Common Specialities
{{speciality.keyWord}}
Common Issues
{{issue.keyWord}}
Common Treatments
{{treatment.keyWord}}

Overview

Hip Pain: Treatment, Procedure, Cost and Side Effects

What is the treatment?

There are no synonyms

How is the treatment done?

There are many causes of hip joint pain. Some hip pain is temporary, while another hip pain can be long-standing or chronic. Mostly women are affected by Hip pin. Few common causes of hip pain are Arthritis, Hip fracture, Tendinitis and bursitis, Hernia, Gynecological and back issues.

Treatment for hip pain depends on the diagnosis, but pain that's caused by overuse or sports injuries is often treated with heat, rest, and over-the-counter anti-inflammatory medication.

If certain activities or overuse are causing hip pain, stop those that aggravate the discomfort and talk to your doctor. Excess weight can put pressure on the hip joint, so, losing the pounds can provide relief and help you avoid further problems. Some causes of hip pain, such as fractures or hernias, may need surgical repairs. If your hip pain persists, talk to your doctor about the possible causes and treatments.

Who is eligible for the treatment? (When is the treatment done?)

The treatment of hip pain depends upon the diagnosis and any underlying illness that may be present. The options include lifestyle changes, medication, or surgery.

Medication:

Over-the-counter and prescription medications that reduce stomach acid can relieve your discomfort and improve symptoms. These include antacids, H-2 receptor blockers, and proton pump inhibitors.

Surgery:

General medicine physicians, including general practitioners, family medicine doctors, and internists, as well as orthopedic surgeons, rheumatologists, and sports medicine specialists treat hip pain. Often physical therapists and rehabilitation physicians are involved in the care of hip pain.

If the pain grows, your doctor may decide it’s best to operate. Open surgery requires a longer recovery process. You may be unable to move around normally for up to six weeks. Laparoscopic surgery has a much shorter recovery time.

Who is not eligible for the treatment?

Open surgery is open to all, irrespective of age and sex.

Are there any side effects?

Laparoscopic surgery is not suitable for young girls as it may cause damage to bone marrow. Diabetic patients should take proper care before surgery

What are the post-treatment guidelines?

There are no side effects, but the person is bed ridden for few months, may extend to 5 months.

How long does it take to recover?

Preventing pain is possible by attaining and maintaining proper alignment, maintaining a healthy body weight and eating a diet rich in anti-inflammatory foods. Maintaining a healthy body weight can help reduce the risk of injury and painful movement patterns.

An anti-inflammatory diet is rich in fruits and vegetables, with specific nutrients that help the body’s circulatory system work optimally. While misalignment causes the body to have bone-upon-bone-causing pain, the circulatory system allows the white blood cells to rush in and help push the bones apart by leaving more fluid between the joints.

What is the price of the treatment in India?

Open surgery takes a few months to recover, while Laparoscopic surgery has a much shorter recovery time.

Are the results of the treatment permanent?

On an average, Hip surgery costs Rs. 3.5 lakhs

What are the alternatives to the treatment?

You have to take proper care and medications until you are fit. Exercise should be routine.

Safety: Symptom Effectiveness: Medium Timeliness: Medium Relative Risk: Medium Side Effects: Medium Time For Recovery: Medium Price Range:

3,00,000 - 3,50,000

Popular Health Tips

Causes and Symptoms of Avascular Necrosis of Hip

FFSEM, MFSEM, DIP - SEM GB & I, MCh - Orthopaedics, MS - Orthopaedics, MBBS
Orthopedist, Hyderabad
Causes and Symptoms of Avascular Necrosis of Hip

Avascular necrosis is localised death of the bone. Necrosis can occur due to traumatic injury, side effects of drugs or disease. The dead areas of the bone do not function normally, they weaken and they can collapse. Avascular necrosis eventually leads to the joints attached to the dead bone deteriorating. Avascular necrosis can occur in the knees, shoulder, waist and ankles, but the hip joint is the most commonly affected.

Causes of Avascular Necrosis

1. Traumatic injury to the affected bone, like fractures and dislocation, is a common cause
2. Use of steroid medication
3. Excessive alcohol consumption and smoking
4. Radiation and chemotherapy treatments can lead to avascular necrosis
5. Patients with underlying diseases such as systemic lupus erythematosus, diabetes mellitus, vasculitis, and inflammatory bowel disease are at risk

6. Patients with blood and bone marrow diseases such as sickle cell disease, leukaemia, Gaucher's disease or thalassemia are also at risk

 

Symptoms of Avascular Necrosis

1. Necrosis can begin with no pain in the abnormal bone
2. But with time and use, the pain develops
3. When the hip is affected, pain in the groin is common, especially when walking
4. The ball of the hip collapses as necrosis progresses which leads to pain whenever the hip is rotated or is to bear weight while walking

In case you have a concern or query you can always consult an expert & get answers to your questions!

