Clinically defined hip involvement
As patients with hip involvement often have hip pain and limited mobility. The pain is mainly located in the groin area, which is more severe than movement or load bearing, and the duration of the pain varies. Careful physical examination is helpful in detecting hip involvement, and the "4" test is a simple and relatively effective method, but these clinical features are not specific, and patients sometimes have difficulty distinguishing pain in the hip from pain in the adjacent area.
How to treat hip joint involvement of as patients scientifically?
Hip replacement is generally recommended for as patients with severe hip involvement.
Adequate treatment of non-steroidal anti-inflammatory drugs (nsaids) is the basis for the treatment of patients with hip joint involvement of as drugs, improve the condition of anti-rheumatism medicine in the treatment of hip joint involvement role has not been determined, methotrexate contribute to the improvement of the motor function of patients with hip joint involvement of the as, is better than willow nitrogen sulfonyl pyridine, with no serious adverse reactions.
If nsaids is still in a state of high disease activity after adequate treatment, the use of biological agents should be considered. For obvious hip pain and restricted movement of the as patients, at least in terms of relieve symptoms, improve function, can be a relatively positive use of biological agents, through the use of adequate, regular, quickly improve symptoms and disease activity control, subject to illness gradually reduce or maintain, and through cooperating with other treatment, patients continue to maintain low disease activity and good motor function, to slow down and reduce the progress of the hip joint involvement may have a positive role.
Non-drug therapy, including functional exercise, is also important in the treatment of as, especially for as patients with hip involvement. Functional exercise can not only improve the joint movement function, but also play a direct anti-inflammatory effect. Functional exercise plays an important role in maintaining the flexibility of ligaments around the joints, joint mobility and improving the ability of patients to take care of themselves. The movement of squatting and standing up is one of the most basic movements undertaken by the hip joint. It is also the most basic movement for as patients to realize self-care. Regular practice of this movement by as patients with hip joint involvement helps maintain and improve the motion function of the hip joint.