What are the main causes of trochanteric bursitis. How can you recognize the symptoms of this hip condition. What are the most effective treatments for greater trochanteric pain syndrome. How can you prevent trochanteric bursitis from recurring.

Understanding Trochanteric Bursitis: A Common Cause of Hip Pain

Trochanteric bursitis, also known as greater trochanteric pain syndrome (GTPS), is a prevalent condition affecting the hip joint. This ailment occurs when the trochanteric bursa, a fluid-filled sac located at the greater trochanter (the bony prominence on the outer side of the hip), becomes inflamed. The bursa’s primary function is to reduce friction between bones and soft tissues, acting as a cushion in this crucial joint area.

The hip joint is one of the largest and most robust joints in the human body, providing stability and power for various movements. However, its frequent use and exposure to stress make it susceptible to conditions like bursitis. Trochanteric bursitis affects approximately 5 out of every 1,000 adults, with a higher prevalence among middle-aged and older individuals, though it can occur at any age.

Identifying the Root Causes of Trochanteric Bursitis

Several factors can contribute to the development of trochanteric bursitis. Understanding these causes is crucial for both prevention and effective treatment. Some of the primary causes include:

• Overuse or repetitive motions involving the hip joint
• Injury to the hip area
• Tight iliotibial band (ITB) from activities like running or cycling
• Muscle tears in the surrounding area
• Complications from hip surgery
• Poor posture
• Underlying conditions such as gout

Active adults who regularly engage in activities that stress the hip joint, such as walking, running, or cycling, may be more susceptible to developing trochanteric bursitis. The repetitive motion and impact can lead to irritation and inflammation of the bursa.

Recognizing the Symptoms of Trochanteric Bursitis

Identifying the symptoms of trochanteric bursitis is crucial for early diagnosis and treatment. The primary indicators include:

• Pain on the outer side of the hip, which may start as sharp and later become a dull ache
• Increased pain when moving the hip, especially when going down stairs
• Pain that radiates down the outer thigh
• Discomfort when lying on the affected side
• Stiffness in the hip joint
• Tenderness when touching the affected area

In severe cases, additional symptoms may include redness, swelling, and even fever. If these symptoms persist for more than two weeks without improvement, it’s advisable to seek medical attention.

Diagnosing Trochanteric Bursitis: What to Expect

When you visit a healthcare provider with suspected trochanteric bursitis, they will likely perform a thorough physical examination. The diagnostic process typically involves:

1. A detailed discussion of your symptoms and medical history
2. Physical examination, focusing on specific movements that trigger pain
3. Imaging tests such as X-rays to rule out other conditions
4. Ultrasound or MRI scans in some cases
5. Diagnostic injections with anesthetic to confirm the diagnosis

It’s important to note that bursitis itself doesn’t show up on X-rays. These imaging tests are primarily used to exclude other potential causes of hip pain. In cases where the condition doesn’t respond to initial treatments, more advanced imaging techniques like MRI may be employed.

Effective Treatment Options for Trochanteric Bursitis

The treatment of trochanteric bursitis typically follows a conservative approach, with most remedies being non-surgical and manageable at home. Here are some of the most effective treatment options:

1. Ice Therapy

Applying ice packs to the affected hip area for 20-30 minutes every 4 hours can help numb the area, reduce pain, and decrease swelling and inflammation.

2. Anti-inflammatory Medications

Over-the-counter NSAIDs like ibuprofen (Advil, Motrin) and naproxen (Aleve) can help alleviate pain and reduce inflammation. In some cases, prescription medications like celecoxib (Celebrex) may be recommended.

3. Rest and Activity Modification

Giving the affected hip time to heal is crucial. Using assistive devices like walkers or crutches can help reduce stress on the joint during the recovery period.

4. Physical Therapy

A professional physical therapist can guide you through exercises designed to improve flexibility and strengthen the muscles surrounding the hip joint.

5. Cortisone Injections

For more severe cases, corticosteroid injections directly into the bursa can provide significant relief from pain and inflammation.

6. Low-Energy Shock Wave Therapy

This non-invasive treatment involves passing acoustic shock waves through the skin using a targeted device. Studies have shown promising results, with over two-thirds of patients experiencing significant improvement or complete resolution of symptoms after four months.

7. Surgery

While rarely necessary, surgical intervention may be considered in cases where conservative treatments fail. The procedure typically involves removing the damaged bursa and is usually performed arthroscopically as an outpatient procedure.

Preventing Recurrence: Strategies for Long-Term Hip Health

Preventing trochanteric bursitis from recurring is an essential aspect of managing this condition. Here are some effective strategies to maintain hip health and reduce the risk of future flare-ups:

• Maintain a healthy weight to reduce stress on your hips
• Practice proper posture and body mechanics
• Stretch regularly, especially before and after physical activities
• Strengthen the muscles around your hips through targeted exercises
• Use appropriate footwear for your activities
• Gradually increase the intensity and duration of your workouts
• Consider cross-training to avoid overuse of specific muscle groups

Implementing these preventive measures can significantly reduce the likelihood of developing trochanteric bursitis or experiencing a recurrence if you’ve already had the condition.

The Role of Physical Therapy in Managing Trochanteric Bursitis

Physical therapy plays a crucial role in both the treatment and prevention of trochanteric bursitis. A skilled physical therapist can develop a personalized treatment plan that addresses your specific needs and helps you achieve optimal hip function. Some key components of physical therapy for trochanteric bursitis include:

• Stretching exercises to improve flexibility of the hip muscles and iliotibial band
• Strengthening exercises for the hip abductors and core muscles
• Manual therapy techniques to reduce pain and improve joint mobility
• Gait training to correct any abnormalities in your walking pattern
• Education on proper body mechanics and posture
• Recommendations for activity modifications and ergonomic adjustments

By consistently following a physical therapy program, many patients experience significant improvement in their symptoms and overall hip function.

When to Seek Medical Attention for Hip Pain

While mild cases of trochanteric bursitis may resolve on their own with rest and home remedies, there are certain situations where it’s important to consult a healthcare professional. You should seek medical attention if:

• Your hip pain persists for more than two weeks despite home treatment
• The pain is severe or interferes with your daily activities
• You experience fever along with hip pain
• There is noticeable redness, swelling, or warmth around the hip joint
• You have difficulty bearing weight on the affected leg
• You’ve recently suffered an injury to the hip area

Early intervention can prevent the condition from worsening and help you recover more quickly.

Understanding the Connection Between Trochanteric Bursitis and Other Hip Conditions

Trochanteric bursitis is just one of several conditions that can cause hip pain. It’s important to understand how it relates to and differs from other hip ailments to ensure proper diagnosis and treatment. Some conditions that may be related to or confused with trochanteric bursitis include:

1. Osteoarthritis of the Hip

This degenerative joint condition can cause pain similar to trochanteric bursitis but typically affects the inner part of the hip joint.

2. Iliopsoas Bursitis

Inflammation of the bursa on the inner side of the hip, which can cause groin pain and difficulty with certain hip movements.

3. Snapping Hip Syndrome

A condition where you may hear or feel a snapping sensation in your hip during certain movements, often caused by tight tendons moving over bony prominences.

4. Hip Labral Tears

Damage to the labrum, the cartilage that surrounds the hip socket, can cause pain and instability in the hip joint.

5. Sciatica

While primarily affecting the lower back and leg, sciatic nerve pain can sometimes be confused with hip pain.

Understanding these distinctions can help you communicate more effectively with your healthcare provider and ensure you receive the most appropriate treatment for your specific condition.

The Impact of Lifestyle Factors on Trochanteric Bursitis

Various lifestyle factors can influence the development and progression of trochanteric bursitis. Being aware of these factors can help you make informed decisions to protect your hip health:

1. Physical Activity Levels

While regular exercise is beneficial for overall health, certain high-impact activities or sudden increases in activity can contribute to hip bursitis. It’s important to balance activity with proper rest and recovery.

2. Occupational Factors

Jobs that require repetitive hip movements, prolonged standing, or frequent lifting can increase the risk of developing trochanteric bursitis. Implementing ergonomic solutions and taking regular breaks can help mitigate this risk.

3. Sleep Positions

Sleeping on your side, especially on a firm mattress, can put pressure on the hip bursa. Using a pillow between your knees or sleeping on your back can help alleviate this pressure.

4. Nutrition and Hydration

A balanced diet rich in anti-inflammatory foods and proper hydration can support overall joint health and potentially reduce the risk of bursitis.

5. Stress Management

Chronic stress can lead to muscle tension and poor posture, which may contribute to hip issues. Incorporating stress-reduction techniques like meditation or yoga can be beneficial.

By addressing these lifestyle factors, you can create an environment that supports hip health and reduces the likelihood of developing or exacerbating trochanteric bursitis.

Innovative Treatments on the Horizon for Trochanteric Bursitis

As medical research continues to advance, new treatments for trochanteric bursitis are being explored. While some of these approaches are still in the experimental stages, they offer promising alternatives for patients who don’t respond to conventional treatments:

1. Platelet-Rich Plasma (PRP) Therapy

This treatment involves injecting a concentrated form of the patient’s own platelets into the affected area to promote healing and reduce inflammation.

2. Stem Cell Therapy

Similar to PRP, this treatment uses the patient’s own stem cells to potentially regenerate damaged tissue and reduce inflammation in the hip area.

3. Ultrasound-Guided Needle Tenotomy

This minimally invasive procedure uses ultrasound guidance to target and treat damaged tendon tissue around the hip, which can sometimes be the underlying cause of persistent bursitis.

4. Cryoablation

This technique uses extremely cold temperatures to desensitize nerves in the affected area, potentially providing long-term pain relief.

5. Advanced Biologic Treatments

Researchers are exploring the use of various biologic agents to modulate the inflammatory response and promote tissue healing in cases of chronic bursitis.

While these treatments show promise, it’s important to note that many are still in the research phase and may not be widely available. Always consult with a healthcare professional to determine the most appropriate treatment options for your specific case.

Trochanteric bursitis, while often painful and disruptive, is a manageable condition with the right approach. By understanding its causes, recognizing its symptoms, and exploring various treatment options, most individuals can find relief and return to their normal activities. Remember, early intervention and a comprehensive treatment plan that includes both medical care and lifestyle modifications offer the best chances for a full recovery and prevention of future episodes.

