FEATURES OF THE USE OF PHYSICAL EXERCISES IN THE REHABILITATION OF PATIENTS UNDERGOING THE PROCEDURE OF RADIOFREQUENCY NEUROABLATION OF THE HIP JOINT.

Among the various methods of treating coxalgia, the minimally invasive method of radiofrequency denervation of the sensitive nerves of the hip joint is becoming increasingly popular. Since the RFA technique is gradually beginning to be actively used in the practice of pain treatment, there is an urgent need for further rehabilitation of such patients in order to prolong the positive effect of the RFA procedure. The aim of the study was to develop a program of physiotherapeutic exercises for patients with coxarthrosis of the 3-4 stage, who underwent the RFA procedure of articular branches of the obturator and femoral nerves. The developed author's program was tested on 36 patients (37 joints) with coxarthrosis of 3-4 stages, who underwent outpatient treatment during 2017-2018. in the rehabilitation department of the State Institution "Institute of Traumatology and Orthopedics of the National Academy of Medical Sciences of Ukraine". The dynamics of the treatment results were evaluated after 2 weeks, 1, 3, 6 and 12 months after the procedure. Quantitative and qualitative assessment of pain was carried out on the basis of VAS pain. Joint functional limitations were measured using a Harris Hip Score (HHS). The use of physiotherapeutic exercises in patients who underwent RFA procedure n. femoralis and n. obturatorius positively affects the functional capabilities of the joints, which is confirmed by the results of studies on the Harris Hip SCOR and VAS questionnaire at all stages of observation. The use of physiotherapeutic exercises in combination with the RFA procedure of the femoral and obturator nerves in coxarthrosis can lead to a decrease in pain and stiffness, easier movements and increased flexibility, as well as maintaining the effectiveness of the RFA procedure for a longer period.