Abductor strength (gluteus medius) training – an important muscle exercise to protect the hip joint

  Indications: aseptic necrosis of the femoral head, acetabular dysplasia, osteoarthrosis of the hip joint, hip pain, walking claudication due to hip joint disease.  Specific movements Side leg lift exercises, lying on your side in bed or in standing position are possible. When lifting the leg, hook the ankle and toe upward, and then lift the lower limb 45 degrees to the outside, insist for 10 seconds, then relax for 10 seconds, and then continue the training. Daily 10-20 times in the morning and 10-20 times in the afternoon. Usually 6 weeks of training will result in significant pain relief, and walking limp can be improved. At the beginning, if the strength of the abductor muscle is very poor, you can only train standing first and lift the leg laterally, and after training for a period of time, the muscle strength will increase, and then you can gradually practice in the lateral recumbent position. In addition, many patients will have soreness and swelling of the hip muscles after starting training, so generally you can reduce the training on the next day, rest for a few days until the soreness is relieved, and then gradually resume normal exercises.  If the pain and swelling effect is obvious, then continue to insist on training for 6 weeks (a total of 3 months). Then hang a half-pound sandbag or rice bag at the neck of the foot and continue to insist on the lateral leg raise training in the morning and afternoon.     Medication assistance Patients with femoral head necrosis, patients with hip dysplasia, and patients with hip osteoarthrosis, use — glucosamine + compound dulcimer bone building granules for 6 weeks to 3 months as an adjunct to muscle strength training. If the hip joint has obvious pain symptoms during activities, be sure to add non-steroidal anti-inflammatory and analgesic drugs, such as Fenbid and Fotarim, etc. For patients with gastrointestinal tract diseases, COX-2 inhibitors, such as Ciloxib and meloxicam, can be chosen to reduce side effects. The principle of taking all drugs is to take them after meals. If there is obvious gastrointestinal discomfort after taking them, you can temporarily stop taking them for a few days and then resume taking them. If there are still significant side effects after taking the medication again, the only option is to stop taking the medication and change the medication.  Exercise recommendations Activities that should be reduced or avoided in patients with hip disorders include: climbing stairs, hills, lifting heavy objects, bending, and walking long distances that are stressful to the hip joint. Recommended activities include short walks, cycling, swimming in hot tubs or hot springs. In addition, special attention should be paid to keeping the hip joint warm, as symptoms are often aggravated when it is cold.  Surgical treatment – artificial hip replacement For patients with advanced femoral head necrosis and severe hip osteoarthritis, with obvious shortening of the affected lower limb and pain during activities, they should receive artificial hip replacement surgery as soon as their physical condition allows.