Trochanteric Bursitis – Causes, Treatment of Greater Trochanteric (Hip) Pain Syndrome

Our hips are marvels of flexibility. When we walk, they give us power and stability. When we jump, they can handle the impact. The hip joint is one of the largest and strongest joints in the human body.

But the hip can take a beating, and when that happens, we may feel pain.

One of the primary causes of hip pain is bursitis, which is an inflammation of the bursa. These fluid-filled sacs are found around the body and serve as cushions between bones and soft tissues such muscles, tendons, and skin.

Each hip has two major bursae. The outside point of the hip, which is called the greater trochanter, has a bursa called the trochanteric bursa. (The other bursa, on the inside of the hip area, is called the iliopsoas bursa.)

When that outside hip bursa gets inflamed, you have trochanteric bursitis. Also known as greater trochanteric pain syndrome (GTPS), it is a common condition and easily treatable.

What Causes Trochanteric Bursitis?

You’ll find bursa sacs at many of the body’s major joints, including the elbow, shoulder, and knee. The small pouches are filled with a thick fluid and are meant to lubricate joints and protect body parts from friction.

The trochanteric bursa, like other bursae, may become inflamed if the hip is overused or injured. Trochanteric bursitis affects about five of every 1,000 adults and generally occurs in middle-aged or older people, though people of any age may get the condition.

Active adults who regularly walk, run, or cycle may be susceptible to trochanteric bursitis. The side of the leg includes a long piece of connective tissue called the iliotibial band (ITB), which runs from the hip to the knee. If the ITB is tight from hard use, it may rub against the trochanteric bursa and cause irritation, leading to bursitis.

Other causes of trochanteric bursitis include:

• muscle tears
• hip injuries
• hip surgery complications
• poor posture
• diseases such as gout (a form of arthritis with sudden, sharp attacks of pain, often at the base of the big toe)

Symptoms

You’ll first notice trochanteric bursitis when you feel pain at the outside of your hip.

At first, the pain may be sharp, but with time, it may turn into a dull ache. Moving your hip, particularly going down stairs, might make the pain worse.

If left untreated, the pain may start going down your upper leg. You’ll likely feel it when you lay on the side of your affected hip and when getting up from a chair. The joint becomes stiff, and the bursa itself is sensitive to touch.

In extreme cases, your hip joint may become red and swollen and you may even have a fever.

If you’ve had these symptoms for more than 2 weeks without improvement, you should see a doctor.

Diagnosis

When you visit your doctor, they’ll most likely do a physical exam, focusing on how long you’ve had the condition and specific movements that cause the pain.

They may order X-rays to rule out other issues, since bursitis itself doesn’t show up on X-rays. You could get an ultrasound test, and you may get an MRI if your hip isn’t responding to treatment.

In some cases, your doctor may inject your bursa with an anesthetic. If the pain goes away at once, you most likely have trochanteric bursitis.

Treatment

Treatments are generally nonsurgical and easy to do at home. They might include:

• Ice. Apply ice packs to your hip every 4 hours for 20 to 30 minutes at a time. Cold numbs the area, which can reduce pain and may cut down on swelling and inflammation.
• Anti-inflammatory medications. Over-the-counter medications such as ibuprofen (Advil, Motrin) and naproxen (Aleve), and prescription pain relievers such as celecoxib (Celebrex) can reduce pain and swelling. Be sure to check with your doctor before taking them, however.
• Rest. If you can stay off your hip, you can give it time to heal. Using walkers, crutches, and other tools may help as well.
• Physical therapy. An expert therapist can give you exercises to improve flexibility and strengthen your muscles.

Other treatments require a trip to the doctor’s office. They might include:

• Cortisone shots. Cortisone is a powerful anti-inflammatory medication. Athletes sometimes use these to reduce swelling and pain.
• Low-energy shock wave therapy. Acoustic shock waves are passed through the skin with a targeted device. One analysis showed that more than two-thirds of patients given shock wave therapy were cured or greatly improved after 4 months.
• Surgery. Though surgery is rarely needed, the bursa can be removed if it is beyond repair. It’s usually an outpatient procedure, meaning no overnight hospital stay. A surgeon will use an arthroscope — a kind of camera — and tiny instruments, as with common knee and elbow surgeries.

Prevention

You can stop trochanteric bursitis from becoming worse — or never have it at all — if you take care of your hips (and the rest of your body) properly. Among the things you can do:

• Exercise the right way. It’s great being active, but train properly. That means stretching, warming up, and listening to your body.
• Wear proper orthotics or inserts. One cause of trochanteric bursitis is having one leg shorter than the other. Inserts can even out your gait.
• Drop some pounds if you’re overweight. It’s a sure way of taking pressure off your hips.

Greater Trochanteric Pain Syndrome (Trochanteric Bursitis) | Thigh Muscle Pain

Greater trochanteric pain syndrome can sometimes cause a lot of pain and also difficulty with walking. The pain is usually caused by injury, prolonged pressure or repetitive movements. Runners may have this problem. People who have had surgery to their hip can also have this type of pain.

How common is it?

Greater trochanteric pain syndrome affects about 1 in 300 people each year. It is most common in women between 40-60 years of age. It can occur in younger people, especially runners, footballers and dancers.

What are the symptoms?

The most common symptom is pain in your outer thigh and hip area. Many people find this pain to be a deep pain which may be aching or burning. The pain may become worse over time.

The pain may be worse when you are lying on your side, especially at night. The pain may also be made worse by doing any exercise. You may find that you walk with a limp.

Greater trochanteric pain syndrome often goes away (resolves) on its own over time.

What are the causes of greater trochanteric pain syndrome?

Your hip area includes the ball and socket hip joint (you can find out more details in our leaflet called Hip Problems) as well as the muscles, nerves and tough connective tissue around it.

Most cases are due to minor injury or inflammation to tissues in your upper, outer thigh area. The causes of greater trochanteric pain syndrome include:

• An injury such as a fall on to the side of your hip area.
• Repetitive movements involving your hip area, such as excessive running or walking.
• Prolonged or excessive pressure to your hip area (for example, sitting in bucket car seats may aggravate the problem).
• Some infections (for example, tuberculosis) and some diseases (for example, gout and arthritis) can be associated with an inflamed fluid-filled sac (bursa).
• The presence of surgical wire, implants or scar tissue in the hip area (for example, after hip surgery).
• Having a difference in your leg length.

Is it the same as trochanteric bursitis?

Greater trochanteric pain syndrome used to be called trochanteric bursitis. This was because the pain was thought to be coming from an inflamed bursa that lies over the greater trochanter. A bursa is a small sac filled with fluid which helps to allow smooth movement between two uneven surfaces. There are various bursae in the body and they can become inflamed due to various reasons.

However, research suggests that most cases of greater trochanteric pain syndrome are due to minor tears or damage to the nearby muscles, tendons or fascia, so that an inflamed bursa is an uncommon cause. So, rather than the term trochanteric bursitis, the more general term, greater trochanteric pain syndrome, is now preferred.

How is it diagnosed?

The diagnosis is usually made based on your symptoms and an examination by a doctor. Your doctor will usually examine your hip and legs. You may find it be to be very tender when your doctor presses over the area of the greater trochanter.

Tests (investigations) are not normally needed. However, tests might be necessary if your doctor suspects that infection of the fluid-filled sac (bursa) is the cause (but this is rare). Tests may also be necessary if the diagnosis is not clear. For example, an X-ray of your hip or an MRI scan may be needed.

What are the treatment options for greater trochanteric pain syndrome?

Greater trochanteric pain syndrome will usually resolve without any specific treatment. However, it often takes several weeks or more and for some unlucky people, may last months or even longer.

Reducing or avoiding activity (such as running or excessive walking) for a while, may help to speed recovery. In addition, the following may be useful:

• Early on, applying an ice pack (wrapped in a towel) for 10-20 minutes several times a day may improve your symptoms.
• Taking paracetamol or non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen may help to reduce the pain.
• Losing weight. If you are overweight or obese then losing some weight is likely to improve your symptoms.
• Physiotherapy is often used and is often very effective.
• Injection of steroid and local anaesthetic. If the above measures do not help then an injection into the painful area may be beneficial.
• If the condition is severe or persistent then you may be referred to a specialist for advice regarding further treatment.

Joint (intra-articular) steroid injection

There is strong evidence of a short-term benefit from peri-trochanteric corticosteroid injections for up to three months with the greatest effect at six weeks; however, pain coming back in the long term is common. Peri-trochanteric corticosteroid injections may be most useful if used for pain relief in the short term to enable physiotherapy which will improve the long-term outlook (prognosis).

What is the outlook for greater trochanteric pain syndrome?

Greater trochanteric pain syndrome is usually a self-limiting condition and resolves in over 90% of people with conservative treatment such as rest, analgesia, physiotherapy, and corticosteroid injection.

Risk factors for a poorer outcome include a worse symptom profile, ie greater pain intensity, longer duration of pain, greater limitation of movement, and greater loss of function, and older age.

Hip Problems | Johns Hopkins Medicine

What is the hip?

The hip is the area on each side of the pelvis. The pelvis bone is made up of 3 sections:

• Ilium. The broad, flaring portion of the pelvis.

• Pubis. The lower, rear part of the pelvis.

• Ischium. One of the bones that helps form the hip.

The hip joint is a ball-and-socket joint that allows motion and gives stability needed to bear body weight.

The socket area (acetabulum) is inside the pelvis. The ball part of this joint is the top of the thighbone (femur). It joins with the acetabulum to form the hip joint.

The hip is one of the most stable joints in the body. But because it bears your body weight, it is more likely to develop arthritis because of the extra pressure. Pain in the hip may be caused by injury to muscles, tendons, or the small fluid-filled sacs (bursae) that cushion and lubricate joints.

What are common hip problems?

The following are some of the most common hip problems:

Arthritis

Arthritis is the most common cause of the breakdown of hip tissue. Three kinds of arthritis commonly affect the hip:

• Osteoarthritis.  Also referred to as “wear and tear” arthritis. This type of arthritis damages the cartilage that cushions the bones of the hip wearing away. This lets the bones then rub together, causing hip pain and stiffness.

• Rheumatoid arthritis. This disease causes the lining of the joint (synovial membrane) to become irritated and make too much fluid. It damages the cartilage, leading to pain and stiffness.

