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Hip Pain Tips

Tips Resulting Best Recovery After Hip Replacement!

MBBS, MS - Orthopaedics
Orthopedic Doctor, Pune

What aids in best results after your hip replacement?

Practising these recovery tips will help you to have a smooth and successful recovery.

1-get in a healthy exercise routine

Most hip replacement patients are able to walk within the same day or next day of surgery; most can resume normal routine activities within the first 3 to 6 weeks of their total hip replacement recovery. 
Once light activity becomes possible, it's important to incorporate healthy exercise into your recovery program. Recommended activities include gradually increased walking and light household activities (sitting, standing, climbing stairs). Movement is essential to a healthy recovery.

2-pay attention to diet and weight

Excess weight can put stress on your new hip prosthesis and increase wear and the risk of complication. 
Maintaining a healthy body weight before and after your surgery can help to improve your recovery process and the ultimate lifespan of your prosthesis. Additionally, make sure to maintain a balanced high protein diet during your recovery.

3-exercise to promote blood flow

Certain exercises can help to promote blood flow and prevent clots. These include:

  • Regularly squeezing the thigh and calf.
  • Motion exercises for the legs that utilize full range of leg motions
  • Walking with or without the assistance of supportive devices (such as walker/cane)
  • Avoid squating

4-make household preparations 

Your mobility and ability to accomplish normal, daily tasks following your surgery will be strongly reduced. Prior to your surgery, make practical modifications to your house like getting a western chair (commode) fitted.

5-alarming signs to be watched for

As you should be very well aware that prosthesis is a non living foreign body which now incorporated within your body to perform a proper function, such a body part is always susceptible to infection.

Any sort of fever or even respiratory tract infection should be well treated first hand to avoid infection around the prosthesis.

1 person found this helpful

AVN Hip - How To Tackle It?

Dr. Sunil Kumar Dash 90% (70 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MS - Orthopedics, Fellowship, Depuy Joint Replacement
Orthopedic Doctor, Bhubaneswar
AVN Hip - How To Tackle It?

AVN is the acronym for avascular necrosis, which mostly affects the hip bone. This complication develops when there is a loss of blood flow to the bones. Being a living tissue, bones require a continuous supply of blood, and if there is an interruption to this supply for a long time, bones suffer from avascular necrosis. The longer duration of this condition may cause bone death. Apart from the hips, AVN may also affect other sites like knees, shoulder, ankles, etc.

Symptoms -

Usually, there are no symptoms in the early stages. However, as the disease progresses, it begins to hurt as you sit down or put pressure on the hip bones. As the disease progresses unabated, the pain may refuse to go away. Progressively, the hip bone collapses along with its surrounding joint tissue. Pain becomes severe and begins to interfere with your daily activities. However, it may take several months and even a year for the bone and the surrounding tissue to collapse.

Causes -

Causes of avascular necrosis may include:

  • Dislocation of thigh bone affecting the blood supply to the bone. About 20% of people suffering from hip dislocation or fracture may suffer from AVN Hip.

  • Chronic use of corticosteroids. About 35% of patients undergoing chronic corticosteroid use may develop AVN Hip. It is considered that these drugs may interfere with the ability of the body to break down fat.

  • Alcohol abuse too may lead to avascular necrosis much in the same way as corticosteroids.

  • Blood clots, arterial damage, and inflammation may also contribute to blocking the flow of blood to bones and precipitate AVN Hip.

Treatment -

The objective of treating avascular necrosis is to improve the functioning of joints, reducing pain, and stopping bone damage. In the case of early diagnosis, treatment can be done by taking pain-relieving medicines and by limiting regular use of your hips. Taking crutches to limit weight bearing by the hips may help to relieve pain and limiting damage to the bone. You may also need to perform various range-of-motion exercises in order to ensure continued mobility of the joints.

Treatment Outcome -

Needless to say, the damage already done cannot be reversed. This is why the earlier the problem is diagnosed, the better it is for the patients. The best outcome of treatment depends on:

  • Age of the patient

  • Stage of progression of the disease

  • Location of bone damage and its spread

  • Removing the cause of avascular necrosis, if possible, which means stopping alcohol and drug abuse, taking precautionary steps after femoral dislocations and fractures, stopping the use of corticosteroids, etc.

Take Away -

The symptoms are not visible in the early stage of the condition. This is why a consultation is advisable if a person experiences any of the above symptoms.

