Hip Pain: Diagnosis and Treatments
Many people experience hip pain from time to time, especially if they
lead an active lifestyle. A good deal of walking and hiking while on vacation
or rushing to finish chores over the holidays can lead to a sore hip. People
experience pain from overdoing it. Known as an “overuse injury,” it results
from repetitive stress on the muscles, joints and tendons.
Usually, the best way to deal with pain from overuse is to take it easy
for a while. We advise patients to rest their hip, take an over-the-counter
anti-inflammatory medication as long as they don't have gastrointestinal
issues, and apply ice or heat. If an aching hip doesn’t feel better in a week
or so, a visit to a doctor for an orthopedic evaluation is usually in
order.
Sometimes hip pain is a result of a something more serious than overuse,
and the following symptoms should prompt you to see a doctor quickly or go to
the emergency room:
· Intense pain that comes on suddenly
· Severe pain from a fall or other injury to the hip
· The inability to put weight on the joint or move your hip or leg
· A joint that looks deformed or is bleeding
· Hip pain accompanied by fever and a general feeling of malaise
For ongoing hip pain, people are advised to see a specialist. Since there can be
any number of causes, the doctor should take a detailed medical history, asking
plenty of questions. The physician should also perform a thorough physical exam
to pinpoint the location and cause of the pain. X-rays often aid in the
diagnosis, and an MRI may be ordered down the road.
Bursitis is a common cause of hip pain that
usually results from repetitive stress on the joint. The bursae, which are
small, fluid-filled sacs that help your joints move smoothly, become inflamed.
Pain is usually felt on the outside of the hip. Treatment includes rest,
anti-inflammatory medication and sometimes a steroid injection or physical
therapy.
Some patients are surprised to learn that
their hip pain is actually coming from another part of their body, such as
their lower back or knee.
Arthritis is the most common cause of hip
pain in adults over 60, resulting from years of activity and wear and tear on the
joint. It’s not uncommon for the arthritis to be accompanied by a labral tear
in the hip, which can be likened to a torn cartilage in the knee. If a doctor recommends arthroscopic , or
minimally invasive, hip surgery to repair a torn labrum, patients should get a
second opinion. Studies show that arthroscopic surgery for a labral tear has no
benefit for older patients with hip arthritis.
Conservative treatments to help relieve arthritis pain include prescribe anti-inflammatory medication, rest
and physical therapy. Patients are advised to listen to their bodies and avoid
activities that make their arthritis worse. If an individual has excess weight,
losing weight may help by taking some stress off the joint.
If arthritis is severe and
conservative treatments fail to provide relief, people often consider hip
replacement surgery to eliminate pain once and for all and get back to
activities they’ve been forced to give up. More than 300,000 hip replacements are
performed in the United States each year.
Major advances in joint replacement techniques
and in the implants themselves have revolutionized the field. One such advance is less invasive hip
replacement. The newer technique achieves the same goal as the standard procedure,
but with a three- or four-inch incision, as opposed to 12 or 14 inches. The
surgery entails replacing the painful, arthritic joint with a fully functioning
hip implant. Aside from the better cosmetic result, the smaller incision can result
in less pain, a quicker recovery and easier physical therapy. Advances in anesthesia and pain management
after surgery have also benefited patients.
This blog should not be construed as medical advice. All questions regarding your health or possible health problems should be directed to your physician.
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