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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

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.

1 person found this helpful

Perthes Disease Of The Hip

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

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

Popular Questions & Answers

Male 38, I run on regular basis. Recently I did two half marathons back to back after 2nd I started to feel pain in my right hip half part of back of thigh, that day it was there when I was walking. Now I feel it while sitting for long duration or run longer than 20 km. Kindly advise what should I do.

MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
Hello lybrate-user becoz of running your hip muscle had strain, stop running for few days once you feel better start back and hip muscle strengthing and stretching exercises then you can start running again, you can take NSAIDS to get pain replied, do consult.
2 people found this helpful

Hi I am getting pain in the bones of my waist and hip. Even am not feeling enough strength to squeeze the muscle around hips. It's continuing for long time. I have vitamin D 25 (OH) -- 21. Is it because of this? Even I have an ACL tear in my right leg which I didn't operate yet. Please help me on this.

MBBS, D'Ortho, DNB (Orthopedics)
Orthopedist, Mumbai
Hello Lybrate-user, Yes vit D is low you need to start vit D with calcium tab need to take that for prolong period bolus with maintenance dose and for ACL you will require Arthroscopic reconstruction very good results after that Do consult.

My father is an 50 year old and his weight 75 kg and his height is 170 cm. He has an problem of back pain in right side and this pain is start from right hips to heel.

MBBS DA FIPM
Pain Management Specialist, Jabalpur
You get an X ray of the lumber spine and MRI done of your spine and consult a pain physician or a neurosurgeon. You might be having a Lumber disc herniation, early spondylosis or early lumber canal stenosis.
1 person found this helpful

Mere left side mein panje se lekar kulhe tak dard rahta hai. Peshab mein kabhi kabhi jalan. Saal bhar pahle mera uterus remove kr diya gaya. Thyroid aur diabetic hu. Upchar aur saavdhani batayein.

MBBS, CCEBDM, Diploma in Diabetology, Diploma in Clinical Nutrition & Dietetics, Cetificate Course In Thyroid Disorders Management (CCMTD)
Endocrinologist, Hubli-Dharwad
Hello, Thanks for the query. It is difficult to say why the pain occurs from hip down to foot or sole. Since you are diabetic as well as having hypothyroidism, it is essential to achieve a strict control of both the conditions. By which it means - fasting glucose < 100 mg, PP 150 to 160 mg & HbA1c% <6.8. Plus TSH level should be maintained around 3 to 4 mU/L. Agar pishab burn hota hai to shayad urinary tract infection (UTI) hai kya dekhana chahiye. Urine routine and microscopy test karva lijiye. Also get an ultrasonography of abdomen and kidneys to see if there are kidney stones. To treat UTI suitable antibiotic may have to be taken. Drink plenty of water. Thanks.
2 people found this helpful

My mum had got L5 LS1 surgery at right side post surgery after few weeks after she found that there's infection near the surgery now she experiencing very bad at left back hip kindly suggest please as now she not able to sit or walk.

MS - General Surgery, FMAS.Laparoscopy
General Surgeon, Gandhinagar
Hello dear Mala , hi Warm welcome to Lybrate.com I have evaluated your query for your mother thoroughly . * The infection has to be evaluated with clinical examination , management with pus culture and other supportive parameters . * Difficulty in walking , hip pain needs internal assessment with x-ray or else . Hope this clears your query . Wishing her fine recovery . Welcome for any further assistance . Regards take care .

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