Coxarthrosis is a traumatological pathology related to the wear and tear of bones and joints, mainly that of the hip, which mostly affects elderly people. When symptoms appear, it is important to go to a specialist who applies the appropriate treatment, with the aim of not having consequences on the patient's quality of life.
What is coxarthrosis
Osteoarthritis located in the hip area, caused by wear of the hip cartilage, is known as coxarthrosis. It is common in elderly people and one of the most frequent causes, causing breaks and fractures of the hip.
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Request a second medical opinionCoxarthrosis usually manifests itself through localized pain in the groin area, which can radiate to other areas of the body. This pain worsens with movement and is milder when the patient is at rest.
What are the main causes of coxarthrosis?
The causes of coxarthrosis are very diverse. In many cases they are traumatic, that is, blows or sudden movements on the joint, or vascular factors, which, in the long term, can cause the development of hip osteoarthritis. Some patients develop hip osteoarthritis from other pathologies, such as bone dissymmetry.
In other cases, The causes of coxarthrosis are congenital, That is, they have to do with the development of the fetus within the mother's womb, such as, for example, hip dysplasia.
In most cases, the determining factor is age, and It is related to the wear of bones and cartilage.
Symptoms of coxarthrosis
In the early stages of hip osteoarthritis, symptoms are often mild and occur intermittently, which can delay both detection and diagnosis. The most characteristic sign is pain located in the groin, which worsens when walking long distances, climbing stairs, or standing for long periods of time. This discomfort can spread to the thigh, knee, or even the buttocks, which sometimes confuses the patient about the true source of the problem.
Another symptom is morning hip stiffness, which makes the first movements of the day more difficult, although it usually improves after a few minutes of activity. In these cases, it's common to notice a loss of strength in the affected leg or difficulties performing everyday tasks such as bending over or putting on socks. Identifying these signs early and seeing a specialist is key to slowing the development of hip osteoarthritis and avoiding future complications.
Types of coxarthrosis
Depending on the symptoms and characteristics manifested by the patient, different types of coxarthrosis can be differentiated.
Superolateral coxarthrosis
It is the most common type of hip osteoarthritis, affecting more than 50% of patients who suffer from this pathology. It is caused by a decrease in space in the superolateral part of the joint itself.
Medial coxarthrosis
It is caused by bilateral and symmetrical wear of the joint, and is more common in women.
Concentric coxarthrosis
It produces concentric wear of the joint space, due to a progressive loss of cartilage.
How is coxarthrosis diagnosed?
If hip pain or immobility appears, first of all, the specialist traumatologist will carry out a physical examination of the patient, in which he will evaluate the injury by observing those points where the patient experiences the greatest degree of pain. This first assessment will include a study of the mobility of the patient's joint.
Once the first evaluation of the patient has been carried out, it is usually necessary to perform certain diagnostic tests that provide broader information. For example, x-rays or MRIs, which provide images of the area.
Main treatments for coxarthrosis
After a correct and complete diagnosis is made to the patient, the most appropriate treatment will be applied. First of all, Anti-inflammatory treatment is usually prescribed to help reduce pain.
The physiotherapy and rehabilitation to treat coxarthrosis It can provide good results, as it helps strengthen the muscles and improve joint mobility.
In the most severe cases of osteoarthritis, in which the bone and cartilage suffer great wear, and therefore will cause great pain in the hip, it may be necessary for the patient to undergo surgery.
There will be implemented a hip prosthesis, which helps improve the patient's quality of life and significantly improve their mobility.
How does coxarthrosis develop if not treated in time?
When hip osteoarthritis isn't treated promptly, the wear and tear of the joint cartilage steadily progresses. The pain that initially appeared only with exertion begins to be felt even at rest or at night, affecting sleep and quality of life. At the same time, joint stiffness increases, and the hip's range of motion becomes increasingly limited, making simple everyday tasks such as walking, sitting, or bending down difficult.