5137 people found this helpful

Ways To Soothe Hip Joint Pain!

Dr. Abhishek Kumar Mishra 90% (14 ratings)
MS - Orthopaedics, MCH, Membership of the Royal College of Surgeons (MRCS), MBBS Bachelor of Medicine and Bachelor of Surgery, FJR
Orthopedic Doctor, Delhi
Ways To Soothe Hip Joint Pain!

Get a diagnosis before anything else. It is really important to know what is causing your pain. See a doctor before you start doing any exercises or taking any medication. There are many reasons your hip could be in pain, including arthritis, bursitis, or an injury you've got while playing a sport. Always ask your doctor what you should and should not be doing, given the cause of your hip pain

1. Ice your joints: Holding ice to your hips will reduce inflammation of your joints. You should hold an ice pack to the affected area for 15 minutes several times a day. If you find that the ice pack is uncomfortably cold, wrap it in a towel and then place it on the pained area.

2. Heat your joints if you have arthritis in your hips: Heating your joints can soothe the pain you feel. Consider taking a hot bath or shower, or soak in a hot tub if there is one available to you. You could also consider purchasing a hot pad that you can place directly on your hip. Do not use heat to soothe your joints if you have bursitis. Heat can cause hips affected by bursitis to actually become more inflamed.

3. Get some rest: If you have injured your hip, the best thing you can do is to simply give your hip time to heal. Avoid anything that causes you to feel pain in your hip. Instead, grab an ice pack, a bowl of popcorn and watch some movies. You should give your hip a rest for at least 24 to 48 hours.

4. Avoid high-impact activities: If you are in severe pain, chances are you won't feel like running or jumping anyway, but it is good to keep in mind that these activities should be avoided. High-impact activities will cause your joints to become more inflamed, thus causing you more pain. Instead of running, try taking a brisk walk, as walking has much less of an impact on your joints.

5. Consider losing weight: The more your body weighs, the more weight your painful hip is burdened with supporting. Losing weight can help ease hip pain simply by removing some of that weight that stresses the cartilage and joints.

6. Choose the right shoes: You should buy shoes that give you as much support as possible. Look for shoes that have great cushions, or have removable insoles so that you can add orthopaedics. The sole should have good shock absorption, should limit pronation (turning or rotating the foot) and will evenly distribute pressure along the length of your foot.

2207 people found this helpful

Ways To Subdue Hip Joint Pain!

Dr. Puneet S Shah 85% (12 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, DNB - Orthopedics, M.Ch
Orthopedic Doctor, Nashik
Ways To Subdue Hip Joint Pain!

Get a diagnosis before anything else. It is really important to know what is causing your pain. See a doctor before you start doing any exercises or taking any medication. There are many reasons your hip could be in pain, including arthritis, bursitis, or an injury you've got while playing a sport. Always ask your doctor what you should and should not be doing, given the cause of your hip pain.

1. Ice your joints: Holding ice to your hips will reduce inflammation of your joints. You should hold an ice pack to the affected area for 15 minutes several times a day. If you find that the ice pack is uncomfortably cold, wrap it in a towel and then place it on the pained area.

2. Heat your joints if you have arthritis in your hips: Heating your joints can soothe the pain you feel. Consider taking a hot bath or shower, or soak in a hot tub if there is one available to you. You could also consider purchasing a hot pad that you can place directly on your hip. Do not use heat to soothe your joints if you have bursitis. Heat can cause hips affected by bursitis to actually become more inflamed.

3. Get some rest: If you have injured your hip, the best thing you can do is to simply give your hip time to heal. Avoid anything that causes you to feel pain in your hip. Instead, grab an ice pack, a bowl of popcorn and watch some movies. You should give your hip a rest for at least 24 to 48 hours.

4. Avoid high-impact activities: If you are in severe pain, chances are you won't feel like running or jumping anyway, but it is good to keep in mind that these activities should be avoided. High-impact activities will cause your joints to become more inflamed, thus causing you more pain. Instead of running, try taking a brisk walk, as walking has much less of an impact on your joints.

5. Consider losing weight: The more your body weighs, the more weight your painful hip is burdened with supporting. Losing weight can help ease hip pain simply by removing some of that weight that stresses the cartilage and joints.

6. Choose the right shoes: You should buy shoes that give you as much support as possible. Look for shoes that have great cushions, or have removable insoles so that you can add orthopedics. The sole should have good shock absorption, should limit pronation (turning or rotating the foot) and will evenly distribute pressure along the length of your foot.

