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Hip 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?

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!

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

Prevention From Hip Joint Fracture In Older Age!

MS - Orthopaedics, MCH, Membership of the Royal College of Surgeons (MRCS), MBBS Bachelor of Medicine and Bachelor of Surgery, FJR
Orthopedic Doctor, Delhi
Prevention From Hip Joint Fracture In Older Age!

Any mild fracture in the hip can give a tough time to people. A hipbone fracture or broken hip is most common in elderly people, especially in women. Mostly, the reason is the underlying thinning of bones. In addition, in any hospital hip fracture is considered to be the most common bone treatment in the orthopedic department. 
A hipbone fracture can be intracapsular (within the joint capsule), or it can be extracapsular (outside the joint capsule). 

What causes the hipbone fracture?

As discussed before, the leading cause of hipbone fracture is thinning of bones. So if you develop osteoporosis, you end up getting a fracture in your hip, mostly when you fall. Osteoporosis generally means your bone density has decreased, and your bones have become honeycombed. This makes the bone more fragile. 

Generally, if you have a fracture in your hip, then you will feel pain around the injured portion, you will face difficulty in walking or moving. These are the most common symptoms that can be felt during a broken hip. Mostly the intensity of the fracture is determined clinically via different tests like X-ray, MRI, CT scan, etc. The treatment may vary and depends upon the intensity of the injury. Now if we talk about the treatment of hipbone fracture, it's mostly surgery

Well, it will be smart enough to take prevention regarding the hipbone fracture. There are various kinds of guidelines, which can help elders to prevent a hipbone fracture. 

How to prevent hipbone fracture? 

First and foremost, it is advised to adopt a healthy lifestyle in young age in order to build a healthy bone, which decreases the chance of bone fractures in older age. 

  • Always remember to maintain a healthy bone. 
  • Calcium and vitamin D both are very important for healthy bones. Health experts advise, when you attain the age of 50 or above, you should daily intake 1,200 milligrams of calcium per day and 600 international units of vitamin D per day. 
  • Exercise can help you to maintain peak bone density for longer periods, and it also increases the strength of your body and bones. Balance training also plays a pivotal role since it reduces the chance of falling. 
  • Avoid consuming of tobacco and alcohols as it can reduce bone density. 
  • Get your eyes checked every year so that you do not face any problem while seeing. This is because poor view increases the chance of falling.
  • Keep an eye on every medicine you are taking. As dizziness or weakness can be side effects of many medicines, these can lead you to fall often. So it is advised to discuss your medication with doctors. 
  • As you get older, the chance of high or low blood pressure doubles up. So you should be extra careful while standing up.
  • If you don't feel steady enough, then to avoid falling, it is safe to use a walker or walking stick in the old age.
2006 people found this helpful

Ways To Subdue Hip Joint Pain!

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

Primary & Revision Total Hip Replacement Surgeries - Is There A Difference?

MBBS, MS - Orthopaedics
Orthopedic Doctor, Kolkata
Primary & Revision Total Hip Replacement Surgeries - Is There A Difference?

Primary Total Hip Replacement Surgery is generally a successful procedure, allowing people to restore their active and painless lifestyle. It involves the replacement of a hip joint with a prosthesis or an implant made of different materials. But, over a period of time, this procedure might fail for a number of reasons. When such a failure happens, revision surgery is employed. The Revision Total Hip Replacement Surgery is hence the second operation that removes parts of the first prosthesis to replace them with a new set.

The ultimate goal of both the procedures, namely Total Hip Replacement Surgery and Revision Total Hip Replacement Surgery is the same that is to improve the quality of life by bettering the functionality and relieving pain. However, these two surgeries are different in their procedure and complexity. Revision Total Hip Replacement Surgery is more complex and takes much longer time. It requires good planning and use of specialized tools and implants for achieving good results. Use of specialized implants compensates for the damage to soft tissue and bone that makes it difficult for the surgeon to use standard Primary Hip Implants.