• Traumatic arthritis. Often the result of an injury or fracture. 

Bursitis

In bursitis, the fluid-filled sac (bursa) in the joint becomes inflamed. The bursa functions as a gliding surface to reduce friction between tissues. There are 2 major bursae of the hip. Both can cause stiffness and pain around the hip joint:

• Trochanteric bursa. The bursa on the side of the hip and separated from the actual hip joint by tissue and bone.

• Iliopsoas bursa. The bursa in the upper buttock area.

Other common hip problems:

• Avascular necrosis. This condition involves the loss of bone caused by not getting enough blood. It can also be caused by injury or bone tumors. It may lead to breakdown of the hip joint.

• Hip pointer. A bruise or tear in the muscle that connects to the top of the ilium. The ilium is the crest of the pelvis, just below the waist. Causes of a hip pointer may include a blow, a fall, or a quick twist or turn of the body.

Hip Fracture | Cedars-Sinai

Not what you’re looking for?

What is a hip fracture?

A hip fracture is a break in the
thighbone (femur) of your hip joint.

Joints are areas where two or more
bones meet. Your hip joint is a “ball and socket” joint, where your thighbone meets
your
pelvic bone. The ball part of your hip joint is the head of the thighbone. The socket
is
a cup-like structure in your pelvic bone. This is called the acetabulum. Hip fracture
is
a serious injury and needs immediate medical attention.

Most hip fractures happen to people
older than age 60. The incidence of hip fractures increases with age, doubling for
each
decade after age 50. Caucasians and Asians are more likely to be affected than others.
This is primarily because of a higher rate of osteoporosis. Osteoporosis (loss of
bone
tissue) is a disease that weakens bones.

Women are more prone to
osteoporosis than men; therefore, hip fracture is more common among women. More than
1.5 million Americans have fractures each year because of osteoporosis.

Either a single break or multiple breaks can happen in a bone. A hip fracture is classified
by the specific area of the break and the type of break(s) in your bone.

The most common types of hip fractures are:

• Femoral neck fracture. A femoral neck fracture happens 1
  to 2 inches from your hip joint. This type of fracture is common among older adults
  and can be related to osteoporosis. This type of fracture may cause a complication
  because the break usually cuts off the blood supply to the head of the thighbone,
  which forms the hip joint.

• Intertrochanteric hip fracture. An intertrochanteric hip
  fracture happens 3 to 4 inches from your hip joint. This type of fracture does not
  usually interrupt the blood supply to your bone and may be easier to repair.

Most hip fractures fall into these
two categories in relatively equal numbers. Another type of fracture, called a stress
fracture of the hip, may be harder to diagnose. This is a hairline crack in the
thighbone that may not involve your whole bone. Overuse and repetitive motion can
cause
a stress fracture. The symptoms of this injury may mimic those of tendonitis or muscle
strain.

What causes a hip fracture?

A fall is the most common reason
for a hip fracture among the elderly. A few people may have a hip fracture happen
spontaneously. If you are younger, a hip fracture is generally the result of a car
accident, a fall from a great height, or severe trauma.

Hip fracture is more common in older people. This is because bones become thinner
and weaker from calcium loss as a person ages. This is generally due to osteoporosis.

Bones affected by osteoporosis are more likely to break if you fall. Most hip fractures
that older people get happen as a result of falling while walking on a level surface,
often at home.

If you are woman, you lose 30% to
50% of your bone density as you age. The loss of bone speeds up dramatically after
menopause because you make less estrogen. Estrogen contributes to maintaining bone
density and strength.

Who is at risk for hip fracture?

You are at risk for a hip fracture
if you have osteoporosis. Older age also puts you at more risk. Other things that
may
raise your risk include:

• Excessive alcohol consumption
• Lack of physical activity
• Low body weight
• Poor nutrition, including a diet low in calcium and vitamin
  D
• Gender
• Tall stature
• Vision problems
• Thinking problems such as
  dementia
• Physical problems
• Medicines that cause bone loss
• Cigarette smoking
• Living in an assisted-care
  facility
• Increased risk for falls, related to
  conditions such as weakness, disability, or unsteady gait

There may be other risks, depending
on your specific health condition. Discuss any concerns with your healthcare
provider.

What are the symptoms of a hip fracture?

The following are the most common
symptoms of a hip fracture:

• Hip pain or pain that you can feel in
  your knee
• Low back pain
• Inability to stand or walk
• Bruising and swelling
• Foot turned out at an odd angle, making your leg look shorter

The symptoms of hip fracture may
seem like other medical conditions. Always see your healthcare provider for a
diagnosis.

How is a hip fracture diagnosed?

In addition to a complete medical history and physical exam, diagnostic procedures
for hip fracture may include the following:

• X-ray. Invisible electromagnetic energy beams produce
  images of internal tissues, bones, and organs onto film.
• MRI. A combination of large magnets, radio waves, and a
  computer make detailed images of organs and structures within your body.
• CT scan. This is an imaging test that uses X-rays and a
  computer to make detailed images of the body. A CT scan shows details of the bones,
  muscles, fat, and organs. CT scans are more detailed than standard X-rays.

How is a hip fracture treated?

A fracture of your hip is generally
treated with surgery. Your surgeon may use metal devices to strengthen and stabilize
your joint. In some cases, they may do a partial or total hip replacement. The type
of
surgical repair will depend on the type of hip fracture. Your surgeon will determine
the
best procedure for you, based on your situation. The goal of treatment is to provide
relief from pain and enable you to resume your normal activity level. Hip surgery
usually requires an in-hospital stay. While in the hospital, you start doing physical
therapy exercises to regain strength and range of motion in your hip. Physical therapy
will continue at home or on admission to a rehabilitation facility.

What are possible complications of hip fracture?

Serious complications can result from a hip fracture. Blood clots can happen in the
veins, usually in your legs. If a clot breaks off, it can travel to a blood vessel
in your lung. This blockage, called a pulmonary embolism, can be fatal.

Other complications can include:

• Pneumonia
• Muscle atrophy (wasting of muscle tissue)
• Postoperative infection
• Nonunion or improper union of your bone
• Mental deterioration after surgery in
  older patients
• Bedsores from lying in the same position with minimal movement

With some fractures, blood can’t
circulate properly to the head of the thigh bone. This results in a loss of blood
supply
to this area. This is called femoral avascular necrosis. This complication may happen,
depending on the type of fracture and the anatomy of your blood supply to the head
of
the thigh bone. This is more common with femoral neck fractures.

Most people spend 1 to 2 weeks in
the hospital after a hip fracture. The recovery period may be lengthy and may include
admission to a rehabilitation facility. If you were previously able to live
independently, you will generally need help from home caregivers or family, or need
the
services of a long-term care facility. Hip fractures can result in a loss of
independence, reduced quality of life, and depression. This is especially true for
older
people.

What can I do to prevent a hip fracture?

Preventive measures include taking enough calcium every day.

If you are a woman at menopause, you should consider having a bone density test. This
measures your bone mineral content and the thickness of your bone. This measurement
can indicate decreased bone mass. This is a condition in which your bones are more
brittle and more prone to break or fracture easily. A bone density test is used primarily
to diagnose osteoporosis and to determine fracture risk.

Women make less estrogen when
menopause starts. Most people do not know they have osteoporosis until they have a
fracture.

Another way to help prevent hip
fracture is to do regular weight-bearing exercise, such as walking, jogging, or hiking.
Exercise programs such as tai chi help promote strength and balance.

Other preventive measures may include:

• Taking medicines as prescribed by
  your healthcare provider to prevent bone loss
• Eating a diet rich in vitamin D and
  calcium, including milk, cottage cheese, yogurt, sardines, and broccoli
• Stopping smoking
• Not drinking too much alcohol
• Keeping objects, such as electrical
  cords, off the stairs and floors to prevent falls
• Using slip-resistant rugs next to the
  bathtub, and installing grab bars in the tub
• Positioning night lights from the
  bedroom to the bathroom
• Using rug pads or nonskid backing to
  keep rugs in place
• Not using unsteady furniture or step
  ladders to stand on
• Visiting an ophthalmologist every year
  to have vision checked and vision loss treated

Key points about hip fracture

• Most hip fractures happen to people of older age.
• A fall is the most common reason for a
  hip fracture among elderly adults.
• Hip fracture is more common among
  women.
• Osteoporosis and advancing age are the
  major risk factors.
• A fracture of the hip is generally
  treated with surgery.
• Serious complications can result from
  a hip fracture.
• Women at menopause should consider
  having a bone density test.
• Regular weight-bearing exercise helps
  to prevent a hip fracture.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

• Know the reason for your visit and what you want to happen.
• Before your visit, write down questions you want answered.
• Bring someone with you to help you ask questions and remember what your provider tells
  you.
• At the visit, write down the name of a
  new diagnosis and any new medicines, treatments, or tests. Also write down any new
  instructions your provider gives you.
• Know why a new medicine or treatment
  is prescribed and how it will help you. Also know what the side effects are.
• Ask if your condition can be treated in other ways.
• Know why a test or procedure is recommended and what the results could mean.
• Know what to expect if you do not take the medicine or have the test or procedure.
• If you have a follow-up appointment, write down the date, time, and purpose for that
  visit.
• Know how you can contact your provider
  if you have questions.

Medical Reviewer: Thomas N Joseph MD

Medical Reviewer: Raymond Turley Jr PA-C

Medical Reviewer: Stacey Wojcik MBA BSN RN

© 2000-2021 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional’s instructions.

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Musculoskeletal Pain – Bone, Joint, and Muscle Disorders

Musculoskeletal pain can be caused by disorders of bones, joints, muscles, tendons, ligaments, bursae, or a combination (see Introduction to the Biology of the Musculoskeletal System Introduction to the Biology of the Musculoskeletal System The musculoskeletal system provides form, stability, and movement to the human body. It consists of the body’s bones (which make up the skeleton), muscles, tendons, ligaments, joints, cartilage… read more ). Injuries are the most common cause of pain.