5123 people found this helpful

Perthes Disease In Children - Know More About It!

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Perthes Disease In Children - Know More About It!

The hip joint is a ball and socket joint made up of the round head of thigh bone (femoral head) with the cup shaped socket (acetabulum) of the pelvis and Perthe’s Disease is an affliction of the hip joints in growing children. It is much more common in boys than girls, and occurs most commonly in children aged between 4 to 10 years. The cause of this problem is still unidentified.

In Perthes disease, changes affect the femoral head which can be seen on X-ray. These changes occur in three stages over 18 months to 2 years:

  1. The blood supply to part of the femoral head is disturbed, causing loss of bone cells.
  2. Softening and collapse of the affected bone
  3. Re-establishment of the blood supply, repair and remodeling of the femoral head.
  • Limping is the most common symptom. The limp may become more persistent and pain may develop. Examination of the child by the orthopaedic surgeon generally shows restriction of hip movement. The nature of Perthes disease is variable. Severity depends on the child’s age, and the extent of femoral head involvement. Older children, girls, and those with greater involvement of the femoral head are likely to require more complex treatment. Treatment aims to reduce pain and stiffness, and prevent femoral head deformity.
  • All children need regular review by the orthopaedic surgeon through the duration of the disease. Not all children require active treatment. Many will make a good recovery with only symptomatic treatment. This may involve restriction of activity such as running and high impact sports. Swimming is encouraged. Some children may require exercise in slings and springs, or the application of plaster casts to the lower limbs. Some children will require surgical management.
  • Children with Perthes Disease are otherwise healthy, but may be affected by physical restrictions. By middle age, one third of those affected have no symptoms, one third have intermittent hip pain, and one third would develop arthritis requiring treatment.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3978 people found this helpful

Developmental Dysplasia Of Hip - How Common It Is?

DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
Developmental Dysplasia Of Hip - How Common It Is?

What is Developmental Dysplasia of the Hip?

Developmental dysplasia of the hip or DDH, is a condition that affects the hip joint in newborns and young children. The hip is like a ball-and-cup, formed by the round top of the thigh bone - called the femur - and a cup-shaped socket in the pelvis. The hip joint is stable in spite of its large range of motion and is kept in place by ligaments and other soft tissue structures. The normal infant hip is not mature at birth but develops into a strong and stable joint as the child grows.

What happens in hip dysplasia?

In DDH, the hip does not develop normally as the cup and ball are either partially or completely out of alignment. DDH can vary from mild to severe depending on whether the cup is shallow, soft tissue structures are lax or a combination of all. These problems may cause the hip to become unstable, and even come out of the joint. This is known as a dislocated hip and is believed to occur in around one in 1000 infants. One or both hips can be affected. DDH isn't painful in babies and young children. Untreated DDH can result in limping in young children. This can progress to hip pain and arthritis at a later date.

How common is it?

DDH is more common in girls and first-born children. It's more likely to occur if there's a family history or if the baby was breech. Swaddling or wrapping a baby's legs too tightly can also lead to DDH. Certain traditional practices like wrapping the children, etc. are known to increase the risk, while carrying them with limbs separated apart is known to decrease the risk of dysplasia. All newborns should have both hips carefully examined by a health professional. 

Treatment options

Treatment depends on the child's age and the severity of the condition. Young babies with confirmed DDH are usually treated in a brace or harness that holds the legs apart. This helps the hip socket to deepen and the hip to become stable with growth. Regular monitoring of the hip position is necessary to ensure good outcomes. Surgery may be necessary if brace treatment is unsuccessful, or if a hip dislocation is first noticed when the child is older.

What is the long-term outlook?

Most infants who are diagnosed and treated early do not have any hip problems in later life. Earlier the diagnosis and treatment, the better the outcome, as late diagnosis often requires surgical treatment and can mean a higher likelihood of ongoing hip problems.

In case you have a concern or query you can always consult an expert & get answers to your questions!

3471 people found this helpful

Hip Replacement - An Overview!

MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Hip Replacement - An Overview!

Damaged hips can cause great distress in carrying out daily activities, such as walking, getting dressed and many more. If you have damaged one or both of your hips, and it causes you great pain, you may require a hip replacement. It is a common form of surgery in which a damaged hip joint gets replaced with an artificial one. This is known as prosthesis.

Conditions which lead to hip replacement

  1. Osteoporosis where the cartilage inside a hip joint gets worn out, and the bones rub with each other as a result
  2. Rheumatoid arthritis, which is caused when the immune system attacks the hip joint lining by mistake
  3. If the hip joint gets damaged severely during an accident or fall

The purpose of a replaced hip joint is to provide pain relief, improve the hip’s function, improve your ability to carry out day-to-day activities and improve your overall quality of life.