Over time, the patient may develop a noticeable limp due to loss of mobility. Furthermore, bone and cartilage deterioration increases the risk of fractures, a common and serious complication in older people. Therefore, early diagnosis and follow-up by a specialist orthopedic surgeon are essential to slow the progression of the disease and maintain patient independence.
How to prevent coxarthrosis
In many cases the appearance of hip osteoarthritis cannot be avoided, especially in elderly patients. However, there are certain guidelines that can delay or prevent, as far as possible, its appearance.
First of all, It is advisable to follow a balanced and healthy dietIn this way, a healthy body weight will be maintained, which will prevent excessive pressure on the hip and, therefore, reduce the risk of developing osteoarthritis, in addition to protecting the cartilage due to a good diet.
On the other hand, it is important to avoid impact sports that involve a continuous aggressive impact on the hip, as well as forced postures.
What innovative treatments are available for coxarthrosis?
In recent years, innovative treatments have emerged that seek to delay the progression of hip osteoarthritis and improve patients' quality of life without the need for immediate surgery. Notable among these are hyaluronic acid injections, which improve joint lubrication, and biological therapies such as platelet-rich plasma or stem cells, which stimulate tissue regeneration and reduce inflammation. These options can be applied in the early or moderate stages of the disease, helping to control pain and improve mobility.
When hip osteoarthritis reaches a more advanced stage, specialists turn to minimally invasive surgical techniques, such as hip endoscopy, which allows the joint to be treated with small incisions and allows for faster recovery than conventional surgery.
In the most severe cases, the definitive solution remains the implantation of a hip prosthesis, which restores the patient's functional mobility and allows them to resume most of their daily activities.
How to live with coxarthrosis
Although coxarthrosis cannot always be avoided, there are daily habits that help slow its development and reduce pain.
Maintaining a healthy body weight is essential to avoid hip overload, as every extra kilo increases joint wear and tear. It's also recommended to engage in adapted physical exercise such as walking on flat surfaces, swimming, or using a stationary bike, which strengthen the muscles without damaging the joint.
In the case of hip osteoarthritis, it's best to avoid impact sports, such as running or jumping, as well as awkward postures that can accelerate joint deterioration. Wearing comfortable, well-cushioned shoes facilitates mobility and reduces pressure on the hip. Of course, regular checkups with a trauma specialist are essential to fine-tune treatment and maintain the best possible quality of life despite the disease.
Exercises for the prevention of coxarthrosis
There are certain exercises that can be useful in preventing coxarthrosis.For example, hip elevation exercises that also help strengthen the muscles in the area and, therefore, protect internal structures, such as bones or tendons.
On the other hand, hip rotation exercises are beneficial, which increase the range of mobility of the joint. As well as, stretching after sports practice.
As explained, it is important to go to a specialist traumatologist to help treat the patient's pain. Likewise, following certain guidelines for the prevention of coxarthrosis is important to avoid or delay its appearance. Our team of specialist traumatologists led by Prof. Dr. Elgeadi, are pioneers in minimally invasive surgical techniques of the moment.
45 thoughts on “Principales causas de la coxartrosis”
Very useful information, thank you for sharing, giving alternatives to cope with this condition and referring to a specialist.
Hello Silvia,
Thank you very much for your words. Don't forget that we will be here for anything you need.
All the best.
Thanks for the information, it was very helpful.
Thank you very much for your words, Marcela! Don't forget that the Clínica Elgeadi team will be here in case you have any questions.
All the best!
It was very useful for me to know all this valuable information, to find out and convince myself... and make better decisions... thank you very much!
Hello rosa!
Thank you very much for your comment, we are very happy to know that you found the information in this post valuable. If you need it, do not hesitate to make an appointment with our traumatology experts in Madrid in the link provided.
All the best.
VERY GOOD INFORMATION, WHERE ARE YOU, AND WHAT TELS DO YOU HAVE?
Good morning Jose,
Thank you for your words and commenting on our blog. Our team of expert traumatologists is located in the Calle Corazón de María, 78 (Madrid). You can contact us at
910 053 900 where we will be happy to help you.