2029 people found this helpful

Hip Joint Pain - How To Cope With It?

Chd City Hospital 86% (101 ratings)
Multi Speciality, Chandigarh
Hip Joint Pain - How To Cope With It?

Get a diagnosis before anything else. It is really important to know what is causing your pain. See a doctor before you start doing any exercises or taking any medication. There are many reasons your hip could be in pain, including arthritis, bursitis, or an injury you've got while playing a sport. Always ask your doctor what you should and should not be doing, given the cause of your hip pain.

1. Ice your joints: Holding ice to your hips will reduce inflammation of your joints. You should hold an ice pack to the affected area for 15 minutes several times a day. If you find that the ice pack is uncomfortably cold, wrap it in a towel and then place it on the pained area.

2. Heat your joints if you have arthritis in your hips: Heating your joints can soothe the pain you feel. Consider taking a hot bath or shower, or soak in a hot tub if there is one available to you. You could also consider purchasing a hot pad that you can place directly on your hip. Do not use heat to soothe your joints if you have bursitis. Heat can cause hips affected by bursitis to actually become more inflamed.

3. Get some rest: If you have injured your hip, the best thing you can do is to simply give your hip time to heal. Avoid anything that causes you to feel pain in your hip. Instead, grab an ice pack, a bowl of popcorn and watch some movies. You should give your hip a rest for at least 24 to 48 hours.

4. Avoid high-impact activities: If you are in severe pain, chances are you won’t feel like running or jumping anyway, but it is good to keep in mind that these activities should be avoided. High-impact activities will cause your joints to become more inflamed, thus causing you more pain. Instead of running, try taking a brisk walk, as walking has much less of an impact on your joints.

5. Consider losing weight: The more your body weighs, the more weight your painful hip is burdened with supporting. Losing weight can help ease hip pain simply by removing some of that weight that stresses the cartilage and joints.

6. Choose the right shoes: You should buy shoes that give you as much support as possible. Look for shoes that have great cushions, or have removable insoles so that you can add orthopaedics. The sole should have good shock absorption, should limit pronation (turning or rotating the foot) and will evenly distribute pressure along the length of your foot.

6089 people found this helpful

Avascular Necrosis Of Hip - Causes & Symptoms Of It!

Dr. Rajeev Siwach 90% (19 ratings)
MBBS, MS - Orthopaedics
Orthopedic Doctor, Jodhpur
Avascular Necrosis Of Hip - Causes & Symptoms Of It!

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 progress which leads to pain whenever the hip is rotated or is to bear weight while walking

2716 people found this helpful

Hip Pain - Exercises To Relieve It!

Physiotherapist, Noida
Hip Pain -  Exercises To Relieve It!

Hip pain is a very common condition that might have a variety of causes. To determine the underlying cause, it is very important to find out the exact spot of the hip pain. Any problem of the hip joint can also result in pain on the groin or the inner portion of the hip. In some cases, conditions in other parts of the body such as the lower back can also result in hip pain, this is known as referred pain.

Symptoms
Based on the underlying condition, pain in the groin, thigh and the buttocks will be the commonly observed symptoms. Pain in the groin or the back can also spread to the hip. Performing any activity can worsen the hip pain, especially if the cause is arthritis. Persistent hip pain may also cause you to develop a limp.

Here are some exercises to relieve hip pain:

  1. Bridge: The bridge is one of the best exercises to strengthen the hips and the lower back. You start the procedure by lying on your back and then lifting the hips off the floor. Hold the position till you take in a few breaths and then relax.
  2. Cat cow: The cat cow is one of the best exercises to relieve hip and lower back pain. Get down on all fours and then keep a neutral pose. Slowly push your upper back to the ceiling and hold it for two breaths. Next, bend your spine like a cow with the neck and the buttocks pushed upward and hold for another two breaths.
  3. Plank: Plank is known as the king of core strengthening exercises and with good reason. Doing a plank activates all the core muscles of the body, including muscles of the shoulder, back and the legs. Start in a push-up position and then slowly lower your forearms to the ground and hold the position. Remember to keep your tummy tucked in tight and stretch the legs backwards.
5596 people found this helpful

Knee & Hip Pain - Ways To Manage Them Effectively!