Procedure
A hip replacement is usually carried out under general anesthesia. An incision is made in the hip by the surgeon and the damaged hip joint is removed through it. It is replaced with an artificial metal alloy or a ceramic joint. The surgery takes approximately 60 to 90 minutes for completion.

Recovery
After the surgery, a walking aid such as crutches is required for up to four to six weeks. You may enroll for an exercise program, which aims at regaining and improving the new hip joint functions. Regular activities can be restored within two to three months. A year is required for utilizing the new hip joint normally.

Risks of hip replacement
There may be several complications as a result of a hip replacement. They include:

  1. Dislocation of the hips
  2. Infection at the surgery wound
  3. Injury to nerves and blood vessels
  4. Difference between the lengths of two legs
  5. Fractures

Alternative
Hip replacement surgery has an alternative type of surgery, which is called hip resurfacing. During this surgery, the damaged surfaces of the bones within the hip joint are removed and replaced with a metal surface. Less bone is removed in this surgery. However, the metal surface may cause complications and health hazards.

Hip replacement is being improved upon with the advent of technology. Stronger and newer materials are being developed for prosthetics, which will allow enhanced joint mobility and a longer wear. New cement-less implants are also being developed. Also surgery assisted by computer is being used for generating an image of the hip joint. If you wish to discuss about any specific problem, you can consult an Orthopedist.

4471 people found this helpful

Know Everything About Hip Replacement Surgery

MNAMS (Orthopedic Surgery), Diploma In Orthopaedics (D. Ortho), DNB (Orthopedics), MBBS
Orthopedist, Pune
Know Everything About Hip Replacement Surgery

Hip replacement surgery is a method wherein a defective hip joint is removed and replaced with an artificial hip joint. This procedure is only opted for after all the other treatments have failed to yield the desired effects. Hip replacement surgery removes damaged or diseased parts of a hip joint and replaces them with new, man-made parts. The goals of this surgery are to:

  • Relieve pain

  • Help the hip joint work better

  • Improve walking and other movements.

Who Should Have Hip Replacement Surgery?

The most common reason for hip replacement is osteoarthritis in the hip joint. Your doctor might also suggest this surgery if you have:

  1. Rheumatoid arthritis (a disease that causes joint pain, stiffness, and swelling)

  2. Osteonecrosis (a disease that causes the bone in joints to die)

  3. Injury of the hip joint

  4. Bone tumors that break down the hip joint.

Your doctor will likely suggest other treatments first, including:

  1. Walking aids, such as a cane

  2. An exercise program

  3. Physical therapy

  4. Medications.

These treatments may decrease hip pain and improve function. Sometimes the pain remains and makes daily activities hard to do. In this case, your doctor may order an x-ray to look at the damage to the joint. If the x ray shows damage and your hip joint hurts, you may need a hip replacement.

The Procedure-

Hip replacement surgery is a procedure that can either be performed by traditional means or a minimally invasive procedure. The primary difference between the two procedures is the size of the incision. The procedure begins with the doctor administering local anesthesia, though in certain cases, general anesthesia is also administered.

  1. An incision is then made along the hip and the muscles that are connected to the thigh bone are shifted, so that the hip joint is exposed.

  2. An equipment is then used to remove the ball socket of the joint by cutting the thighbone.

  3. The artificial joint is then fixed to the thighbone and it is allowed to adhere properly.

  4. Once the joint is fixed, the ball of the thighbone is then put in the hip socket.

  5. The fluids from the incision area are then allowed to drain.

  6. The hip muscles are then put in place and the incision is closed.

Post -surgery-

After the surgery, the recovery stage begins. The period of hospital stay post-surgery usually lasts for 4-6 days. A drainage tube is attached to the bladder to get rid of waste products from the body. Physical therapy begins immediately after the surgery and you will be able to walk after a few days with walking aids. The physical therapy continues for a few months after the surgery.

After care-

It is advised to avoid activities that involve twisting your leg for at least half a year. You should also avoid crossing the leg along the mid portion of your body. Your physiotherapist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support. If you wish to discuss about any specific problem, you can consult a orthopedist.

