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best Hip treatment in chennai

HIP PAIN

What is Hip Pain?

Hip pain, one of the common complaints, may not always be felt precisely over the hip joint rather in and around the hip joint. The cause for pain is multifactorial and the exact position of your hip pain suggests the probable cause or underlying condition causing it.

Pain felt inside the hip joint or your groin area is more likely to be because of the problems within the hip joint. Likewise, the pain felt on the outer side of your hip, upper thigh or buttocks may be a result of the problems of the muscles, ligaments, tendons and soft tissues surrounding the hip joint. However, certain disease conditions affecting other parts of your body such as lower back or knees also cause hip pain.

The main cause of sudden pain in the hip is an injury resulting in the fracture of the hip bone. Hip fractures are common in the elderly because the bones wear out as age advances.

Other causes of hip pain may include:

  • Arthritis
  • Bursitis
  • Infection
  • Low Back Pain
  • Osteonecrosis of the hip
  • Sprains or strains
  • Tendinitis (tendon inflammation) resulting from repetitive use

Your doctor will evaluate your condition based on your medical history, a physical examination of the hip and thigh region, and diagnostic tests including X-ray and other scans.

Self-care and pain-relieving anti-inflammatory medications offer symptomatic relief. However, the exact cause for the pain needs to be addressed. Practicing certain measures can avoid aggravation of pain and improve the quality of life. Avoiding physical activities that may worsen the pain, stretching the quadriceps and hamstring muscles, performing warm-up exercises before your actual exercise regimen can help improve your condition. Applying ice packs over the region for about 15 minutes, three to four times daily can reduce both pain and swelling. But if you have an injury with severe hip pain and swelling, talk to your orthopaedic surgeon immediately for better treatment outcomes.

What is Inflammatory Arthritis of the Hip?

The inflammation of the joints is referred to as arthritis. Inflammation arises when the smooth lining called cartilage at the ends of bones wears away. In some cases, the inflammation is caused when the lining of the joint becomes inflamed as part of an underlying systemic disease. These conditions are referred to as inflammatory arthritis.

Types of Inflammatory Arthritis of the Hip

The most common types of inflammatory arthritic conditions of the hip include:

• Rheumatoid arthritis: systemic disease of the immune system that commonly affects multiple joints on both sides of the body at the same time
• Ankylosing spondylitis: chronic inflammatory disease of the spine and the sacroiliac joints (junction where the spine meets the pelvic bone)
• Systemic lupus erythematosus (SLE): an autoimmune disease in which the body’s immune system attacks its own healthy cells and tissues.

The typical symptom of arthritis is joint pain. Inflammatory hip arthritis is mainly characterized by an aching pain in the groin region, outer thighs or buttocks. The pain is commonly most severe in the morning and sometimes lessens with activity during the day. Vigorous activities may result in increased pain and stiffness, and limit your movement, making walking difficult.
Inflammatory hip arthritis can be diagnosed by a physical examination. Your doctor will ask you to move your hip in different directions to determine which motions are restricted or painful. X-rays and laboratory tests may be ordered to diagnose or rule out other conditions. X-rays may show thinning or erosion in the bones or loss in joint space. Laboratory studies will show the presence of a rheumatoid factor or other antibodies.
Treatments for Inflammatory Arthritis of the Hip

The treatment options vary depending on the diagnosis.

Non-surgical Treatment

Any infection in the hip joint is treated by non-surgical treatments that may provide relief with relatively few side effects.
• Anti-inflammatory medications or corticosteroids may help reduce the inflammation.
• Physical therapy may be recommended to help you increase the range of motion and strengthening exercises to maintain muscle tone.
• Assistive devices such as canes or walkers can make your daily living activities easier.

Surgical Treatment

Surgery is considered the last resort when the above non-surgical treatment options fail to reduce the symptoms. The type of surgery to be performed depends on your age, condition of the hip joint, and the type and progression of the inflammatory disease. The goal of surgery is to relieve pain and improve the joint motion. The most common surgical procedures include:

• Total hip replacement: Indicated for patients with rheumatoid arthritis and ankylosing spondylitis
• Bone grafts: Recommended for SLE. These grafts aim to build new blood cells to replace the old dead cells.
• Core decompression: Helps to reduce bone marrow pressure and encourages blood flow. Core decompression is another treatment option for SLE.
• Synovectomy: Removal of a part or whole of the joint lining. This is indicated if the inflammation has not affected the cartilage, but is limited to the joint lining or synovium.

Why choose iROS?

iROS Ortho Center is a multidisciplinary orthopedic center offering non-surgical and surgical treatment options including orthobiologics, physiotherapy or surgery to treat a wide range of joint pain indications.

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