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Hip Tips

Hip Arthroscopy Surgery (Femoroacetabular Surgery & Labral Repair)!

Hip Arthroscopy Surgery (Femoroacetabular Surgery & Labral Repair)!

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.

Hip Mobility - Know Stretches To Enhance It!

Hip Mobility - Know Stretches To Enhance It!

One part of the human body is essential for the efficient functioning of another. The hip joint provides support to your overall body weight while you are at ease or in motion. Suffering from medical problems pertaining to the hip can impede free movement; walking, running, stooping, sitting or even lying down will cause immense pain and discomfort in such a situation. While certain bodily disabilities come with old age and are in most cases unavoidable; some others can actually be controlled through physical exercise.

Take a look at a few stretches to improve your hip mobility:-

1. Stretch like a pigeon- This yoga loosens up muscle tension in and around a person's hip. Your right leg must be stretched behind while the upper part of your body bends over a folded left leg in front. Your head rests on your coupled hands. This stretch improves the shape of your hip as well.
  
2. Try to be an eagle for hip firmness- To align your body in the perfect eagle pose; you probably need to be a conjurer; that is the kind of flexibility the posture requires. Be a half-chair making your hands intersect above your head while your left leg crosses the right one. The pressure is on your hip making it strong. Your body has to be in one single line.
 
3. Sit in the chair pose- Crouching on your haunches with your torso inclined to the front is a good way to better hip mobility. This exercise also relieves you of back pain. It adds potency to the muscles of your upper thighs thus giving a well- rounded hip extra support.
  
4. Stoop in the downward doggy pose- The downward doggy pose helps you concentrate on the fullness of your hips. The back muscles are stretched and the problem of a small, rickety hip is dealt with through this yoga. Your legs should be erect at the knees and should be stretched apart depending upon the width of your hip. The rest of your body should bend in a forward arch while your spread hands touch the ground. 
 
5. Try out the benefits of World's Greatest Stretch- World's greatest stretch involves a series of stretches that not only accentuates your hipline making your hip muscles adaptable to stress but also tones muscles in other parts of your body. It is a three-fold exercise. The second step is the most difficult where your body is balanced on a half-folded right leg and you're required to touch the ground with your right elbow.

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Yoga - How Can It Help Us?

Yoga - How Can It Help Us?

The entire humanity is now used to a fast-paced, stressful life without time to think about their physical and mental health. Your body can adapt to this kind of lifestyle for a while. After which, one fine day, it might breakdown, with or without warning.

Emotional stability is lost, and physical trauma is felt, and everyday activities may seem to be scary. Yoga comes to the rescue for all your problems, be they physical or mental.

The real essence of Yoga lies around improving the life force at the base of the backbone. It attempts to achieve holistic goodness through various physical and mental workouts. Coming to the physical level, the procedures comprise of several postures or yogic asanas which can keep the body healthy, while on the mental level, there are some breathing and meditative techniques which help in disciplining the mind. The benefits of Yoga are almost endless, and this is the reason why it has received international acclamation even when it had originated in India centuries ago.

How can Yoga aid you to live a better life?

No matter whether you are from the West or the East, regular practicing of Yoga can offer tons of benefits which include:

  1. Improves your flexibility - This is the most significant benefit of Yoga where you can improve your posture with each practice sessions. Inflexibility can bring about a lot of movement issues; tight hamstrings can flatten the lumbar spine while tight hips can cause strain to the knee. Daily Yoga can relieve connective tissues while improving posture.
     
  2. Builds muscle strength - Strong muscles are not just meant for making you look good; it can protect you from conditions such as back pain, arthritis and falls among aged people. With regular practice of Yoga, you can see your muscles becoming stronger and flexible within a short span.
     
  3. Prevention of joint and cartilage breakdown - While practicing Yoga, all the major joints of the body runs through a roller coaster of motion. This can prevent degenerative arthritis and squeeze the parts of the cartilage which are not usually used.
     
  4. Improve the health of the bone - Several postures of Yoga demand you to bear your own weight such as the downward and the upward facing dog which also helps in making the bones in the arms stronger. Plus, Yoga is known to lower the cortisol levels which can boost the level of calcium in the bones.
     
  5. Protection of the spine - The spinal disks which help in absorbing shock crave for movement through which they get the nutrition. Yoga can get you optimum back-bends, twists and forward bends to keep the disks in a supple condition.
     
  6. Improvement in coordination among mind, body and soul.

How has Yoga helped in improving health condition?

After many research and feedback from the people, yoga has tremendous effects on the body as well as mind. Yoga involves many techniques and method at a very micro and macro level of mind and body. Yoga helps to understand the body and its mechanism because 70-80% of the body’s complication is related to psychology. In yoga, there are some body posture which has a very good effect on the body and its complication. Like Windreleaving posture is good for gastric problem, mandukasana is good for diabetes patients.

Basic Yoga asanas that can help maintain health: 

  1. Sukhasana
  2. Shavasana
  3. Balasana
  4. Vajrasana
  5. Bhujangasana
  6. Trikonasana
  7. Uttanasana
  8. Pashcimottanasana
  9. Eka Pada Rajakapotasana
  10. Ushtrasana

More real-life examples can be cited where people suffering from chronic illness have gotten complete relief by practicing Yoga. Across the world, this ancient Indian therapy has been acknowledged as an effective alternative therapy.

