damaged tissues improves: nutrients and biological substances begin to flow into them, accelerating regeneration.

Treatment of synovitis of the knee joint

Let's consider two main types of treatment for the disease. Conservative therapy. Treatment of aseptic type synovitis in most cases is outpatient, includes puncture with fluid evacuation and immobilization of the limb with a plaster splint, knee brace or tight bandage. Immobilization can last a maximum of 7 days, since prolonged absence of walking can cause the development of joint stiffness. Patients are prescribed exercise therapy, microwave therapy, electromagnetic treatment, electrophoresis with dimethyl sulfoxide or hydrocortisone and ultrasound with anti-inflammatory drugs. After eliminating the acute phase, paraffin, ozokerite, mud treatment, and balneotherapy are recommended.

For reactive synovitis, treatment is prescribed with glucocorticoids, calf cartilage extracts, heparin, ibuprofen and indomethacin. During an exacerbation, from the third or fourth day, patients are sent to physical therapy: phonophoresis with corticosteroid medications, UHF, magnetotherapy, electrophoresis with aprotinin, ketoprofen and heparin. Please note that heparin should not be taken immediately after injury or surgery, or if you have clotting problems. If you need help, please contact us. Our clinic employs only qualified specialists; they conduct individual exercise classes, massage, etc.

For chronic synovitis with obvious infiltration of the synovial membrane, inhibitors of proteolytic enzymes are prescribed, aprotinin and corticosteroids are injected into the joint.

Types of treatment for fluid accumulation in a joint

The accumulation of fluid in the joint can be treated in different ways, depending on the degree of advanced disease. Among the various joint treatment methods offered by the Kuntsevo Center, the following can be listed:

1. Drug treatment, which consists of prescribing and taking medications and vitamins.
2. One of the ways to treat joint diseases and relieve pain is blockade - special injections into the joint or periarticular tissue. This method of therapy is also used during the rehabilitation period after completion of treatment.
3. ACP SVF therapy is the latest unique method for treating degenerative joint diseases. To carry out this type of treatment, it is necessary to extract the stromal-vascular fraction from the patient, then prepare a special composition based on it and introduce it into the affected area of ​​the joint by injection.

Surgery

Pathogenetic therapy of traumatic synovitis involves restoration of anatomical features in the joint. The treatment regimen in each individual case is determined individually, taking into account the scale of changes, the severity of general disorders, the prospects and risks of the need for surgery and other points. In the postoperative period, drug correction of local metabolic disorders is prescribed and rehabilitation is carried out.

If irreversible changes in the synovial membrane develop during the chronic course of the disease, surgery is performed - partial, subtotal or total synovectomy. In the postoperative period, immobilization is performed, antibiotics, painkillers, exercise therapy and physiotherapy are prescribed.

Physiotherapeutic procedures

NSAIDs and glucocorticosteroids quickly eliminate pain and inflammation, but also have many side effects. Rheumatologists reduce their dosages, and to maintain clinical effectiveness, prescribe physiotherapeutic measures to patients. After 5-10 sessions, blood circulation is restored in the affected tissues, and exudate stops accumulating in the joint capsule. By stopping the inflammatory process, the intensity of pain and swelling decreases, and joint mobility increases. In the treatment of left-sided and right-sided synovitis of the hip joint, the following physiotherapy procedures are used:

• electrophoresis with analgesics, chondroprotectors, NSAIDs. A sterile cotton-gauze swab soaked in drug solutions is applied to the joint area. A metal plate is placed on top of it, through which weak discharges of electric current are passed. Under their influence, drug molecules penetrate the inner lining of the synovial bursa;
• sinusoidally modulated currents. They irritate basic receptors, providing a distracting effect, reducing the severity of pain. Blood begins to flow to the damaged tissues, saturating them with molecular oxygen and nutrients. The use of sinusoidally modulated currents promotes the removal of products of the inflammatory process from the joint capsule;
• UHF therapy. The area of ​​pain and inflammation is affected by ultra-high frequency electromagnetic fields. Heat penetrates the hip joint, accelerating regenerative processes. Swelling decreases, range of motion in the joint increases. UHF therapy, unlike other physiotherapy procedures, can be carried out even during an acute inflammatory process.

The use of magnetic therapy in the treatment of large joints, especially the hip, has been proven to be highly effective. The joint is exposed to a magnetic field - high or low frequency, alternating or constant. As a result, lymphatic vessels contract, promoting tissue detoxification. The removal of excess fluid accelerates, the condition of blood vessels, nerve and muscle fibers improves.

Prevention of synovitis

To prevent a relapse, you must not forget about preventive measures. Prevention is a set of rules and measures that will help maintain the health of your lower extremities.