Bone pain is usually deep, penetrating, or dull. It commonly results from injury. Other less common causes of bone pain include bone infection (osteomyelitis Osteomyelitis Osteomyelitis is a bone infection usually caused by bacteria, mycobacteria, or fungi. Bacteria, mycobacteria, or fungi can infect bones by spreading through the bloodstream or, more often, by… read more ), hormone disorders, and tumors Overview of Bone Tumors Bone tumors are growths of abnormal cells in bones. Bone tumors may be cancerous (malignant) or noncancerous (benign). Cancerous tumors may start in the bone (primary cancer) or start in other… read more .

Muscle pain (known as myalgia) is often less intense than bone pain but can be very unpleasant. For example, a muscle spasm or cramp (a sustained painful muscle contraction) in the calf is an intense pain that is commonly called a charley horse. Pain can occur when a muscle is affected by an injury, loss of blood flow to the muscle, infection, or a tumor. Polymyalgia rheumatica Polymyalgia Rheumatica Polymyalgia rheumatica involves inflammation of the lining of joints, causing severe pain and stiffness in the muscles of the neck, back, shoulders, and hips. The cause is unknown. The neck… read more is a disorder that causes severe pain and stiffness in the neck, shoulders, upper and lower back, and hips.

Bursae pain can be caused by trauma, overuse, gout, or infection. Bursae are small fluid-filled sacs that provide a protective cushion around joints. Usually, pain is worse with movement involving the bursa and is relieved by rest. The affected bursa may swell.

Joint pain (called arthralgia) may or may not be related to joint inflammation (called arthritis). Arthritis may cause swelling as well as pain. A wide variety of disorders can cause arthritis, including inflammatory arthritis (such as rheumatoid arthritis Rheumatoid Arthritis (RA) Rheumatoid arthritis is an inflammatory arthritis in which joints, usually including those of the hands and feet, are inflamed, resulting in swelling, pain, and often destruction of joints. … read more ), osteoarthritis Osteoarthritis (OA) Osteoarthritis is a chronic disorder that causes damage to the cartilage and surrounding tissues and is characterized by pain, stiffness, and loss of function. Arthritis due to damage of joint… read more , infectious arthritis Infectious Arthritis Infectious arthritis is infection in the fluid and tissues of a joint usually caused by bacteria but occasionally by viruses or fungi. Bacteria, viruses, or fungi may spread through the bloodstream… read more , gout Gout Gout is a disorder in which deposits of uric acid crystals accumulate in the joints because of high blood levels of uric acid (hyperuricemia). The accumulations of crystals cause flare-ups … read more and related disorders, autoimmune disorders (such as systemic lupus erythematosus Systemic Lupus Erythematosus (SLE) Systemic lupus erythematosus is a chronic autoimmune inflammatory connective tissue disorder that can involve joints, kidneys, skin, mucous membranes, and blood vessel walls. Problems in the… read more ) and vasculitic disorders (such as immunoglobulin A–associated vasculitis Immunoglobulin A–Associated Vasculitis Immunoglobulin A–associated vasculitis (formerly called Henoch-Schönlein purpura) is inflammation of mainly small blood vessels that most often occurs in children. A rash of reddish purple bumps… read more ), osteonecrosis Osteonecrosis Osteonecrosis is the death of a segment of bone caused by an impaired blood supply. Osteonecrosis can be caused by an injury or can occur spontaneously. Typical symptoms include pain, limited… read more , and injuries affecting the part of a bone inside a joint. Arthritic pain can be new (acute, for example, when caused by infections, injuries, or gout), or longstanding (chronic, for example, when caused by rheumatoid arthritis or osteoarthritis). Pain resulting from arthritis is typically worse when the joint is moved but usually is present even when the joint is not being moved. Sometimes pain originating in structures near the joint, such as ligaments, tendons, and bursae, seems to be coming from the joint.

Fibromyalgia Fibromyalgia Fibromyalgia is characterized by poor sleep, fatigue, mental cloudiness, and widespread aching and stiffness in soft tissues, including muscles, tendons, and ligaments. Poor sleep, stress, strains… read more may cause pain in the muscles, tendons, or ligaments. The pain is usually felt or causes tenderness in multiple locations and may be difficult to describe precisely but is usually not coming from the joints. Affected people usually have other symptoms, such as fatigue and poor sleep.

Sometimes, pain that seems to be musculoskeletal is actually caused by a disorder in another organ system. For instance, shoulder pain may be caused by a disorder affecting the lungs, spleen, or gallbladder. Back pain may be caused by a kidney stone Stones in the Urinary Tract Stones (calculi) are hard masses that form in the urinary tract and may cause pain, bleeding, or an infection or block of the flow of urine. Tiny stones may cause no symptoms, but larger stones… read more , abdominal aortic aneurysm Abdominal Aortic Aneurysms Abdominal aortic aneurysms are bulges (dilations) in the wall of the aorta in the part that passes through the abdomen (abdominal aorta). Abdominal aortic aneurysms typically slowly expand and… read more , inflammation of the pancreas, or, in women, pelvic disorders. Arm pain may be caused by a heart attack Acute Coronary Syndromes (Heart Attack; Myocardial Infarction; Unstable Angina) Acute coronary syndromes result from a sudden blockage in a coronary artery. This blockage causes unstable angina or heart attack (myocardial infarction), depending on the location and amount… read more (myocardial infarction).

Hip Pain: Causes, Treatment, and Prevention

When you have pain in your hip, it may be due to a problem in the joint itself. However, sometimes hip pain does not originate in the hip at all, but in other parts of the body which radiate, or refer, pain to the hip area. These areas include the ligaments, muscles, tendons, bones, joints, and other tissues surrounding the hip.

The space that houses the hip is called the acetabulum. It is an open area holding a small amount of fluid to allow the top of the thigh bone (the femur) to glide about in the socket without friction.

The cartilage along the head of the femur (the femoral head), as well as the tough rim of the acetabulum, called the labrum, are designed to allow for flexibility and movement.

However, these areas of cartilage are subject to aging’s wear and tear or could be injured, leading to pain.

If you experience an injury to the hip or any of its surrounding tissues, inflammation can set in. This can lead to the collection of fluid or blood in the acetabulum or the stretching of the lining of the hip capsule, with pain as a result.

Hip Pain Causes 

Diseases that cause hip pain

In all cases, inflammation is a major factor. Pain is a symptom, along with redness, swelling, and a warm sensation. Any illness or disease originating in the hip region can become a source of pain.

• Arthritis: The gradual wearing down of the hip joint’s tissues can lead to degeneration of the cartilage there, with arthritis as a result.

• Avascular necrosis: People using long courses of corticosteroids such as prednisone risk losing their blood supply to the femoral head; when this happens, the tissue weakens and pain occurs.

• Bursitis: Large sacs of fluid (bursae) surround the hip areas; pain signifies inflammation to these areas.

• Cancer: Because of the eroding side effect of cancer treatments, or due to the thinning of bones that might be the result of cancer, pain can be troubling in the hip.

• Legg-Calve-Perthes disease: This is the pediatric version of avascular necrosis; it occurs in children between the ages of 4 and 8.

• Osteomyelitis: This is a blood- or tissue-borne bone infection that causes bone death.

• Osteoporosis: When new bone does not replace old bone quickly enough, degeneration of the existing bones can lead to brittleness, fractures, and breaks.

Injuries that cause hip pain

• Hip dislocation: Any kind of trauma can lead to the dislocation of the femur bone from its place in the acetabulum, leading to major discomfort and pain.

• Hip fracture: This is the bane of the elderly and those who suffer from osteoporosis.

  It takes just one bad fall to crack or break the bones around the hip, which leads to severe pain.

  Most hip fractures are actually fractures of the femur; only in cases of trauma (such as a serious car accident) does actual fracturing of the acetabulum occur.  

• Inflammation from general trauma: Pain is a symptom of inflammation, along with redness, swelling, and a warm sensation. Any kind of blunt force against the body can be the source of inflammation leading to hip pain

• Labral tear of the hip: While participating in certain kinds of sports, a person risks tearing the labrum. This tough rim of the hip joint can also tear due to structural problems.

• Pinched nerves: In particular, the sciatic nerve, at the lower end of the spinal cord, can become pinched and lead to hip pain. Other nerves may also become pinched, such as the lateral femoral cutaneous nerve in the thigh—a problem of inflammation for some pregnant women—and herniation of the inguinal or femoral nerve.

• Referred pain: When trauma in other parts of the body (such as the lower back or knees) radiates pain, this can be felt in the hip. For instance, the iliotibial band—the tissue that connects the pelvis to the knee by way of the outside of the thigh—can cause pain in either the knee, the hip, or both areas.

• Sprains or strains: Sprains refer to damage to the ligaments around the hip area; damage to the muscles and tendons here are called strains.

• Tendonitis: Irritation of the thick cords that connect muscle to bone. Overuse of the tendons around the hips can cause serious inflammation. Eventual rupturing of these tendons is also a concern.

Hip pain treatment

For minor hip pain 

Here are some tried-and-true helps for managing low-level hip pain.

• Ice or heat. Cold packs applied, wrapped in a towel, against your hip can help. The opposite—a warm bath or shower or warm compress—may also offer some relief.

• Mild exercise. It seems counterintuitive, but mild stretching and movement can help relieve pain and improve circulation to the hip area.

• Pain relievers. These classic drugstore solutions can help ease hip pain: acetaminophen, ibuprofen, and naproxen sodium.

• Rest. Give your sore hip a break by letting it relax. Try to avoid putting pressure on it. Don’t sit for a long time, and when you lie down, do so on the hip that’s not sore.

• Weight loss. If you recently gained a little weight (5 to 10 pounds), it might be worth it to try to shed those extra pounds. Added weight places a burden on our joints, especially the ones that help us move around: the joints of the hips, legs, knees, and feet. Even just a little weight loss can bring relief.

For acute hip pain

In all of these cases, the best solution is to seek professional medical attention.

• A joint that appears deformed may be dislocated.

• Inability to move your leg or hip could be caused by any number of things.

• Inability to bear weight on the affected leg is a sign that something is wrong.

• Intense pain is always an indicator that you need to seek medical help.

• Sudden swelling suggests inflammation caused by an injury or other internal insult. 

For problems which have resulted in degeneration or breakage of the hip bones, a surgical replacement procedure may be necessary to regain mobility and eliminate chronic pain.

Hip pain prevention

Safe and regular exercise, healthy weight management, and a bone-building diet can go a long way to preventing hip pain for years to come.  Check out these tips for healthy, happy hips!

