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Hip Pain Tips

"Joint Pain Treatment" Physiotherapy:

Dr. Gaurav Tyagi 88% (141 ratings)
BPT, MPT- Ortho
Physiotherapist, Gurgaon
"Joint Pain Treatment" Physiotherapy:

Joints form the connections between bones. They provide support and help you move. Any damage to the joints from disease or injury can interfere with your movement and cause a lot of pain. 
 

Many different conditions can lead to painful joints, including 
- Osteoarthritis 
- Rheumatoid arthritis 
- Bursitis 
- Gout 
-  Strains, sprains and other injuries of joints and around joints. 
-  Inflammation in and around joints 
- CFS (Chronic Fatigue Syndrome) 
- Fibromyalgia 
- Bursitis 
- Ankylosing Spondylitis(A.S.) 
- Tendon Sheath Inflammation (Tenosynovitis) etc. 

Joint pain is extremely common. In one national survey, about one-third of adults reported having joint pain within the past 30 days. 
Knee pain was the most common complaint, followed by shoulder and hip pain, but joint pain can affect any part of your body, from your ankles and feet to your shoulders and hands. As you get older, painful joints become increasingly more common. 
 

Physiotherapy treatment: 
For joint pain treatment we can use following techniques:
 
-Taping 
-Modalities 
-Exercises 
-Corrective devices if needed (orthotics) 
-Manual therapy etc. depending upon the case. 

 

2 people found this helpful

Know More About Perthes Disease In Children!

MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopaedics
Orthopedist, Gurgaon
Know More About Perthes Disease In Children!

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!

2379 people found this helpful

Misaligned Hips - Can It Cause Neck Pain?

Mr. Rajesh Pal 85% (74 ratings)
BPTH/BPT, MPTH/MPT-Orthopedic Physiotherapy, Post Graduate Diploma In Ergonomics (PGDHSC - Ergonomics)
Physiotherapist, Gurgaon
Misaligned Hips - Can It Cause Neck Pain?

Concentrated pain in the neck can be especially tormenting. Before you look for a cure for this pain and start treating it, it is important that you try and find out the underlying cause behind it as well. Contacting a physiotherapist in time will allow you not only to avoid any and every side effect posed by neck pain, but also assist you to get good riddance from it.

Causes of Neck Pain:
There can be multiple causes of neck pain. The treatment of the same depends wholly on the factor that is causing the pain. Some of these causes of neck pain include

  1. Misaligned hips,
  2. Misaligned Spine,
  3. Misaligned shoulders,
  4. A constantly forward-tilted head,
  5. Lack of movement of the head from one specific position,
  6. Tensing up of the muscles in the upper back,
  7. Tensing up of the muscles in the neck region, etc.
  8. It is all these factors and a few more that end up resulting in stiffening of muscles in and around the neck and causing you intermediate to unbearable pain.

Side effects of neck pain:
Neck pain also has some side effects, which includes temporary loss of consciousness, nausea, vomiting, blackouts, temporarily blurred vision, headache, spondylitis, etc.

Exercises for neck pain:
Neck exercises are a predominant part of the treatment extended by every physiotherapist, to cure neck pain. Some of the most vital and effective exercises for neck pain are listed below.

  1. Frog: Funny as it way sounds, the frog is one of the best exercises when it comes to treating neck pain. All you have to do is lie down on the floor with your knees apart, your feet joined, your hands laid upward on the floor at a 45-degree angle to your body and just stay there in that position for two minutes. This will force your back to arch naturally, slowly giving some relief to your neck.
  2. Sitting floor: Try sitting floor for neck pain. All you have to do is sit straight with your back rested on a wall, with your legs laid straight forward. Bring together your shoulder blades and bend to help them meet your knees while curling the toes outward to optimal. Stay in this position for a good 3 minutes, without bending the legs.
  3. Static wall: Lie down on the floor with your bottom against a wall and your legs up it. You can always scoot back a bit if there is the slightest of discomfort. The aim here is to help the tail bone lie comfortably on the floor. Tighten your thigh muscles but curling your toes outward and pointing your feet straight out from its previous position. Maintain this position for 3 minutes for maximum effect.
  4. Static back: The static back is the most common and most helpful exercise for neck pain. All you got to do is lie down on the floor, while placing your legs on an elevated surface, such as an ottoman or a chair at a 45-degree angle to your body. Now put your arms at an angle of 45 degrees to your body as well, only sideways on your shoulder. Follow this position by lifting your palms and staying in that position for five to ten minutes.

