Hip pain coming from the hip is a fairly common condition that is seen in the Orthopaedic clinics. Many times people confuse low back ache with radiation into the buttocks as being a hip problem. Hip pain however is a different entity and there are separate clinical signs and symptoms which can be used to distinguish it from the back problem.
What Are the Symptoms of Osteoarthritis of the Hip?
Patients normally present with limping on walking a certain distance and on standing for certain intervals of time. Sleep is often disturbed specially while turning over in the bed and inability to lie on the affected side. Bending down to tie shoelaces and cutting of toenails can become a big problem. There is marked stiffness in the hip joint so sitting on a low surface and getting in and out of a car often takes a long time. It is a very disabling condition for the patients. Simple activities like getting up from a sitting position or swinging the legs to get into the car or even standing in line can be a severely painful procedure. In the Indian subcontinent majority of the people who suffer from this are on the younger side hence even keeping up with their occupation can be very difficult to manage.
What Causes Osteoarthritis of the Hip Joint?
The causes of osteoarthritis of the hip are not known. Factors that may contribute include joint injury, increasing age, and being overweight In addition, osteoarthritis can sometimes be caused by other factors:
- The joints may not have formed properly.
- There may be genetic (inherited) defects in the cartilage.
- The person may be putting extra stress on his or her joints, either by being overweight or through activities that involve the hip.
There are two main form of hip arthritis.
Primary arthritis of the hip also known as Osteoarthritis; just like osreoaerthritis of the knee. But is relatively rare in our country as compared to the western part of the world. No obvious cause for this has been described but still it is frequent enough to be picked up from time to time in the clinic. In this pattern essentially there is no disease or condition which has caused the arthritis to develop. The primary arthritic hips normally present after the age of 60 years.
Secondary arthritis is secondary to either avascular necrosis of the hip joint , infection of the bone or Congenital or developmental mal development of the hip, or secondary to inflammatory arthritis, secondary to a childhood condition such as Perthes hip or a Slipped femoral epiphysis , secondary to a new or an old injury including mal-union or non-union of fractures around the hip or of the pelvis . In our practice we see a huge number of patients who have developed Avascular necrosis, which is loss of blood supply of the hip, causes collapse of the shape of the hip leading to arthritis because of rubbing of uneven surfaces .
What Are the Symptoms of Osteoarthritis of the Hip?
On a early stage people walk with a limp or a lurch often referred to as an antalgic gait. People will tend to lurch onto the non-affected side while walking to avoid bearing weight on the affected hip. They often stand in a slightly skewed position trying to relieve the pressure on the affected side so that the weight does not fall on the affected hip joint. The range of movement is reduced especially rotation of the hip. There, are often certain deformities with the patient tending to lie down with the hip external rotated and bent upwards. At times the leg might be slightly shortened both because of the loss of cartilage height, position of the hip and also because of collapse of the femoral head.
In short if you have any of the following symptoms, talk to your doctor you may have osteoarthritis of hip:
- stiffness around hip that occurs as you are getting out of bed.
- stiffness around hip after you sit for a long time.
- Any pain, swelling, or tenderness at the groin joint.
- A sound or feeling of bone rubbing against bone, “crunching/crackling”
- Inability to move the hip to perform routine activities such as putting on your socks negotiation of stairs, getting up from sitting.
How Is Osteoarthritis of the Hip Diagnosed?
There is no single test for diagnosing osteoarthritis but normally an x ray is enough to diagnose hip arthritis. Some surgeons insist on having standing X rays because that will pick up even a slight reduction of hip space or the loss of thickness of the cartilage. X ray will show reduction of the space between the Femoral head and the Acetabulum Cup. It will also show some extra bone forming around the joint along with presence of cystic areas within the joint surfaces.
MRI / CT scan can be used if diagnosis is in doubt. Occasionally altered bone consistency either because of some fluid collection in or around the hip or very subtle fractures or bone depression me actually point towards a diagnosis if in doubt. it is of a definite add vantage to rule out infection maybe 2 burglars or bacterial very subtle injury which is not evident on clinical examination or on x rays.
How Is Osteoarthritis of the Hip Treated?
The main goal of treating osteoarthritis of the hip is to improve the person’s mobility (ability to get around) and lifestyle. Part of this goal involves improving the function of the hip and controlling pain.
Common Treatment of Hip arthritis are
- Rest and joint care
- Use of a cane to take weight off the affected hip
- Nondrug pain relief techniques to control pain
- Losing excess weight
- Medications including acetaminophen a nn steroidal anti-inflammatory drug such as ibuprofen or a prescription pain medication
- Complementary and alternative therapies
In advance arthritis different other treatment may require which may include different types of alignment correction surgery, joint replacement surgeries
How Can Osteoarthritis of the Hip Be Prevented?
One method for preventing osteoarthritis of the hip is to maintain a healthy weight. In addition, you should exercises Exercise strengthens muscles around joints. Such strengthening can help prevent wear and tear on cartilage in a joint. Your health care provider may be able to offer additional suggestions to minimise your risk for hip osteoarthritis
So, if you are suffering from arthritis, Dr. Roy Joint Clinic can help you treat your problem. With them, you can get the best quality arthritis treatment in Delhi and also at a much affordable price.