All the best.
Thank you for the explanation about the disease, but is this disease treated by a traumatologist or a rheumatologist?
Good morning Luz,
Thank you very much for your comment. In this case, it would be advisable to consult with a specialist traumatologist who can help you treat the pain and determine the most appropriate treatment.
All the best.
Good evening, I would like to know if a means of treating cartilage regeneration can be, which I know is done with cells, is it recommended?
Hello Melva,
Thank you very much for your comment. For questions as specific as yours, it is best to contact our expert traumatologists at the following link: https://clinicaelgeadi.com/contacto/
Our team will be happy to help you. All the best!
Good afternoon, I'm telling you from Mexico City, I suffer from bilateral coxarthrosis and I was prescribed etoricoxib for pain, what do you think?
Good morning José Manuel,
Thanks for your comment. In any case, we recommend that you follow the instructions of a traumatology specialist to assess the state of your pathology and determine the most effective treatment for it. You can contact our expert hip traumatologists in the link provided.
All the best.
I ALSO HAVE COXARTHROSIS, AND THEY RECOMMENDED THAT MEDICATION TO ME AT THE BEGINNING IF THE PAIN REMOVES THEN THEN NO LONGER, THEY CHANGED MY MEDICATION AGAIN SINCE I AM IN GRADE III, ALSO I GET A LOT OF RASHES THAT MEDICATION I HOPE MY COMMENT IS OF SOMETHING OF USEFUL TO YOU, GREETINGS -.
There are two 10-year-old children with coxavara, the girl and the 7-year-old boy, who were given titanium plates in Galveston, but since we did not want to get vaccinated, now we cannot go to the United States because we are not vaccinated against covit and the children already need to be vaccinated. I removed the inserts and their knees hurt and the child puts his left foot in and didn't put it in.
Good morning Elena.
Thanks for reading our blog. We are sorry that we cannot help you, and we hope that the plates can eventually be removed.
All the best.
Hello,. My mother is just being diagnosed with bilateral cozoarthrosis,... they recommended Methotrexate and deflazacort,... but I haven't seen any improvement,... I don't know if you could help me recommend another more effective medicine...
Good morning Araceli,
You should never resort to self-medication, so you should strictly follow your doctor's recommendations. If the prescribed medication is not effective, let them know.
All the best.
Good day. Any recommendations for care in Mexico or the United States?
Good morning Juan Carlos,
We regret to inform you that our trauma clinic It is located only in Madrid, Spain.
We hope to help you with whatever you need.
All the best.
I am 52 years old and I was diagnosed with bilateral coxarthrosis at 50. I never had symptoms and one day, overnight, I could no longer walk due to the pain. My question is, could it be related to the fact that I got Covid 3 months before the pain started? Thank you. Greetings
Good morning Maribel,
Yes, COVID could be an aggravating factor.
All the best.
I am 26 years old and I was diagnosed with congenital coxarthrosis at the IMSS. They did not want to operate on me because I am very young.. I really like swimming. Will it be okay? … In the future I would like to get pregnant. 🙁
Hello Lizethe,
Depending on the degree of disability and limitations as well as the intensity of the osteoarthritis, we sometimes recommend surgery, since it greatly improves the quality of the patients. But each case would have to be studied in particular.
A hug.
Everything explained is very useful.
Delighted to help you, Guadalupe.
All the best!
THANKS FOR THE INFORMATION!!!