All these exercises are aimed to positively influence one muscle or the other in and around the neck region and to help you get rid of that pain. Consult a physiotherapist first, and he/she will advise you on the best neck pain exercises.

Who Should Have Hip Replacement Surgery?

Dr. Suhel Khan 87% (10 ratings)
MBBS, Diploma In Orthopaedics, DNB (Orthopedics), MS - Orthopaedics
Orthopedist, Pune
Who Should Have 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.

Developmental Dysplasia Of Hip - Know Everything About It!

Dr. Gaurav Khera 89% (30 ratings)
MBBS, Diploma In Orthopaedics (D. Ortho), DNB - Orthopedics, Mch
Orthopedist, Delhi
Developmental Dysplasia Of Hip - Know Everything About It!

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.

1 person found this helpful

Exercises That Can Help Relieve Hip Pain!

MS - Orthopaedics, Fellowship in Sports injuries, Shoulder & Knee arthroscopy, Fellowship in Paediatric Orthopaedics
Orthopedist, Delhi
Exercises That Can Help Relieve Hip Pain!

Dealing with hip pain is a daunting task. The pain can affect even walking or sitting. While alleviating pain with pills and medication can keep off the suffering, strengthening the hips is crucial. Exercises are perfect means to stay off of hip pain. The following are some of the exercises that an individual suffering from hip pain can perform to seek relief.

  1. Lying March: This is an easy way to assuage the hip pain. Lie flat on your back. Choose a flat surface for this exercise. Bend your knees and keep your hands on the side. Stiffen your abdominal muscles, and raise one leg up to 4 inches. Hold in the position for a few seconds. Lower the leg slowly. Now do the same with the other leg. It is better to stay in this position for 30 seconds, and then move on to the other leg.
  2. Planks: Stand on all fours. Your back should be straight. Now, start with planks by raising one knee, and there should be no bending of the back. Stay in this position for 5 seconds. Then alternate the leg. Repeat at least 5 times. If you have been doing this for long and are confident, move to the advanced level. This involves raising one leg and opposite arm simultaneously. Stay in this position for 5 seconds. Then go back to all fours position.
  3. Marching on the Ball: Sit comfortably on the exercise ball. Keep your feet shoulder apart, flat on the ground. Your toes should be firm on the ground and slowly raise one heel. When you want to try an advanced level, you can raise the entire feet off the ground. Stay in this position for 10 to 15 seconds. Slowly bring the foot down and change to the other leg.
  4. Half Crunch on Ball: Sit straight on the exercise ball and keep your feet flat on the floor. Keep your arms crossed on the chest. You can also keep the arms on hips. Bend the hip and raise the toes to lean around 45 degrees back. Now, push your stomach muscles to get back to the original position. Your feet should not move during this process, only then your ab muscles and hip are strengthened.
  5. Workout for thighs: Often, it is only the affected area that we focus upon for pain relief. But one has to take care of the adjacent area too, if complete cure is what you are looking for. This is why exercising the thigh muscles is important. For this, lie on the side. Raise the leg, and try to reach a height of 6 inches. Hold for 3 to 4 seconds. Bring the leg down slowly. Repeat the same with the other side. Perform at least 3 sets of 10 repetitions. However, stop it immediately if you experience severe pain.
  6. Flexion: Lie flat on the back. Place the leg on the ground, and start bending it slowly. Wrap your arms around the leg. Shin area should be held. Slowly pull the leg to your chest. Stay in this position for 3 to 5 seconds. Do it 10 times. Now do the same with the alternate leg.
  7. Squeeze Knees: Start with rolling a soft towel. Stop when it comes to a cylindrical shape. Bend your knees as you lie back. The feet should be on the ground, and now place the towel between the knees. Squeeze the knees, and it should be hard enough to engage your butt muscles and thigh muscles in this action. Hold for 3 seconds. Release. Do again for 10 times.