Revision Total Hip Replacement Surgery can manifest itself into two forms:

  1. There might be the need to remove the entire prosthesis and its replacement. It might also involve rebuilding the bone around the hips with augments or bone graft.

  2. In another case, there is a possibility that only some parts or components of the prosthesis need to be removed and replaced.

When to go for Revision Total Hip Replacement Surgery:

  1. When there is wearing and loosening of Implant, it does not function properly. For proper functioning, the implants can be cemented into place or press- fit allowing the bone to grow onto them. If this does not happen, the components get loose leading to pain. Loosening of implants might be caused by excessive body weight, rigorous physical activity, and wearing of the plastic liner inserted between metal cup and ball. Also, younger patients might also have to go through a Revision Surgery when the implant completes its life expectancy.

  2. If there is a bacterial infection in the Total Hip Replacement, Revision Surgery is employed. This is so because antibiotics cannot alone eliminate bacteria from joints. In such cases, two stages of the operations are required. But sometimes, a single stage operation is also employed. However, it has limited application.

  3. When there is a recurrent hip location in the ball and socket joint, Revision Surgery is opted to properly align the joint and to insert the implant.

  4. In case of a periprosthetic fracture (when bone around the implant breaks), Revision Surgery is required.

  5. When metal used in implant breaks or degrades, it may cause damage to soft surrounding tissue and bone. This would require a corrective Revision Surgery.

Preparation for the Surgery:

The patient undergoes a thorough physical examination. It is to ensure that undergoing surgery would not be harmful in any possible way. X-Rays, MRIs, and CT scans are employed to fully understand the structure of the joint. Laboratory tests are conducted to ascertain the fitness of the patient to undergo the procedure. It should be noted that post- surgery, the patient is not able to function at all and requires help even to perform petty tasks for himself. Thus, suitable arrangements should be made accordingly in advance for the same.

Post-Operative Care:

Post-operative care involves pain management, preventing infection, physical therapy, wound care, and prevention of blood clot. It ensures healthy recovery.

1967 people found this helpful

Hip Joint Pain - How To Cope With It?

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

Hip Fracture - How To Avert It?

MBBS, DNB (Orthopedics), Diploma in Orthopaedics, MCH- Orthopedics
Orthopedic Doctor, Hyderabad
Hip Fracture - How To Avert It?

Old age or certain medical conditions may cause osteoporosis. In such conditions, one needs to be cautious as even the smallest of falls can cause fractures which may render the patient bed-ridden. Here are a few tips to how you can prevent hip fracture.

Read on to find out more about the prevention of hip fracture.

  1. Preventing falls: People over the age of 65 have a higher risk of falling due to various causes. To reduce such risks one should take the help of walking aids such as a walking stick. Avoid walking on slippery surfaces or wear rubber sandals and shoes to ensure that you do not slip on such a surface. One should also exercise regularly to maintain strength in the bones. Flexibility and fitness increase with exercise and thus decrease the chances of falling.
  2. Hip protectors: Hip protectors are used for lessening the impact of a fall. It is highly useful in case of older people for preventing hip fractures. Hip protectors are basically a device which uses padding and plastic material for shielding and absorbing impact and is attached to specially designed undergarments. The padding absorbs the shock and the plastic material diverts the shock away from vulnerable areas. Hip protectors in the past were sparsely used as they used to be highly uncomfortable and used to cause a major inconvenience. Modern hip protectors however have reduced the level of discomfort and also have newer features which provide ventilation, thus reducing sweating. Hip protectors are highly useful for old people who are admitted in care homes and who have a high risk of falling. It is of relatively less useful for people who are active.
  3. Frax tool: The world health organization (WHO) has developed a fracture assessment tool which calculates the risk of fracture of a person whose age is between 40 to 90 years. This tool takes into account the bone mineral density (BMD) and other factors such as age and sex to determine the chances of fracture depending on the current physical condition of your body.
1454 people found this helpful

Avascular Necrosis Of Hip - Causes & Symptoms Of It!

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
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