• Move the hip joint with gentle stretches, easy aerobic exercise, aquatic therapy, or mild resistance training to improve circulation and mobility. These can help prevent pain that’s caused by arthritis or overuse.

• Physical therapy for preexisting injuries or damage to the joints can keep hips in working order.

• Don’t ignore minor injuries. Treat them so they don’t become major injuries, which can lead to hip pain down the road.

• For those working at a desk job, switching up your posture by changing chairs, standing while you work, or taking frequent walking or stretching breaks can help the onset of hip pain.

• Stretch before brisk exercise to ensure the joints are loose, your blood and joint fluids are circulating, and the connective tissues are warm and elastic. Don’t forget to cool down afterward.

• Listen to your body. If you experience pain in your joints, you might be overdoing it. Take a break to stretch and check in with your joints and muscles.

• Wear appropriate shoes to cut down on stress not only to the feet, but to the ankles and knees, which can lead to hip problems. Avoid exercising on hard, unforgiving surfaces as well. 

• Lose a few pounds; excessive weight puts pressure on the joints, making them less flexible.

• Rest adequately after periods of exercise to allow your joints and tissues complete recovery.

• Eat a healthy diet to ensure you are building strong bones.

• Regular exercise helps keeps the muscles strong and improves circulation to all of the tissues; when muscles and tissues are flexible and strong, they are less likely to be injured.

• If you need additional help with walking, don’t ignore your options. Canes, walkers, crutches, and other assistive devices are meant to help you maintain good posture, which is essential for avoiding pain in the back, neck, and hips.

Coastal Orthopedics know all about hips and hip pain. We understand that injuries happen, but they do not have to stand in your way. Please allow us to help with identifying and treating, or even preventing, your hip pain. Call us today in Corpus Christi at (361) 248-1253.

Article written by: Rob Williams, MD

Symptoms, Types of Hip Arthritis, Treatment

When Lois W.’s hip pain from osteoarthritis started a few years ago, she could manage it with cortisone injections a few times a year. But it didn’t stay that way. Over time, “I started walking with a limp and had very limited mobility in my hip,” she says, noting that she became unable to sit in a cross-legged position. Eventually, things worsened to the point that she was in “severe daily pain” for almost two years before she decided to have a hip replacement surgery.

The hip is a ball-and-socket joint. The “ball” is the top of your thigh bone; it sits in a “socket” that is formed by part of your pelvic bone. Slippery tissue called cartilage covers the bone surface and helps cushion the joint, creating a low-friction environment so you can move easily and without pain.

When you have arthritis in the hip, you can start to lose that cartilage in the joint that cushions the bones. You can experience inflammation and pain in reaction to that degeneration. “Arthritis is a wear-and-tear or immune response that makes this cartilage get thinner or wear away,” says Jonathan M. Vigdorchik, MD, hip and knee surgeon at the Hospital for Special Surgery in New York City. “It’s like the treads on a tire. As you wear out the treads, they get thinner and thinner.”

Everyday tasks like bending over to tie a shoe, getting up from a chair, or going for a walk become more challenging and downright painful.

With rheumatoid arthritis (RA) and other forms of inflammatory arthritis, the immune system mistakenly attacks the protective lining in your joint called the synovium and destroys cartilage. Though RA tends to affect smaller joints first (such as those in your hands and feet), symptoms can spread to one or both your hips as the disease progresses. In osteoarthritis (OA), the cartilage in the hip joint gradually wears down, which over time leads to pain, stiffness, swelling, and lack of mobility.

Learn more about what causes hip arthritis and how it is treated.

Symptoms of Arthritis in the Hip

Common symptoms of hip arthritis may include:

• Pain in the hip joint, which may include pain in the groin, buttock, or outer thigh
• Pain that radiates down the inside of the leg
• Occasional knee pain, usually on the inside of the knee
• “Locking” or “sticking” of the hip joint
• Grinding noise (called crepitus) when you move; it’s caused by loose fragments of cartilage and other tissue that interfere with the motion of the joint
• Difficulty walking or decreasing distance that you can walk
• Walking with a limp (loved ones and friends may notice the limp)
• Difficulty walking up or down stairs
• Difficulty getting in and out of a car
• Difficulty bending over, such as to put on socks and shoes
• Difficulty sleeping or pain that wakes you up at night
• Pain that worsens with vigorous or extended activity
• Stiffness in the hip or limited/decreased range of motion (ex: can’t sit cross-legged)
• Limited ability to do everyday activities
• Pain comes and goes; as it progresses, good days decrease and bad days increase
• Leg on the affected side may become shorter

“It aches all the time especially when I move my hip left or right, of if I bend down for something,” CreakyJoints member Joyce F., who has rheumatoid arthritis, shared on Facebook. The hip pain affected her ability to walk far or lift her foot to use stairs. “Sleeping at night is a painful agony as I cannot stay in one position for very long without pain waking me up,” she added.

Mary Y., who has osteoarthritis and sacroiliac joint pain, agreed that sleeping with hip pain is hard because she can’t sleep on her side. In addition, “standing for any length of time is torture,” she says. “There is never a moment when I don’t have deep aching pain in my hip.”

Types of Arthritis that Affect the Hips

If you have arthritis in your hips, it’s important to understand the type of arthritis that might be causing it. That’s because each type can have its own specific medications and treatments. Here are some of the more common types of arthritis that strike in hips.

Osteoarthritis

Osteoarthritis is the most common type of hip arthritis. Osteoarthritis (OA) is a degenerative joint disease where the cartilage that cushions the ends of a joint wears away gradually. Osteoarthritis often occurs because of typical wear and tear on a joint that happens with age; it can also occur as a result of injury to the joint. The lifetime risk of developing osteoarthritis of the hip is about 25 percent, although many people will have only mild symptoms, says rheumatologist Neal Birnbaum, MD, former president of the American College of Rheumatology and founder of Pacific Rheumatology Associates Medical Group in San Francisco.

Osteoarthritis may occur in one hip but not the other. Those who develop OA of the hip at an earlier age are often born with a congenital deformity of the hip joint called hip dysplasia, says Dr. Birnbaum.

Axial spondyloarthritis and ankylosing spondylitis

Axial spondyloarthritis (axSpA) is a type of inflammatory arthritis that primarily affects the back and sacroiliac joints (where the spine connects with the pelvis), though it can affect other joints too.

AxSpA is an umbrella for a spectrum of disease that includes non-radiographic axial spondyloarthritis (nr-axSpA) — in which there is inflammation in the spine and sacroiliac joints but no visible changes to the joints on X-ray — and ankylosing spondylitis (AS), which is when joint damage is visible on X-rays.

Hip involvement is common in axSpA; studies suggest it can affect up to 20 to 30 percent of patients and can often be disabling. Hip symptoms in axSpA may, in fact, be an indicator of having more severe disease and be associated with a likelihood of having more bone damage over time, research shows.

Post-traumatic arthritis

This common type of hip arthritis develops as a result of injury, even one that happened a long time ago. For example, a sprain, fracture, or dislocation may damage cartilage after you’ve been injured in a fall, car accident, or sport. That can lead to premature deterioration of the joint. Symptoms may appear within a few years, or it can take decades for joint damage from an injury to cause pain. It happens in 5 to 10 percent of patients with arthritis of the hip, says Dr. Vigdorchik.

Post-traumatic arthritis generally affects younger adults; according to 2016 research in the journal RMD Open, “patients with disabling OA who had had an articular injury are more than 10 years younger than those who did not have joint trauma.”

Rheumatoid arthritis

Rheumatoid arthritis (RA) is a chronic inflammatory disease in which the body’s immune system attacks itself, causing inflammation, swelling, stiffness, and pain in various joints. RA often first occurs in the small joints of the hands and feet, though it can affect other joints, such as the knees, elbows, hip, and neck.

RA is often considered symmetrical, typically affecting both hips at the same time, but it can involve both sides at different times.

Arthritis in the hips due to RA used to be more significant, says Matt Miller, MD, an arthritis and joint replacement surgeon at Stanford Medicine in California. Thanks to advances in medicine, such as disease-modifying drugs (DMARDS, including biologics) and in joint replacement surgery, debilitation from arthritis in the hips with RA is less common now, he says.

A study published in The American Journal of Pharmacy Benefits showed that while rates of hip and knee replacement surgery almost tripled in the general population over the 15-year study period, they decreased for people with a primary diagnosis of RA.

“The introduction of biologics for the treatment of RA was associated with a reduction in the proportion of patients with a primary diagnosis of RA among all RA patients receiving TKR [total knee replacement] and THR [total hip replacement] surgeries,” the study authors concluded.

Systemic lupus erythematosus

Lupus is an autoimmune disease that occurs when your immune system attacks your own tissues and organs. The inflammation from lupus can affect different parts of the body, including the joints, kidneys, brain and central nervous system, heart, lungs, and blood vessels. There are different types of lupus; the most common type is systemic lupus erythematosus (SLE), which accounts for approximately 70 percent of all cases of lupus, according to the Lupus Foundation of America.

Lupus may affect both hips at the same time. Hip disease in SLE is usually related to avascular necrosis, where the hip loses blood supply abruptly, causing pain and reduced range of motion, says Brett Smith, DO, a rheumatologist with Blount Memorial Physicians Group in Alcoa, Tennessee. (It’s akin to a stroke or heart attack in your bones.) Research suggests this complication occurs in about 10 percent of lupus patients.

If avascular necrosis of the hip progresses, the femoral head (top of your thigh) can fracture and require a total hip replacement. This can happen spontaneously in lupus, but it’s more commonly associated with patients who are taking prolonged high doses of steroids, he says.

How Arthritis in the Hips Is Diagnosed

The diagnosis of arthritis in the hips begins with taking your medical history and doing a physical exam of your hip. The doctor will look at where you’re in pain and how well you can move the hip (how range of motion is impacted). Dr. Vigdorchik says he watches patients walk to assess their gait. “If they’re tilting their body over the hip that hurts, that’s the body’s response to making it hurt less,” he says.

Your doctor will ask questions that can help make sure your pain is indeed coming from the hip and not due to a different problem. Other conditions like a hernia or a pinched nerve in the back can mimic pain from arthritis in the hip.

