T A D Q I Q O T L A R
jahon ilmiy – metodik jurnali
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64-son_2-to’plam_Iyun-2025
18
ISSN:3030-3613
CLINICAL COURSE CHARACTERISTICS AND THERAPEUTIC
APPROACHES OF COXARTHROSIS.
Kamolova Go’zaloy Odiljon qizi
Abstract.
Coxarthrosis, commonly referred to as hip osteoarthritis, has been
recognized as a progressive joint disorder that predominantly affects older adults. Over
time, the deterioration of cartilage and surrounding structures has led to pain, stiffness,
and significant limitations in daily activities. This condition, though gradual in onset,
has been shown to exert a heavy burden on individuals’ quality of life. In this paper,
its clinical characteristics, diagnostic process, and treatment strategies are reviewed
through an evidence-based lens. Conservative and surgical options have been outlined,
with recent developments and patient-centered approaches considered essential for
optimal care.
Keywords:
Coxarthrosis, hip osteoarthritis, joint degeneration, pain
management, physical therapy, total hip replacement
Introduction.
Coxarthrosis has been classified as a degenerative disease that
gradually impairs hip joint function, often resulting in chronic discomfort and mobility
challenges. Though the disease usually manifests later in life, its impact can be seen in
both physical and psychological dimensions. Cartilage degradation, joint space
narrowing, and bone changes have been identified as key pathological features. Factors
such as age, joint overload, genetic predisposition, and previous trauma have been
found to contribute significantly to its onset. In recent years, earlier recognition and
improved treatment strategies have been emphasized to prevent long-term disability.
The clinical course of coxarthrosis is known to progress slowly, with symptoms
initially limited to mild discomfort, particularly during physical activity. Over time,
pain intensity has been shown to increase, extending to rest periods and often disrupting
sleep. Commonly reported areas of discomfort include the groin, buttocks, and anterior
thigh. Affected individuals have frequently experienced joint stiffness in the morning
or after prolonged inactivity, as well as difficulty walking or climbing stairs.
Radiological signs such as joint space narrowing, osteophyte formation, and
subchondral sclerosis have typically been observed during disease progression.
Diagnosis has mostly relied on clinical examination supported by imaging
studies. X-rays have been widely used to confirm structural changes, while MRI has
been occasionally utilized for early detection. Functional assessments have helped
determine how significantly a patient’s mobility and independence have been affected.
As for treatment, a stepwise approach has generally been recommended, starting
with non-surgical options. Pain relief has been commonly achieved using NSAIDs and
T A D Q I Q O T L A R
jahon ilmiy – metodik jurnali
https://scientific-jl.com
64-son_2-to’plam_Iyun-2025
19
ISSN:3030-3613
simple analgesics, though their long-term use has been carefully monitored due to
potential side effects. Intra-articular corticosteroid injections have provided temporary
relief in more severe cases. Alongside medication, physical therapy programs have
been encouraged to maintain joint mobility and muscular strength. Patients have often
been advised to reduce div weight if necessary and walking aids such as canes have
been suggested to offload the affected joint.
When conservative methods have failed to relieve symptoms, surgical
intervention has been considered. Total hip arthroplasty has emerged as the most
effective option for advanced stages, offering substantial improvement in pain and
function. Patient satisfaction following this procedure has been reported as high,
though outcomes have varied depending on age, general health, and rehabilitation
adherence. Other surgical alternatives, such as osteotomies or resurfacing, have been
reserved for specific cases, especially in younger or more active individuals.
Importantly, postoperative rehabilitation has played a vital role in ensuring successful
recovery and return to daily activities.
Conclusion.
Coxarthrosis, while often associated with aging, has represented
more than just a mechanical wear-and-tear process. Its physical limitations, emotional
burden, and potential social isolation have called for a comprehensive and empathetic
approach to care. Early diagnosis, combined with tailored treatment strategies, has
shown promising results in maintaining function and quality of life. As understanding
of the disease has evolved, so has the importance of involving patients in their own
care journey. Whether through physical therapy or surgical intervention, it has been
clear that timely, evidence-based decisions have made a meaningful difference in
managing this chronic condition.
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1.
Zhang, W., Doherty, M., Peat, G., et al. (2010). EULAR evidence-based
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