Dr. Ritesh Pandey 88% (11 ratings)
MS - Orthopaedics, Fellowship in Paediatric orthopaedics, Fellowship in deformity correction & limb reconstruction
Orthopedic Doctor, Ludhiana
Knee & Hip Pain - Ways To Manage Them Effectively!

The knee joint is made up of several elements including the kneecap, meniscus, connective tissue, tendons, ligaments, cartilage, and muscles. Damage to any part of the knee can cause chronic pain. Hip joint pain can also be the result of arthritisbursitis, or an injury you've got while playing a sport or in an accident.

What can cause knee pain:

Fractures: These are caused by the breaking up of the kneecap due to falls or collisions.ACL Injuries: Caused due to the tearing of the anterior cruciate ligament (that connects the femur and the shinbone). Especially common in sportspersons such as footballers or basketball players.Meniscus tears: The meniscus or the rubber-like cartilage (that acts as a shock absorber) can be torn by sudden jerks or excess pressure.

Arthritis: The chief cause of lingering knee pain, arthritis itself can be of a number of types.

  • Osteoarthritis, which is a result of deterioration of cartilages due to wear and tear
  • Rheumatoid Arthritis, an inflammatory chronic disorder
  • Septic Arthritis, causing pain, swelling and redness.
  • Gout caused due to the development of uric acid crystals in the joints

How to deal with it:

  • Exercise: Moderate to intense exercise is prescribed for one and all. This, of course, depends on one's overall health and age. If you are already suffering from joint pain, then you may want to go easy on the exercise with a focus on building muscle strength and foundation. If you are healthy, then some amount of daily exercise as a routine will keep those knees in prime working condition and well lubricated as well. Inactivity and a sedentary lifestyle can affect the knees very badly.
  • Dealing with Load: Weight is a big one. Carrying around extra pounds and kilograms can be detrimental for your knees in the long run. Your knee is not equipped to handle the excessive weight. It already supports three to five times your weight when you get up and walk around or indulge in some mild jogging. One must be careful of those extra pounds to take the load off the knee and keep it from falling prey to damage.
  • Do not Ignore: Warning signals such as chronic or acute knee pain should not be ignored. Remember to see a doctor or an orthopaedic specialist to find out if you have contracted an infection or if you may have suffered a fracture due to an injury.

Ligament Injuries-

The ligaments around the knee are strong. However, sometimes they can become injured. They may be stretched (sprained), or sometimes torn (ruptured). A ligament rupture can be partial (just some of the fibres that make up the ligament are torn) or complete (the ligament is torn through completely). The majority of knee ligament injuries are sprains and not tears and they tend to settle down quickly.

ACL injury and other ligament injuries can be caused by:

  • Twisting your knee with the foot planted
  • Getting hit on the knee
  • Extending the knee too far
  • Jumping and landing on a flexed knee
  • Stopping suddenly when running
  • Suddenly shifting weight from one leg to the other

These injuries are common in soccer players, football players, basketball players, skiers, gymnasts, and other athletes.

Ways To Manage Hip Joint Pain:

Always ask your doctor what you should and should not be doing, given the cause of your hip pain.

  1. Ice your joints: Holding ice to your hips will reduce inflammation of your joints. You should hold an ice pack to the affected area for 15 minutes several times a day. If you find that the ice pack is uncomfortably cold, wrap it in a towel and then place it on the pained area.
  2. Heat your joints if you have arthritis in your hips: Heating your joints can soothe the pain you feel. Consider taking a hot bath or shower, or soak in a hot tub if there is one available to you. You could also consider purchasing a hot pad that you can place directly on your hip. Do not use heat to soothe your joints if you have bursitis. Heat can cause hips affected by bursitis to actually become more inflamed.
  3. Get some rest: If you have injured your hip, the best thing you can do is to simply give your hip time to heal. Avoid anything that causes you to feel pain in your hip. Instead, grab an ice pack, a bowl of popcorn and watch some movies. You should give your hip a rest for at least 24 to 48 hours.
  4. Avoid high-impact activities: If you are in severe pain, chances are you won't feel like running or jumping anyway, but it is good to keep in mind that these activities should be avoided. High-impact activities will cause your joints to become more inflamed, thus causing you more pain. Instead of running, try taking a brisk walk, as walking has much less of an impact on your joints.
  5. Consider losing weight: The more your body weighs, the more weight your painful hip is burdened with supporting. Losing weight can help ease hip pain simply by removing some of that weight that stresses the cartilage and joints.
  6. Choose the right shoes: You should buy shoes that give you as much support as possible. Look for shoes that have great cushions, or have removable insoles so that you can add orthopaedics. The sole should have good shock absorption, should limit pronation (turning or rotating the foot) and will evenly distribute pressure along the length of your foot.
4740 people found this helpful

Hip Replacement Surgery - All You Should Know!