X-rays of the hips and spine can determine if the joint has any abnormalities and assess where your pain is coming from. They can reveal such changes indicative of arthritis, including:

• Thinning or erosion in the bones
• Loss of joint space
• Excess fluid in the joint

You may need other imaging, such as an MRI or a CT scan, to get a clearer picture if an X-ray doesn’t show enough, says Dr. Vigdorchik.

If your doctor suspects that inflammatory arthritis could be responsible for your hip pain, they will order additional blood tests to check for levels of inflammation and the presence of antibodies that may indicate autoimmune disease (in lupus or rheumatoid arthritis, for example).

How Arthritis in the Hips Is Treated

Treatment for arthritis of the hips depends on the type of arthritis that you have. Treatment typically starts with conservative, non-surgical measures.

Medication

Non-steroidal anti-inflammatory drugs (NSAIDs)

Over-the-counter medications like ibuprofen (Advil) and naproxen (Aleve), as well as prescription NSAIDs, can help relieve pain and swelling in the hip joints. However, even though many NSAIDs are available over the counter, they can have side effects (such as causing stomach ulcers, increased heart attack risk, and kidney problems), especially when taken for the long term and/or in high doses. NSAIDs are a first-line of treatment in osteoarthritis to reduce pain and stiffness. They are also commonly a first-line treatment for axial spondyloarthritis.

In many cases of inflammatory arthritis, NSAIDs are used along with other kinds of medication to treat inflammation, pain, and swelling.

Analgesics

Analgesics (such as acetaminophen) can help with mild to moderate pain. While NSAIDs target both pain and inflammation, analgesics are used just for pain relief. They may be recommended for people who can’t take NSAIDs due to their medical history. When used as directed, they’re also a good choice for people whose arthritis causes pain but not inflammation.

Steroid injections

Injections of steroid medication can help treat and relieve inflammation. They require either ultrasound or X-ray guidance. An occasional shot can be given in the hip (both hips can be done at the same time, says Dr. Smith) and offer temporary pain relief and reduce inflammation. Injections shouldn’t be done into the same joint more a few times a year; more frequent injections can damage cartilage.

CreakyJoints member Elizabeth F., who says her pain feels like her “hips are screaming,” says cortisone shots are the only thing so far that work for a couple of months.

Disease-modifying anti-rheumatic drugs (DMARDs)

If you have an inflammatory arthritis like rheumatoid arthritis, disease-modifying anti-rheumatic drugs (DMARDs) such as methotrexate are used as a first-line therapy to help reduce the immune system activity that triggers inflammation and pain. DMARDs are not used for osteoarthritis.

Biologics

Biologics are a newer class of DMARDs that target specific immune system pathways to reduce immune system activity that is causing inflammation and pain. They’re used to treat inflammatory types of arthritis, such as rheumatoid arthritis, axial spondyloarthritis, and psoriatic arthritis, and are typically offered after patients haven’t responded to conventional DMARDs or other medications.

Lifestyle Changes

Physical therapy

Your doctor may send you for physical therapy to help improve your range of motion and strengthen the muscles that surround the hip. Hip exercises relieve stiffness, improve flexibility, build strength, and increase your ability to move your joints through their full range of motion.

Assistive devices

A cane or walker can help reduce stress on the affected hip joint and help improve mobility and stability. Holding a cane in the hand opposite the painful hip can help and is usually recommended. Both walkers and canes can help prevent falls, says Dr. Vigdorchik.

“A cane is essential to keep me from falling,” says Mary Y., who has also found that swimming provides an opportunity for movement and relief and alternates applying ice and heat to her hip.

Learn more here about using a cane with arthritis.

Exercise

Done correctly, working out should not exacerbate your hip pain or make your arthritis worse. But *not* exercising can make your arthritis worse, which is why doctors recommend that exercise be an important part of your hip arthritis treatment plan, regardless of what type of arthritis you have.

Exercise helps strengthen the muscles that support your hip, which takes some of the load off the worn-out, weakened joint. That shift can help decrease pain and stiffness, promote motion, and improve flexibility. Stretching the muscles and tendons surrounding the joint can help ease pain from some hip problems. Exercise also help enhance balance, boost energy, improve sleep, and control weight. In people with mild to moderate hip OA, a study published in Annals of the Rheumatic Diseases found those who exercised for one hour at least twice a week for 12 weeks were 44 percent less likely to need hip replacement surgery six years later, compared with those who did not exercise.

Types of exercise that can help ease hip arthritis pain may include:

• Range-of-motion and stretching exercises (to help maintain and improve flexibility)
• Strengthening exercises (to work your muscles)
• Aerobic exercises, like swimming or biking (to improve cardiovascular health and control your weight)

CreakyJoints member Rachel M., who says she has constant hip pain that varies from a dull ache to a sharp, stabbing feeling with clicking and cracking, counts on walking and a few gentle yoga moves to help, including child’s pose, side twists, and happy baby.

Heat and ice therapy

Many CreakJoints members use different ice and heat therapy techniques for pain relief. Pamela S., who has ankylosing spondylitis, osteoarthritis in the hip, as well as bursitis and disc issues in her lower back, says she swears by “hot showers — lots of them.”

“Heat packs and scalding Epsom salt baths are also helpful!” Rachel M. says.

Read more here about ice therapy and heat therapy (including lots of ideas beyond heating pads and ice packs).

Lose weight or maintain healthy weight

Maintaining a healthy weight helps reduce stress on the hip joints. Losing excess pounds can lead to less pain and more mobility and function. Being at a healthy weight can make biologic medications used to treat inflammatory arthritis work more effectively and, if you need hip surgery, help ensure a better recovery. People with a high body mass index (BMI) have a  greater risk for complications after joint replacement surgery, Dr. Vigdorchik says.

Consider a new mattress

It is common for hip arthritis to cause difficulty sleeping and finding a comfortable sleep position. Of course, the kind of mattress that feels right to you is highly individual, but multiple CreakyJoints members with arthritis hip pain said on Facebook that switching to a foam mattress helped them sleep better. Melissa W. was having trouble sleeping on her side but found that her new foam mattress has really improved her ability to sleep at night.

There’s no set rule for when you should replace your current mattress, but if it’s been more than a decade and you think your mattress may be contributing to your hip pain and trouble sleeping, consider shopping for a replacement.

Quit smoking

Add these to the many reasons to stub out cigarettes for good: Smoking decreases the effectiveness of some drugs used to treat arthritis and increases pain sensitivity. And smoking can make it harder for you to participate in activities that relieve arthritis symptoms, like exercise.

Surgical Treatments for Hip Arthritis

Total hip replacement surgery

“When you reach the end of the road, this surgery can give you a new lease on life. The pain goes away. This surgery can get you back normal function,” says Dr. Miller. Initially, he says, hip replacement aimed to help with basic functions like walking. Now, he says the surgery can help patients regain the ability to do many of the activities and hobbies that became limited by their arthritis pain, including low-impact sports like hiking, biking, and swimming. This procedure —called hip arthroplasty — once involved significant hospital stays and recovery time. Advances have improved the experience, with about some patients even going home the same day as the procedure, says Dr. Vigdorchik. “It’s one of the greatest operations of all time in terms of patient satisfaction and lack of complications,” he says. And these hips can last 25 to 30 years.

Many factors impact how quickly and smoothly your hip replacement surgery recovery may go. One of the biggest factors is how active you were before surgery. Also, taking measures before surgery to minimize infection risk will help prevent complications from developing later.

Hip resurfacing surgery

According to the American Academy of Orthopaedic Surgeons, in a traditional total hip replacement, the head of the thighbone (femoral head) and the damaged socket (acetabulum) are both removed and replaced with metal, plastic, or ceramic components. By contrast, in a hip resurfacing procedure, the femoral head is not removed. Instead, it is trimmed and capped with a smooth metal covering. The damaged bone and cartilage within the socket is removed and replaced with a metal shell, just as in a traditional total hip replacement.

Unlike hip replacement, hip resurfacing is not suitable for all patients. “It’s a great operation, but we have found that a particular group does well with the surgery,” says Dr. Vigdorchik. The best candidates for hip resurfacing are young (under age 60), active males who “use and abuse their hips,” he says. Patients who are older, female, smaller-framed with weak or damaged bone are at higher risk of complications, such as femoral neck fracture.

Hip osteotomy surgery

This operation — which isn’t commonly performed, says Dr. Birnbaum — is done to prevent arthritis around the hip. It’s meant for people who do not yet have advanced arthritis but are starting to get pain in the hips due to wear and tear or cartilage degeneration. Here, damaged portions of the hip are removed. The joint is reshaped or repositioned in a way that lets the healthy part of the hip bear most of the weight. This surgery is a good option if you’re younger than 40.

Hip arthroscopy

This procedure is also done to prevent arthritis around the hip. Hip arthroscopy is a minimally invasive procedure. Your surgeon inserts a small camera, or an arthroscope, into your hip joint. The camera displays pictures on a video monitor, and your surgeon uses these images to guide the surgical instruments. Because the arthroscope and surgical instruments are thin, your surgeon can use very small incisions, rather than the larger ones needed for open surgery. The procedure is used to treat a range of hip issues related to the cartilage or other soft tissues around the hip joint, such as bone spurs, synovitis, tendon damage, or infection in the hip.

Hip arthroscopy has been performed for many years but is not as common as knee or shoulder arthroscopy. “Results of hip arthroscopy aren’t always successful and many patients eventually come to hip replacement,” says Dr. Birnbaum.

While CreakyJoints members who ultimately chose to have hip surgery did not make the decision lightly — and tried many non-invasive techniques first — those who were very debilitated reported significant relief afterward. “Almost immediately after my hip replacement, I felt no pain when walking and no longer limped,” says Lois W. “It was life-changing for me.”

Not Sure What’s Causing Your Hip Pain?

Check out PainSpot, our pain locator tool. Answer a few simple questions about what hurts and discover possible conditions that could be causing it. Start your PainSpot quiz.