When doing all these exercises, you need to be careful about two things. Always choose a flat surface to lie straight and stop immediately if you experience pain. In case you have a concern or query you can always consult an expert & get answers to your questions!

1 person found this helpful

How Common Developmental Dysplasia Of Hip Is Treated?

Dr. Ravi C V 94% (15 ratings)
DNB, Fellowship in Pediatric Orthopedics
Orthopedist, Visakhapatnam
How Common Developmental Dysplasia Of Hip Is Treated?

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!

4334 people found this helpful

Hip Pain: 5 Causes A Woman Should Know!

Dr. Saipriya Tewari 86% (65 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Anaesthesia, PDCC - Pain Management
Pain Management Specialist, Delhi
Hip Pain: 5 Causes A Woman Should Know!

Your hip plays a very crucial role in the proper functioning of your body. It bears the weight of the entire upper body and also supports your back to maintain balance. The hip joint is a ball and socket joint that connects the pelvic region to the thighs. Some sort of injury on the hip joint/bones or a disease can cause pain in the hips. Also, women are more likely to suffer pain in the hips than men.

Here are some common causative factors of hip pain in women:

1. Arthritis - One of the most common causes of hip pain in women is Arthritis. As women grow older, the risk of suffering from arthritis increases. The ball and socket joint of the hip gradually degenerates with age. This wear and tear of the joint causes swelling and stiffness which results in pain.

2. Obesity - Excessive body weight results in excessive pressure on the hip joint. Due to the development of excessive pressure on the joint, an obese/overweight woman may experience pain on the hip joint.

3. Osteoporosis - Mostly found in older women, osteoporosis is a condition in which the density of the bones reduces. As a result of which, the hip joint becomes weak and is unable to withstand the weight of the entire upper body and gives rise to extreme pain.

4. Bursitis - A sac-like structure cushioning the muscles and bones around the hip joints, filled with some sort of fluid is known as bursae. The inflammation of bursae is a condition called bursitis, which results in extreme pain in the hip joint.

5. Gynecological issues - Pregnancy leads to excessive pressure on the hip joint due to weight gain and growth of the lining of the uterus, resulting in pelvic tenderness. Both of these factors induce a feeling of pain in the hip joint in a pregnant woman.

Related Tip: Why Do Women Face Joint Pain Problems More than Men??

Perthes Disease Of The Hip

Dr. Atul Kumar Garg 88% (11 ratings)
MBBS, MS - Orthopaedics, Fellowship In Arthroscopy & Arthroplasty, Advanced Life trauma Support, Diploma In Sports Injuries
Orthopedist, Delhi
Perthes Disease Of The Hip

Perthes disease of the hip is a childhood disorder, which occurs due to the disruption of blood flow to the femoral head. Inadequate supply of blood flow results in softening of the bones which result in the breakdown of the bones. Perthes disease is also referred to as Legg-Calve-Perthes disease or avascular necrosis.

Reasons Behind Occurrence of Perthes Disease
With the advancement of the latest techniques and bio-materials, it is possible to attain successful outcomes for hip arthroplasty. It is the activity level that mainly decides the need for hip replacement surgery and not the age of the patient. An individual with good bone quality can live young for a longer time and take part in physical activities. The main cause of this disease is not known, but it is not caused due to genetic factors. The bone abnormalities in certain cases are caused due to mutations in the COL2A1 gene, which is the characteristic of Perthes disease. The reason behind the occurrence of the blood vessel problem is not known and does not occur due to an injury. A child suffering from this condition is generally well and it takes several months for the blood vessels to regrow and for the blood supply to return to the dead bone tissue.