THEY JUST DETECTED GRADE III COXARTHRISIS, THE SPECIALIST WHO IS TAREING ME SAYS THAT IT IS NOT RECOMMENDED TO OPERATE ME BECAUSE OF MY AGE I AM 31 YEARS OLD, HYALURONIC ACID IS INFILTRATING ME HE TOLD ME THAT I WOULD HAVE TO INFILTRATE 1 INJECTION FOR 3 MONTHS, I HAVE NOT IMPROVED MUCH BUT THEY HAVE PAIN IS NOT LIKE BEFORE HE TOLD ME THAT LOSING WEIGHT IS VERY IMPORTANT, HE SAYS THAT YOU HAVE TO BE INFILTRATING A MINIMUM EVERY 3 YEARS TO POSTPONE THE OPERATION, IN MY POINT OF VIEW THE OPERATION IS NECESSARY SINCE A RELATIVE TOLD ME THAT THE OPERATION IT IS VERY PAINFUL, IT SHOULD BE EMPHASIZED THAT SHE HAD OPERATION 20 YEARS AGO, I AM IN A VERY DIFFICULT PROCESS FOR ME, SINCE FROM ONE DAY TO THE NEXT I STOP DOING SO MANY THINGS, THINGS AS SIMPLE AS EVEN PUTTING ON A SOCK, FIRSTLY GOD KNOWS WHAT I WILL BE WITH BETTER
IN YOUR OPINION IS THE TREATMENT THAT THE SPECIALIST PROVIDED ME WELL?
I WOULD LIKE TO KNOW YOUR OPINION
GREETINGS FROM MEXICO CITY
Hello Esthefani,
We would have to look at your case in detail to evaluate whether to maintain or change your treatment.
You can request an appointment and we will discuss it personally with all the studies and tests carried out that you have.
Greetings
I really appreciate the information you give us, when one is faced with this at the most unexpected moment it fills one with so many doubts and suddenly the fact that you take the trouble to answer, I really thank you very much!
Hello Juana María,
Thank you very much for letting us your comment.
We do our best to help with information.
Greetings
You are very kind, attentive, and professional people, who help people, who suffer from osteoarthritis, I hope to soon send you my diagnosis so that you can help me, thank you in advance
Hello Ruben,
Thank you for leaving your comment. Please send us your diagnosis privately so we can give you an appointment and personalized attention.
Write to us at clinicaelgeadi@clinicaelgeadi.com
Greetings
Good morning, the whole explanation is very good. I want to ask your opinion since I underwent surgery last year 8 months ago for hip impingement with arthroscopy and my right hip was reasonably well, however the doctor indicated that I have coxarthrosis in this hip. My left hip works and I have a very good range of mobility.
There is some medical consideration that this coxarthrosis will be reflected in the symmetrical deterioration of the cartilage of both hips.
Hello Jose,
We have to see queries about specific cases in person, since to give you an answer we need more information about your medical history, tests, etc.
You can make an appointment by calling 91 005 39 00.
Greetings
How do I make an appointment with the Elgeadi clinic? I have a hip problem. Thank you.
Hello Fernando,
Please contact us at 91 005 39 00 to schedule an appointment.
Greetings
I am a 79-year-old general practitioner with grade 1 right coxoarthrosis, with moderate pain that makes me give up, but with the exercises that they have shown me and the minimum of NSAIDs, I have been recovering normal walking almost painlessly, despite the fact that I have only been doing it for a week.
Hi David,
We are glad to hear that your treatment is working for you.
Greetings
Hello, I am Ignacio Villarruel from Mexico and I would like to have a consultation via video conference. Thank you very much for your information.
Hello Ignacio, how are you? To schedule an online consultation with our specialists, you can write to info@clinicaelgeadi.com and our team will help you coordinate it. Greetings!
Are there any recommended exercises before grade IV COXOARTHROSIS surgery?
To exercise. I've been on the waiting list for 14 months.
Hi Patricia,
In cases of grade IV coxarthrosis, while awaiting surgery, certain exercises may be considered to maintain mobility and preserve muscle strength, always under medical supervision and after evaluating clinical studies.
Activities such as water walking, isometric exercises for the quadriceps and glutes, or gentle joint mobility movements can be helpful for preparing the muscles without overloading the affected joint. It is essential that any exercise routine be prescribed by a professional, tailored to the patient's clinical condition, and aimed at preventing pain or worsening symptoms.
Greetings.
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