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90,000 ✔ pain in both hip joints

✔ pain in both hip joints

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Pain in the hip joint is a specific unpleasant, hard-to-bear sensation caused by the pathology of the upper femur, acetabulum, and nearby soft tissue structures.In terms of intensity, they vary from weak to unbearable, in nature they can be dull, sharp, pressing, aching, bursting, drilling, etc. Often they depend on the load, time of day and other factors. The causes of pain are determined using X-ray, CT, MRI, ultrasound, arthroscopy, and other studies. Pain relievers and limb rest are recommended until the diagnosis is made. Hip pain is usually caused by trigger points in the muscles. It is the triggers that lead to limited mobility in the TB joint, crunches, and then leads to arthrosis of this joint.To heal a joint, you need to heal the muscles and ligaments around that joint. Let’s consider how to do it correctly. Learn more. Pain in the hip joint Causes of pain in the hip joint. Video of 5 exercises and self-massage. There are 2 main types of pain. Arthrosis of the hip joint (coxarthrosis) is a chronic degenerative joint disease that leads to deformation of the bone tissue. With coxarthrosis, all components of the joint are involved in the pathological process: articular cartilage, bone structures adjacent to cartilage, synovial membrane, ligaments, capsule and muscles adjacent to the joint.Patients complain of so-called starting pain in the hip joints after sleep, driving and other prolonged immobility. The initial pain in coxarthrosis lasts no more than 30 minutes. A little about the hip joint. The hip joint is the largest in the musculoskeletal system. It connects the lower limbs to the trunk. The femoral head is inserted into the acetabulum of the pelvis. Top 4 causes of hip pain Coxarthrosis. The consequences of injuries are tendonitis, bursitis, sprains.Consequences of joint dysplasia in childhood. It usually affects both joints. Secondary – called post-traumatic arthrosis. It occurs as a result of large or minor damage to the hip joint and can only extend to one side. The disease can affect one or both hip joints. As a rule, coxarthrosis develops slowly, over 1–3 years. Although there are exceptions – sometimes, after an injury, overload or severe hassle, the pain builds up quickly enough, in a matter of days or weeks.Some types of arthritis lead to inflammation of the hip joints and, accordingly, are accompanied by pain in the groin or hips. And although this happens quite rarely, we must keep this in mind. In the most typical cases, the hip joints are affected by arthritis almost last, much later than other joints. Pain in the hip joint is a symptom of the development of joint disease. Untimely treatment can lead to the destruction of the joint, to the need for arthroplasty.The hip joints are the most stressed in the body. They are created by weight while walking, jumping, running, lifting and carrying weights. Patients often experience pain in the hip joint. Orthopedists at the Yusupov Hospital determine its cause using modern diagnostic equipment. Doctors determine the degree of joint damage, which allows an accurate diagnosis and optimal treatment tactics to be developed. Pain in the hip joint. To make an appointment with a doctor. Content. Reading time: 4 minutes.12 sec. General description. The hip joint, one of the largest joints in the human body, connects the head of the femur to the acetabulum of the pelvic bone. Together with muscles and ligaments, it helps to carry out complex movements in the lower limb and provides upright posture. In a healthy person, the head of the femur has a spherical shape, and all surfaces that make up the joint are covered with smooth cartilage. The appearance of pain in the hip joint: what could it be? The hip joint is the largest structure in the human musculoskeletal system.There are different reasons for the development of diseases of the hip joint, the symptoms of these pathologies are very similar. In order for the treatment to be effective, in order to shorten the rehabilitation period, it is necessary to consult a doctor as soon as possible, without ignoring the first symptoms. thigh bone – with its help a joint is formed; the hip joint is a kind of hinge, its surface is covered with a ball of smooth substance, due to which the motor function occurs; the head of the femur Osteoarthritis of the hip joint or coxarthrosis is a chronic slowly progressive degenerative-dystrophic disease, accompanied by the destruction of the cartilage and bone tissue of the joint, the proliferation of deforming articular osteophytes, as well as the involvement of periarticular tissues in the pathological process.Equally often, coxarthrosis of both joints and one develops. 2 degree of arthrosis of the hip joint. The pain intensifies, radiates to the knee, lower leg and ankle, does not disappear immediately at rest. X-ray: a clear narrowing of the joint space and sporadic growth of bone tissue (osteophytes) along the edge of the glenoid cavity.

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Treatment of coxarthrosis of the hip joint

Coxarthrosis (arthrosis of the hip joint) is one of the most common diseases of the musculoskeletal system.

The hip joint is the largest joint in the body that connects the femur to the pelvis, thus taking on a great deal of stress. The joint has the form of a spherical hinge, while the round head of the femur is “nested” in the hemispherical acetabulum of the pelvis.It should be noted that the surface of the bones is covered with strong and at the same time elastic cartilage, which acts as a shock absorber and ensures the smooth sliding of the bones over each other, as well as protects the bones from destruction.

Causes of coxarthrosis

Osteoarthritis of the hip joint can develop under the influence of various factors that lead to damage to cartilaginous tissue and, as a result, destruction of bones.

The most common causes of the disease include:

• injuries;

• irrational excessive physical activity;

• genetic predisposition;

• various diseases.

Stages and symptoms of coxarthrosis

There are three degrees of arthrosis of the hip joint.

With coxarthrosis of 1 degree , transient painful sensations appear in the groin region, in particular, after physical exertion, prolonged standing on the legs, as well as with excessive movements in the joint. As a rule, after resting, the pain subsides. It is possible to identify coxarthrosis at the first stage of development only with the help of an X-ray examination, which allows you to see insignificant marginal bone growths.

For coxarthrosis of the hip joint 2 degree is characterized by the appearance of pain sensations that are more intense and can occur even with a slight load. Lameness and irradiation of pain sensations into the inner surface of the thigh from the groin area are also observed. Restriction of movements often develops, muscle strength decreases.

With coxarthrosis of the hip joint of grade 3 , more pronounced symptoms are observed.The pain is permanent and can occur even with light exertion, such as walking up stairs. Due to constant pain during exertion and limitation of all movements in the joint, patients are forced to use a cane. In some cases, a relative shortening of the leg develops as a result of the skewing of the pelvis and spine, and there is also a significant limitation of motor activity.

Treatment of coxarthrosis

Conservative treatment of coxarthrosis of the hip joint

Conservative therapy is aimed at increasing mobility, reducing pain and preserving muscle function.When choosing a method of treatment, the patient’s age, general health, stage and features of the clinical manifestations of the disease are taken into account.

With coxarthrosis of stages 1 and 2, treatment is usually carried out in an outpatient setting. The main components of conservative treatment are physiotherapy, drug therapy, massage and exercise therapy. The most effective is a combination of these methods under the supervision of a rheumatologist.

Medicines from the group of non-steroidal anti-inflammatory drugs have anti-inflammatory and analgesic effects, vasodilators improve blood circulation in damaged joints, and chondroprotectors help maintain the normal composition of cartilage.The use of ointments and compresses during treatment improves blood circulation and relieves muscle spasms. Drug therapy must be combined with physiotherapeutic methods: electrotherapy, magnetotherapy, ultrasound therapy and others. An important link in the treatment of coxarthrosis is the passage of massage courses, as well as exercise therapy. During the period of exacerbation, it is necessary to reduce vertical loads (exclude jumping, prolonged standing, lifting weights). Exercises that are not related to an upright position of the body, such as an exercise bike or swimming, are advisable.

Intra-articular administration of any drugs is highly undesirable, because has more risks and side effects than benefits.

Surgical treatment of coxarthrosis

Surgical treatment is prescribed in case of insufficient effectiveness of conservative measures or rapid progression of the disease. Surgical intervention is also possible with degree 3 coxarthrosis of the hip joint, while a complete replacement of a worn-out joint with an artificial one (hip arthroplasty) is performed.Other methods (osteotomy, arthrodesis) are outdated and are used extremely rarely, most often – if for some reason it is impossible to perform arthroplasty.

Endoprosthetics (arthroplasty) is an operation performed in advanced stages of arthrosis, in case of destruction of one or both articular surfaces. During surgery, the articulating articular surfaces are replaced with artificial (metal) ones, between which a special insert is placed, designed to perform the functions of cartilage.The liner is made of various materials – ceramics, polyethylene or metal. In most cases, arthroplasty allows you to completely restore the lost joint functions.

Today, total joint replacement or total arthroplasty (arthroplasty) is the most effective treatment for arthrosis. Modern endoprostheses are made from special materials that are absolutely compatible with body tissues and have a very long service life. Currently, surgeons have access to special endoprostheses with large anatomical heads and short legs, the use of which allows minimizing damage to soft tissues, as well as leaving a supply of intact bone tissue in case of possible future operations.

The operation is performed using minimally invasive techniques of the surgical approach, when tissues and muscles are not cut, but “moved apart”. At the same time, the skin incision does not exceed 6-8 cm. This technology significantly reduces the recovery time, allowing the patient to walk with full support on the operated leg the very next day.

Rehabilitation after surgical treatment of coxarthrosis

In the standard course of the postoperative period, restoration of motor functions under the guidance of rehabilitation doctors takes place within a week – the patient after the operation can get up, stand, walk, go up and down stairs.Additional support (crutches, walkers) is not required for everyone, and in most cases as psychological support. The timing of complete recovery after arthroplasty depends on many factors – the initial state of the patient, the volume and complexity of the intervention, age, weight and other parameters, and ranges from 3 weeks to 3 months.

Which doctor should I contact for pain in the hip joint

Orthopedists in Moscow – latest reviews

Today I was at the reception, well done doctor.I managed to calmly deal with my sores and did not impose additional expensive examinations. From a visit to the doctor, only positive impressions.

Anastasia,

12 October 2021

I didn’t have to do anything myself.The doctor explained everything, which procedures and in which rooms they need to go. For two receptions I felt that there are some changes for the better. I am pleased that the doctor started all the appointments without delay. Covid control precautions were followed at each visit by all staff.

Moderation,

October 14, 2021

The doctor is good, 5 points, but the clinic itself pulls only 3k

Moderation,

October 13, 2021

I went to doctor Morozenko for an appointment with her problems.I am grateful to him for his tactful attitude and displayed delicacy. The treatment was drawn up, the procedures were prescribed, and positive dynamics appeared almost immediately.

Ksenia,

12 October 2021

I was personally impressed by Dr. Laiev’s versatility as a specialist in the treatment of the musculoskeletal system.The doctor approached my problem competently, as a result of which I received a comprehensive rehabilitation program, and it turned out that he himself was also the author of the method! I walk, I am treated, the process is not fast, but it becomes easier every time. I thank the doctor for the individual approach.