Symptoms of Perthes Disease
Perthes disease is actually not a disease and the main symptoms that are noticed include pain in the hip, limb or groin. The pain in these regions cause stiffness in the hip or shortening of the leg and results in constrained movements. It also causes a restricted range of motion of the hip joint. It causes a lot of pain while walking and the affected leg appears thinner and shorter. In some cases, both the hips of children are affected by this condition and mostly at different times. The important tests that are performed by a specialist to check for Perthes disease include ray of the hip and a bone scan. The extent of damage caused by Perthes disease is assessed by an MRI scan.

Treatment
Most children suffering from this condition are treated with a brace or plaster cast. Recently, even surgery has been performed to treat Perthes disease. There are certain milder cases that have healed even without any treatment, particularly in children who are below the age of 5 years. To keep the hip joint active some doctors advise parents to encourage children to swim and to avoid high impact exercises such as jumping or running. The main aim of the treatment provided by the specialist is to support the healing process and make certain that the femoral head is well seated in the hip socket. The treatments that are provided include a plaster cast, crutches and bed rest, observation, special leg brace and surgery.

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

4243 people found this helpful

Hip Pain: Diagnosis and Management

Dr. Manjari Gupta 88% (10 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Radiodiagnosis
Radiologist, Ghaziabad
Hip Pain: Diagnosis and Management

Pain is something that strikes fear and anxiety in all of us - be it physical pain or emotional pain. Pain is a somatic and unpleasant sensation that causes acute discomfort in the body of an individual. Hip pain can be caused due to a variety of reasons including conditions like arthritis or osteoporosis, as well as other conditions that may lead to hip pain as a symptom. The major occurrence of hip pain could be a recent injury or a previous untreated injury. It is also an indication of an injury or even a disease. The degree could be varied from a mild ache to an unendurable agony.

  1. Hip Pain Causes: Pain can occur in any part of the body. One such part is hip. The hip is a ball and socket joint which connects the torso of the body to the leg. Pain in the hip is a common complaint which could be caused due to a large variety of problems. Many a times the pain arises from the bones and tissue within the hip joint itself or the area that surrounds the hip. However, there could be other sources of pain in the hip too. At the time of any illness or an injury this vacant space is occupied with fluid or blood that stretches the capsule lining of the hip and results in the pain.
  2. The Hip and Other Areas: The hip pain is dependent on the condition that causes the pain in areas like thighs, interior of the hip joint, exterior of the hip joint, buttocks, back or groin. Hip pain has some usual symptoms which can make it easier to get detected. Sometimes, reduced range of motion accompanies the pain. Persistence in hip pain could also develop a limp.
  3. Diagnosis and Imaging: It is strictly recommended to get the hip pain diagnosed immediately after the discovery of the relevant symptoms. There are numerable methods available to diagnose the pain in the hip. One of such methods used by doctors or orthopedists is diagnosis through imaging. Imaging enables the doctors to view the internal area of the hip joint without causing any pain. The common imaging technologies comprise of x-ray (or radiography), computed tomography (CT) scan, magnetic resonance imaging (MRI) scan, and ultrasound. X-ray approach is generally the primary choice for getting the images. The CT scan combines X-ray and other complicated machinery to produce digital images. Doctors or orthopedist usually resort to MRI scans when the images produced by the X-ray or CT scan are not quite clear. High frequency sound waves are used for obtaining images through ultrasound. The radiologists after the diagnosis make a short patient history explaining them the procedure. This helps in understanding the kind of treatment that is required for the affected areas.

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

3114 people found this helpful
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