4443 people found this helpful

Popular Questions & Answers

I am 60 years old, male. I was suffering from Lumbar Disc Prolapse L4-L5, and L5-S1 from 1981 when I was 23 years old. I lifted 2 banana trees one after the other on my shoulder along with one other person during my brother's marriage, while shifting the trees from the farm to the bullock cart. We had to walk around 100 metres to reach the cart. I started realizing pain on my left leg and numbness after a month. I used to lie flat on the floor and cry in pain. I was a student then. I went to the Government Hospital and the doctors at the Ortho department took a series of x-rays, put me on pain killers, and later referred me to Neuro department. The doctors there suggested me to undergo a test - injecting a die at the region and subsequent x-ray or scan, they also spoke within themselves that I am too young to undergo such tests. One doctor privately advised me to live with the pain for sometime. I took his advise and lived with the pain. Walking with good shoes helped me overcome the pain to a certain extent. I also consulted the Chief Neurologist Dr. N.B. Pranesh in Coimbatore. He also advised me against surgery and prescribed me medicines. By God's will, I continued my life till 2012 and in the year 2013, I got operated - underwent Microdisectomy for L4-L5 and L5-S1 at M/s. Ganga Hospitals, Coimbatore. Dr. Ajoy Shetty performed the surgery. Subsequently, I had pain and consulted the doctors at Ganga Hospital. They gave me a steroid injection in the Lumbar region. I have lived up to this date with pain, and now my pain is worse, I have instability, pain in my back (hip) and it is more when I get up from bed. I really don't know what to do and how to go about and where to go. Please advise.

MBBS, AFRCSI, FRCS - Trauma & Orthopedic
Orthopedist, Chennai
Difficult one to manage. Your pain could be because of instability or further disc bulge. If pain worsening would suggest a repeat MRI and consult an orthopaedic surgeon.

Table of Content

What is the treatment?
How is the treatment done?
Who is eligible for the treatment? (When is the treatment done?)
Who is not eligible for the treatment?
Are there any side effects?
What are the post-treatment guidelines?
How long does it take to recover?
What is the price of the treatment in India?
Are the results of the treatment permanent?
What are the alternatives to the treatment?
Play video
Lumbar Degenerative Disc Disease
Different methods to treat Disc problems

Hello friends, I am Dr Gaurav Khera. I am an orthopaedic surgeon, doing joint replacements and spine surgeries at the Access healthcare. Now today I will be talking about the lumbar degenerative disc disease. Now it sounds very big, but it is not as complicated as it sounds. It basically is what you people commonly know as a disc disease. So it is a fairly common problem that is seen in our population today. In fact about 30 or 40% of the patients who come to our OPD have lower back pains, some have other disc problems and very commonly seen after 40 years of age and this incidence gradually increases up to 60-70 years of age. The other ecological factors which are associated with this are, first of all smoking, secondly it is, mild to moderate trauma, thirdly its seen in people who lift heavy weights, fourth is obesity, especially central obesity, that is if you have a very heavy waistline.

Now what is Lumbar degenerative disc disease? Now, our spine is composed of multiple bones, which are starting from your neck and they come all the way down to your hip, divided into the cervical, dorsal, lumbar and sacral spine. And between these bones, there are these small pieces of discs, which act as cushions. When your body walks, these act as shock absorbers between your body s bones. Now this discs, when these come out of their normal place, it gives or presses against the nerves which are passing through these areas and it causes pain. This is what happens in the disc disease. Basically, in the patient it will come as a lower back pain, and this pain will be travelling down to the hip, and it will also be coming down to the legs. Some people complain that as they walk, the pain increases.

They also complain of tingling numbness. They complain that sometimes their fingers or their toes are feeling numb. These are some of the very common symptoms which are being seen. Few people may have only lower back pain, and these are the people who do not have very significant disc disease. Now there are two main causes of the disc disease. First is an inflammatory reaction that occurs in the disc, and second is the micro motion instabilities that occur. Inflammatory reactions may occur as a result of some small traumas which may occur such as when you may injure your back. Such inflammatory reactions occur in the form of small swellings in the body. And micro motion instabilities are when the body ages, the disc which has an outer fibrous thick layer, that degenerates, and as it degenerates, the pulp which is there at the centre, of the discs, tends to degenerate. What I mean is it comes out of its normal space. And as it comes out of the normal place, it comes and tends to press on the nerves and these are the two most common causes.

All disc patients are not to be operated. When we get these patients, the first and foremost investigation that we do is a X-Ray. And if required, we go in for a MRI. Frankly MRI is the known standard to diagnose the disc disease. The findings of a MRI are always coordinated with the clinical findings. Once we have diagnosed that it is a disc problem, we have to establish that what the compression on the nerves is. If the nerve compression is a lot, and if we think that we cannot do anything other than surgery, then we take the patient for a surgery.

If not, we take the patient fro physiotherapy, lifestyle changes and few medications. These medications may carry on for few weeks to few months. And a lot of exercise has to be carried on regularly. Lifestyle changes such as weight loss, stoppage of smoking is very important. And if you can achieve this, then your problems are very easily solved. If you have any queries regarding your disc problems or back pains, then you can get in touch with me for the same.

You can reach me in my clinic, which is there in Indrapuri, by the name of Dr Khera s Wellness Clinic or you can also contact me through Lybrate for the same. Thank You.
Having issues? Consult a doctor for medical advice