When playing sports, do not forget to be careful, this will help protect your knee from injury. Also, special attention should be paid to the choice of shoes, not only those in which you train, but also everyday ones. Having the right shoe collection will protect you from future injuries. Professional athletes should fix the articular surfaces with special pads or bandages. Contact us if you have severe or moderate synovitis, we will help. We employ qualified specialists. Prices can be found in the price list on the website or by calling +7,).

Causes

The accumulation of fluid in a joint can be a consequence of a disease, but the most common cause is injury. These include:

1. Injury – sprain, ligament rupture. This can lead to a buildup of fluid that becomes infected after a viral illness.
2. Various joint diseases, including gout or arthritis.
3. Lupus erythematosus.
4. Bursitis, which is common in dancers or athletes.
5. Incoagulability of blood and others.

Important! These reasons must be mentioned when visiting a doctor, this will help to correctly establish a diagnosis and prescribe competent treatment.

Symptoms of arthrosis of the hip joint

Symptoms and treatment of hip arthrosis depend on the stage of the disease.

• Stage 1.
  Patients feel mild pain in the groin area, which occurs after physical activity, prolonged standing or sudden movements in the joint, and then completely disappears at rest.
• Stage 2.
  The pain syndrome intensifies and bothers the patient even with normal household activities. The pain may radiate to the lower back or inner thigh. Stiffness and crunching appear, and the range of motion in the joint is reduced. The muscular-ligamentous system begins to weaken, which causes increased fatigue.
• Stage 3.
  The pain is felt constantly, and it is difficult for patients to move without a cane or walker. Movement in the joint is severely limited. Climbing stairs is a serious challenge. There are gait disturbances (lameness, falling on one or both legs). With unilateral coxarthrosis, pelvic distortion and spinal curvature are visible to the naked eye.
• Stage 4.
  The joint space closes due to the proliferation of osteophytes and any movement in the joint is almost impossible. It loses its functions and becomes severely deformed due to bone destruction.

Treatment of osteoarthritis of the hip joint

The priority direction of treatment for grade 1 arthrosis of the hip joint is outpatient conservative therapy. It includes drug treatment of arthrosis of the hip joint, physiotherapy, diet therapy, wearing bandages and adjustable orthoses. This approach allows you to relieve pain, maintain muscle function and increase mobility in the joint. Treatment of grade 2 arthrosis of the hip joint is carried out similarly.

If conservative treatment of arthrosis of the hip joint is delayed or ineffective, cartilage degeneration progresses rapidly, and surgery is performed. Occasionally, the doctor may decide on osteotomy or arthrodesis, but in most cases, when treating arthrosis of the hip joint of the 3rd degree, endoprosthetics is prescribed - partial or complete replacement of the diseased joint. A prosthesis made of metal and a ceramic or polymer liner lasts from 15 to 25 years, after which it requires replacement. Total arthroplasty (total joint replacement) is the most effective treatment for hip arthrosis. It allows you to fully restore its functionality with a minimal incision of up to 8 cm in length and the ability to walk with support within a day. Complete rehabilitation lasts 1-3 months.

Physiotherapeutic methods for treating arthrosis of the hip joint

Physiotherapy for arthrosis of the hip joint is carried out in courses, according to the doctor’s indications. Almost all techniques, except magnetic and cryotherapy, are allowed only during the period of remission, in the complete absence of inflammatory symptoms. The following measures are used to treat osteoarthritis of the hip joint:

• ultra-high frequency therapy;
• ultrasound therapy;
• laser therapy;
• magnetic therapy;
• therapeutic exercises (therapeutic gymnastics);
• therapeutic massage and manual therapy;
• ozone therapy;
• cryotherapy;
• acupuncture;
• traction therapy (traction);
• paraffin applications and wraps;
• balneotherapy and mud therapy;
• hydromassage.

Treatment of arthrosis of the hip joint with exercise therapy

Physical therapy for arthrosis of the hip joint is aimed at strengthening muscles and ligaments - they are a natural orthosis that reduces the load on the joint and maintains it in the physiologically correct position. As a result, treating osteoarthritis of the hip joint with exercises helps relieve pain and inflammation, improves mobility, slows down the wear of cartilage and ensures the supply of nutrients to the synovial fluid. The following exercises will help strengthen your legs:

1. Starting position - sitting on the floor, focusing on outstretched arms behind you. Legs straight in front of you. We bend and straighten our toes.
2. The starting position is the same. Alternately bend and straighten your feet (toes towards you, toes away from you).
3. The starting position is the same. Bend your leg at the knee, pulling it towards you along the mat or on weight. It is advisable to touch the floor only with your toe after completing the movement.
4. Starting position - lying on your back, legs bent at the knees, feet on the floor. We do the “frog” exercise - we spread our bent knees and hold them for 20 seconds. Then we bring it together again.
5. Starting position - lying on your back, one leg straight, the other bent and laid to the side. We lie like this for one minute, then change legs.
6. Starting position - lying on your back, legs straight, lying freely. We bring the socks inward, touching them, and then spread them apart. Repeat at a pace 10 times.
7. Starting position - lying on your back, one leg (from the side of the affected joint) crossed over the other. We move the foot of the lower leg as in the exercise above.
8. Starting position: lying on your back. We pull the knee towards the stomach, holding the back of the thigh with clasped fingers. Perform for 30 seconds on each leg.
9. The starting position is the same. We pull our legs bent at the knees towards the stomach and hold them under the knees with interlocking fingers. Perform for at least 30 seconds.
10. The starting position is the same. We move the straightened leg to the side above the floor. 20-30 times on each leg.
11. Starting position: standing. Place a chair to the side, with its back facing you. Holding the back of a chair and standing on one leg, swing the other back and forth like a pendulum. 20-30 times.

Massage in the treatment of osteoarthritis of the hip joint

Massage is an effective relaxation and restorative technique for the treatment of arthrosis of the hip joint in the early stages. As a treatment for arthrosis of the hip joint of the 1st degree (as well as the 2nd - in the absence of pain and swelling), it can prolong remission, relieve discomfort and pain without drugs, improve tissue trophism and slow down cartilage degeneration. It also eliminates spasms that interfere with sleep and movement, strengthens ligaments, normalizes gait, and allows you to quickly warm up when changing from rest to active activity and vice versa.

For arthrosis of the hip joint, professional therapeutic massage is desirable (at least 10-12 sessions). But gentle self-massage at home also helps improve the condition. It is important to avoid pain and severe discomfort. At the slightest sign of inflammation in the joint, manipulations are temporarily stopped - they can be resumed with the permission of the attending physician, after a course of anti-inflammatory therapy.

Even in cases where the patient suffers from unilateral coxarthrosis, massage is performed on both sides. How to do it correctly?

1. To begin, take a comfortable position that will allow you to relieve stress on your hips and lower back. For example, lying on your back, side or stomach.
2. Begin to gently massage the area around the affected joint. If you have a helper, ask him to stroke your back for 7-10 minutes from your shoulder blades to your sacrum to improve blood circulation.
3. Proceed to slowly stroking the lower back, and then a circular warm-up of the sacrolumbar region with two fingers.
4. Massage the spine with your thumbs, as far as the pose allows, gradually moving down to the lower back.
5. Press your palms into the sacrogluteal area and begin rubbing and stretching the muscles. This completes the preparation.
6. Rub your thighs with your palms and then massage them well in a circle with your thumbs.
7. Knead the inner thigh without applying pressure (so as not to squeeze the blood vessels). It’s better to grab the fat fold between your thumb and other fingers and knead it thoroughly.
8. Important! Complete the procedure with relaxing strokes and pats.

In thigh massage, transverse, longitudinal, grasping, squeezing movements are used. Rubbing is performed with different parts of the palm or bent fingers towards the groin area.

After surgical treatment of grade 3 osteoarthritis of the hip joint and removal of sutures, massage is used for rehabilitation and restoration of motor functions.

Treatment of arthrosis of the hip joint with diet

The main principle of nutrition in the treatment of arthrosis of the hip joint is its diversity and balance in key indicators (vitamins, minerals, proteins, including essential amino acids). It is important to eat foods high in calcium, sulfur, zinc, magnesium and selenium. Of the vitamins, vitamins A and group B (give an anti-inflammatory effect), C, D, E are of primary importance. Low-protein diets are contraindicated in the treatment of osteoarthritis of the hip joint. Therefore, be sure to include in the menu:

1. Dietary meat, poultry, fish.
2. Eggs.
3. Milk and dairy products.
4. Fruits, vegetables and fresh herbs.
5. Whole grains and oilseeds (such as flax), as well as nuts.
6. Dishes and products with natural chondroprotectors (jelly, jelly, cartilage, pork legs, ears, etc.).

But it’s better to reduce your carbohydrate intake - after all, even slight excess weight creates a colossal load on the sore joint. It’s not for nothing that rehabilitation specialists joke that losing a couple of kilos is the most effective treatment for arthrosis of the hip joint. You also need to exclude salty, spicy, sweet and fried foods, which cause the body to retain water. Minimize your intake:

• fast food and semi-finished products;
• baked goods, sweets and confectionery;
• sausages and marinades.

Don't forget to drink at least 2.5 liters of water per day!