Hip Osteoarthritis

April, 2020 Lower limb pain (thigh, knee, foot)

One of the most common types of osteoarthritis is hip osteoarthritis. This type of osteoarthritis affects the hip joint and is similar to the effect on the knee.

Hip and hip osteoarthritis factors

  • Age : Aging  is one of the most important and strongest factors affecting hip osteoarthritis and usually begins in the fifth decade of life. However, not all people seen in osteoarthritis have articular symptoms.
  • Gender : For unknown reasons, women are two to three times more likely to develop hip and hip osteoarthritis  than men.
  • Weight : Obese people are more likely to develop hip osteoarthritis. Losing weight reduces the risks and chances of getting the disease.
  • Occupation : Knee osteoarthritis is more common in people with occupations that require constant kneeling or those who stand .
  • Exercise : Pelvic and hip arthritis is more likely for people who practice specific sports such as wrestling, boxing, baseball, cycling, parachuting, gymnastics, ballet, soccer and American football, compared to people who are more likely to develop it.

Symptoms of hip osteoarthritis

  • Pain: The most important symptom is exacerbated by activity but with development of illness the person will have pain at rest. Pain is usually felt in and around the joint but can also have a diffuse nature.
  • Arthritis: Morning stifness is a common symptom of arthritis that lasts about half an hour.
  • Swelling: An accumulation of fluid in the joint may occur.
  • Crepitation: Movement of the damaged joint causes crepitation.

Diagnosis of hip osteoarthritis

Physical examination and evaluation of muscle and gait are important.

Imaging : Imaging tests provide physicians with complete information on the pelvic and osteoarthritis problems, including:

Pelvic X-ray : To examine the structure of the pelvis.

Computed tomography : CT scans can be used for closer examination.

MRI : Used to evaluate  soft tissues as well as femoral head perfusion.

Treatment of hip osteoarthritis :

The treatment of hip osteoarthritis varies depending on the extent of the patient’s symptoms. The therapies are step by step, and if the patient does not respond appropriately to each treatment step, more sophisticated methods are used. The basis of treatment for hip and hip arthritis is noninvasive procedures.

Weight Loss : Weight loss is difficult in patients with painful joints. However, losing weight can also be a factor in reducing pain. By reducing weight by 5 kg or more, less pressure is applied to the joint and can reliably reduce pain.

Rest : Rest should only be relative and not to include heavy movements of the waist and hip and no more.

Walkers : Walkers help the patient to walk more easily and safely.

Effective medications for hip osteoarthritis : Medications are used to relieve symptoms in the acute phase as well as to restore muscle strength and relaxation, including: muscle relaxants (peripheral and central), anti-inflammatory analgesics, and in the non-arthritic phase, soy and avocado combination medications can also be avoided. Used the progression and improvement of arthritic lesions.

Non-invasive treatments :

Physiotherapy : The primary goal of physical therapy is to learn how to control the symptoms and maximize the function of the hip joints. Passive therapeutic modalities such as ice / heat, ultrasound and electrical stimulation reduce pain and spasms in a patient with osteoarthritis. Osteoarthritis exercises help to increase flexibility and range of motion by enhancing muscular strength through exercise-specific exercises. Patients should not worry about switching to this treatment, even patients with pain and movement problems benefit from isometric exercises.

Manual massage and manipulation : The basis of these techniques performed by hand also strengthens the muscular structure of the tissues around the joints.

High Power Laser : High power pulse laser can increase cellular energy and repair damaged tissues and prevent arthritis progression.

Interventional treatments :

Interventional procedures are performed by a pain specialist under the guidance of X-ray (fluoroscopy) or ultrasound in the operating room.

Intra-articular injections :

Intra-articular injections of growth factors (prolotherapy)and radiofrequency, ozone therapy, PRP injection, orthokine, stem cells, etc. are effective intracellular actions that stop the progression of the arthritis process and help to repair of damaged tissues.

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