Dr. Ankur Singhal 87% (78 ratings)
MS - Orthopaedics
Orthopedic Doctor, Raipur
Hip Replacement Surgery - All You Should Know!

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 orthopaedist will provide you with exercises that aid to help you recover. Avoid climbing stairs and sit on chairs that have strong back support.

5080 people found this helpful

Know More About Hip Arthroscopic Surgery!

MBBS, Diploma in Orthopaedics, DNB - Orthopedics/Orthopedic Surgery
Orthopedic Doctor, Nagpur
Know More About Hip Arthroscopic Surgery!

Hip arthroscopy is a minimally invasive surgical procedure in which doctors view the joint problem without making any cuts through the skin and other soft tissues. Hip Arthroscopy is performed to treat several hip problems.

In Hip Arthroscopy, the doctors insert an arthroscope (a small camera) into the hip joint. The pictures are displayed on a video monitor with the help of an arthroscope. The surgeons will use these images to guide the surgical instrument.

As the surgical instrument and arthroscope are very thin, the surgeons make a very small incision compared to the one that is done in open surgery. As a result, patients feel less pain and stiffness in joints. This type of surgery also takes less time to recover and one can return to their normal life within a short period of time.

Hip Anatomy:

The hip is a socket and ball joint. The socket is formed by a part of a large pelvis bone called acetabulum. The ball joint is on the upper end of the femur (thighbone). Articular cartilage is a slippery tissue that covers the surface of the socket and ball. It creates a frictionless and smooth surface that helps the bones to glide across each other easily. Strong fibrocartilage is ringed on the acetabulum called labrum. It creates a gasket around the socket.

The joint is surrounded by a ligament, which creates a capsule to hold the joint together. The inner surface of the capsule is lined by a membrane called synovium. It produces a synovial fluid that helps in lubricating the joints.

When to Recommend Hip Arthroscopy?

If a person is suffering from chronic pain and does not respond to any other nonsurgical treatment, including physical therapy and medication, doctors may recommend a person opt for hip arthroscopy.

Hip arthroscopy helps a person to get relief from many problems that cause painful symptoms including damaged articular cartilage, labrum, or other soft tissues. The damage can be the result of any form of injury. However, there are other orthopedic conditions that can also lead to damage. The orthopedic conditions include:

Femoroacetabular Impingement (FAI):

In this type of disorder, an extra bone is developed on the femoral head (cam impingement) or along the acetabulum (pincer impingement). The overgrowth of the bone is known as spurs that damage the soft tissues surrounding the hip joint. In most cases, the bone spurs develop in either part. However, there are cases in which the bone spurs develop in both femoral head and acetabulum.

Dysplasia:

In this condition, the hip socket is abnormally shallow. Due to this problem, more stress is put on the labrum in order to keep the femoral head within the socket. This may raise the condition of the labral tear.

Snapping Hip Syndrome:

In this condition, the tendon rubs across the hip joint repeatedly. This type of popping or snapping is generally harmless and can be repaired without any treatment. However, the tendon may be fully damaged due to continuous rubbing in some cases.

Other conditions where hip arthroscopy is recommended include synovitis, hip joint infection, and labral tear.

Arthroscopic Femoroacetabular Surgery:

If the diagnosis results show that damage is caused by femoroacetabular impingement and a patient is not getting relieved from pain by any nonsurgical method, doctors recommend going for Arthroscopic Femoroacetabular Surgery.

In this type of surgery, the doctor repair and clear out the damage of the articular cartilage and labrum. He may also trim the rim of the acetabulum bone and shave the bump of the femoral head.

Arthroscopic Labral Repair:

If patients are not getting relief from conservative treatment, doctors recommend Arthroscopic Labral Repair. In this type of surgery, surgeons cut out and remove the damaged or torn part of the labrum. He further repairs the torn part by sewing it.

Take Away:

Both treatment methods are minimal incision processes and require fewer hospital stays. However, it is always advisable to consult a doctor before opting for any treatment.

4133 people found this helpful
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