Irina,

October 11, 2021

I was consulted by this doctor.I explained everything in a very accessible way about my disease. He carefully traced the causes of arthrosis, made a detailed medical history and a treatment plan. Gave sensible recommendations.

Maria,

12 October 2021

I didn’t have to do anything myself.The doctor explained everything, which procedures and in which rooms they need to go. For two receptions I felt that there are some changes for the better. I am pleased that the doctor started all the appointments without delay. Covid control precautions were followed at each visit by all staff.

Moderation,

October 14, 2021

The doctor is friendly, competent, attentive.I liked the reception, everything was fine. Magomet Sultanovich conducted an examination, a survey, prescribed an MRI, after which I will go for a second appointment.

Olga,

October 13, 2021

I came to thank the talented doctor for the reverent attitude towards patients.Very attentive at the reception, notices every little thing. The treatment quickly helped me, my physical activity was restored, the pains disappeared.

Sophia,

October 11, 2021

The doctor, a month ago, gave me joint injections of chondroprotectors.I am satisfied with the result, I will definitely repeat it. A pleasant woman, she is extremely tactful at the reception and carries out all the manipulations punctually.

Anna,

October 11, 2021

Show 10 reviews of 9424 90,000 Hip pain, cosarthrosis, deforming arthrosis, aseptic necrosis of the femoral head, shock wave therapy, treatment of arthrosis, treatment of aseptic necrosis of the femoral head

Pain in the hip joint is more often caused by deforming arthrosis , the so-called coxarthrosis , or aseptic necrosis of the femoral head .More often people get sick after 40 years of age.

Combined shock wave therapy is the only non-invasive, outpatient method.

Diagnosis is carried out using:

Radiography – for coxarthrosis;

Computed tomography – for aseptic necrosis of the femoral head.

These diseases are characterized by decrease in joint lubrication, salt deposition, wear of cartilage, impaired blood circulation and, as a result, severe pain in the hip joint.

Treatment of the hip joint with the following effects:

1. This is a method that stimulates neoangiogenesis therefore restores blood supply to the hip joint ;

2. Removes salt deposits ;

3. Pain syndrome is quickly relieved ;

4. The volume of movements is restored ;

5. Improves metabolic processes up to 1 year ;

6.The effect lasts for a long time for 5-7 years or more;

7. No side effects

Video of the procedure, see below:

Shock wave therapy treatment procedure is carried out on an outpatient basis with an interval of 1 time per week.

Indications for Shock Wave Therapy of the Hip Joint :

1. Trochanterite

2. Trochanteric bursitis

3. Proximal iliotibial syndrome

4. Aseptic necrosis of the femoral head

5. Coxarthrosis

If the operation is unavoidable with the help of shock wave therapy, it is possible to prepare the surrounding tissues: remove pain, stimulate blood circulation and regeneration processes, relieve muscles and ligaments from ballast, make them soft and elastic, and healing and rehabilitation will take place without complications and in a shorter time.

For more detailed information you can contact us by phone:

(061) -70-80-384

(094) -93-62-384

(096) -80-57-511 Kievstar

(050) -73-23-511 MTS

Shock Wave Therapy Medical Center

m.Zaporizhzhia, st. Mira, house 13 / Sobornyi ave., 155

Transport stop “Mira”

90,000 Hip joint cancer symptoms, treatment, how long live

Hip joint cancer: complications, types

What is

Cancer of the hip joint is an uncommon pathology characterized by the appearance of a tumor in the bone tissue. Since in the human body anatomically there is no hip bone, but only the hip joint, it would be more correct to consider pelvic cancer and femoral cancer.

Views

There are two types of lesions in this area:

• Osteosarcoma of the hip joint – a cancerous tumor growing from bone tissue;
• Chondrosarcoma of the hip joint is a cancerous tumor growing from cartilage tissue.

Osteosarcoma of the hip joint

This type of cancer is a common disease in the human body. Most often men, adolescents and children are ill with it, and women – very rarely.

This pathology is characterized by a rapid increase and easy metastasis to neighboring organs.

Causes of osteosarcoma of the hip joint

The main causes of this disease are as follows:

• Rapid bone growth;
• Consequences of injuries;
• External ionizing radiation;
• The presence of benign tumors in the body or their detection before the disease.

Symptoms of osteosarcoma of the hip joint

It is very difficult to diagnose pathology in the early stages without special equipment. The onset of pain syndrome is quite similar to pain in other pelvic diseases. Also, in the early stages, the pain may be mild, there may be an increase in body temperature.

In the following stages, the pain intensifies, which can often be observed when moving. Bumps and blemishes may appear on the skin.Malignant cells grow, which leads to pressure on the nerves, blood vessels, and nearby organs. Further, the painful sensations spread to the thigh area, genitals. The hip joint becomes less mobile.

Over time, osteosarcoma develops and the pain becomes very difficult to relieve. With blood and lymph, metastases quickly spread to other organs.

Diagnosis of osteosarcoma of the hip joint

First you need to visit an oncologist.He will order an x-ray to determine the location of the neoplasm.

After that, cancer cells are taken for research using a biopsy, a CT scan is done to determine the size of the formation, and the vessels are checked using angiography.

Treatment of osteosarcoma of the hip joint

The treatment methods for this type of osteosarcoma are the same as for other cancers: chemotherapy and surgery. It is only necessary to remember that for osteosarcoma of the hip joint, radiation therapy is not used, since it does not work on this pathology.

Chondrosarcoma of the hip joint

This pathology is a tumor that grows from cartilage tissue.

Symptoms of chondrosarcoma of the hip joint

Symptoms for this type of cancer will be as follows:

• The appearance of edema in the thigh area;
• Some swelling of the skin;
• Displacement, compression and dysfunction of organs due to chondrosarcoma;
• Severe pain on movement.

Diagnosis of chondrosarcoma of the hip joint

First you need to visit an oncologist.

Further, the use of radiography is possible. Thanks to this research method, it is possible to determine the location of the alleged cancer.

The next diagnostic method is biopsy. In order to establish the nature of the oncology and the stage, cancer cells are taken for analysis.

Computed tomography is also done to determine how the cancer has spread and the size of the tumor.

Angiography is also performed, which shows the condition of the blood vessels near the tumor.

PET CT assesses the state of oncology in general.

Treatment of chondrosarcoma of the hip bone

Treatment for chondrosarcoma will also be surgery or chemotherapy.

Complications

In osteosarcoma of the hip bone, metastases are often spread through the blood and lymph.They are most often found in the human lungs and brain.

After recovery from the disease, relapses may occur. They usually occur two years after surgery, which is why X-rays must be taken every three months in the first year after surgery, and then once a year.

Forecast

Very often the prognosis depends on the type of tumor. In chondrosarcoma, the degree of tumor differentiation is important. The survival rate in five years for an undifferentiated tumor is 11 percent.With a low grade of malignancy – 85 percent. The prognosis for osteosarcoma is 70 percent of the five-year survival rate.

Prevention

It is necessary to avoid penetration of radionuclide substances into the body. Avoid ionizing rays if there are benign tumors.

For hip cancer, it is important to seek professional advice, such as the Onco.Rehab clinic.

Endoprosthetics of large joints in Irkutsk

About One of the priority areas of the Center for Sports Traumatology and Orthopedics The first clinic of practical medicine is to carry out endoprosthetics of large joints.

Arthroplasty is an operation to replace joint components with implants identical to the anatomical shape of a healthy joint. Endoprosthetics surgery is performed in cases where medical and other conservative treatment has not yielded results, and the pain becomes so severe that it interferes with performing the simplest movements. In case of fractures of the proximal femur (femoral neck fracture, intertrochanteric and pertrochanteric fractures), arthroplasty is the only way to restore the patient’s physical activity.

Innovative technologies and implants from leading manufacturers, used in endoprosthetics by the specialists of our Center, make it possible to achieve results in which the implant will serve for twenty or more years with an active lifestyle. After the operation, the motor functions of the joints will return within two days. Patients usually return to full life by the second month after surgery, forgetting about pain in the joints.

Doctors of the Center for Sports Traumatology and Orthopedics have significant experience in the field of restoration of lost joint function since 2007 and regularly perform the following operations:

• Hip arthroplasty
• Knee arthroplasty

INDICATIONS FOR JOINT ENDOPROSHETICS:

• Fracture of the femoral neck. With fractures of the femoral neck, the blood supply to the head is disrupted, and its gradual destruction occurs. Fracture healing under these conditions is impossible; surgery is the only way to activate the patient and return him to daily activities.
• Post-traumatic arthrosis (coxarthrosis, gonarthrosis) of the joint. Due to wear and tear of cartilage, a decrease in its thickness, a significant decrease in smoothness, as well as a change in the shape of the articular surfaces, friction in the joint increases, which leads to pain and progressive impairment of movement in the joint.
• Aseptic necrosis of the femoral head. In this disease, the femoral head loses its blood supply and actually collapses. The shape of the femoral head changes, bone tissue is resorbed. The articular surfaces of the acetabulum and the head of the femur cease to correspond to each other in shape, pain and impaired movement in the joint appear. The causes of the disease can be previous dislocation of the hip, trauma at birth, long-term treatment with corticosteroids, as well as some infections.
• Rheumatoid arthritis.

PROGRESS OF JOINT ENDOPROSHETICS SURGERY

During the consultation, a traumatologist-orthopedist of the Center for Sports Traumatology and Orthopedics will analyze the data of the diagnostic studies performed, perform a thorough clinical examination, measure the current range of motion, the level of pain syndrome, the patient’s functionality and determine the presence of indications / contraindications for joint replacement surgery.After discussing all the questions of interest with the patient, the doctor will select the required type of endoprosthesis. The date of hospitalization is approved with the patient. All operations are performed on the day of their hospitalization [1];

Joint replacement can be complete or partial. During the operation, the damaged fragments of cartilage and bone tissue are removed, and then they are replaced with an endoprosthesis, which repeats the anatomical shape of a natural joint.

You can walk after the endoprosthetics operation on the second day, but only on crutches, which can be changed to a cane in a month, and after two you can already exercise full load on the leg without any restrictions.

REHABILITATION AFTER JOINT ENDOPROSHETICS

The recovery period and the rehabilitation program after arthroplasty are developed individually for each patient by a jointly supervising orthopedic doctor and a rehabilitation doctor.