We should also consider that yoga is not merely an exercise, it’s an integral part of the lifestyle which we should follow completely.

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Developmental Dysplasia Of Hips!

Developmental Dysplasia Of Hips!

The hip is a ball-and-socket joint in the human body. Normally, the ball located at the upper part of the thighbone (femur) firmly fits into the socket, which is a part of the pelvis bone. In people, especially children and babies, who have Developmental Dysplasia of Hips (DDH), the ball does not fit the socket perfectly. Therefore, the hip joint is not formed completely and is likely to dislocate easily.

DDH is a congenital disorder, meaning the condition is present at birth. However, it may also develop during the first year after the birth of the child. The degree of instability of the hip joint varies from one child to another.

Risk factors:

The following factors make the baby prone to Developmental Dysplasia of Hip-

• Gender (girls are more likely to be born with DDH)
• Firstborn child
• Infants born with their feet up by the shoulders
• A family history of DDH
• Low level of amniotic fluid

Symptoms of DDH:

Often times, infants born with DDH will not show any prominent signs. Nevertheless, you must consult a doctor if you observe the following symptoms-

• Legs that differ in length
• Uneven folds of skin on the thigh
• Restricted mobility
• Limited flexibility on one side
• Toe walking, a waddling gait, or limping

Diagnosis and Treatment:

The doctor will conduct a physical examination to detect DDH. He/she will move the baby’s hip and legs in certain ways to check for instability of the hip joint. Newborns that are at high risk of developing DDH are diagnosed using ultrasound, which displays images of the hipbone. For children and older infants, an X-ray is performed.

Treatment of DDH can be either surgical or non-surgical, depending on the baby’s age.

• Non-surgical treatment methods include the use of braces or positioning devices. The doctor will place the baby in a soft positioning device, known as Pavlik harness, for at least 2 months. This helps ensure the thighbone stays firm in the socket. The brace is designed in a manner that holds the hip in place while allowing the baby to move the legs freely. The harness tightens the surrounding ligaments and promotes the normal formation of the hip socket.

• If the Pavlik harness method does not yield effective results, then the doctor will recommend an open surgery. During the procedure, the surgeon makes an incision on the hip. This allows him/her to get a clear view of the hipbone and the adjacent soft tissues. Surgery is performed to shorten the thighbone so that it fits into the socket properly. After the surgery, the baby is placed in an orthopaedic cast (spica cast), which facilitates healing of the hip joints.

With early diagnosis and treatment, children with Developmental Dysplasia of Hip are able to move freely and function normally. Delaying the treatment may lead the condition to cause osteoarthritis in later life. Therefore, consult an orthopaedic at the earliest to help your child live a normal life.

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Hip Replacement Surgery - The Many Benefits Of It!

Hip Replacement Surgery - The Many Benefits Of It!

Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body. 

Hip replacement surgery 
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.

Benefits of hip replacement surgery:

  1. Lessening hip pain - This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.
  2. Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.
  3. Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain free life.
  4. Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.
  5. Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.
  6. In most cases a lifelong solution to hip problems - As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.
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All You Must Know About Hip Joint Replacement!

All You Must Know About Hip Joint Replacement!

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 a 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 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.

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Hip Osteoarthritis - All You Should Know!

Hip Osteoarthritis - All You Should Know!

When joints get inflamed, it is known as arthritis. This causes swelling and pain in the joints of your body such as the hips and the knees. When the cartilage gets damaged at the ends of bones, a type of arthritis called osteoarthritis occurs.

There are two main types of osteoarthritis:

  1. Primary: This type is more generalized. It affects the knees, fingers, hips, spine and thumb.
  2. Secondary: This type can occur after injury or joint inflammation, or as a result of any disease that affects the ligament's composition, like hemochromatosis.

How is the hip affected by osteoarthritis?
Patients have difficulties walking if they have hip osteoarthritis. Diagnosing hip osteoarthritis is difficult. It is because the pain appears in varied locations, such as the groin, buttocks, knee or thigh. The pain can be a dull throb or can be sharp and stabbing. The hip is usually stiff.

What are the causes of hip osteoarthritis?
The causes of hip osteoarthritis are unknown. However, the factors that can lead to osteoarthritis are joint injury, excessive weight and rising age.

Along with the abovementioned factors, the following may contribute as well:

  1. The joints may not have developed accurately
  2. The cartilage may have inherited the defects
  3. If the joints are too irritated due to added pressure on them, like excess body weight or stressful activities that include hip movement, osteoarthritis may develop.

What are the symptoms of hip osteoarthritis?
The symptoms of hip osteoarthritis are as follows:

  1. Joints feel stiff when you get out of bed
  2. Joints feel stiff if you have been sitting for some time
  3. The joints feel painful, swollen or tender
  4. You can hear (a "crunching" sound) or feel the bones rubbing against each other.
  5. You find yourself unable to do certain things, like putting on socks, as it requires your hips to move.

How is hip osteoarthritis treated?
The main objective of treatment is to restore the patient's ability to move around. A part of this objective includes correcting the function of the hip and managing the pain. The treatment can include:

  1. Joint care and rest
  2. To take weight off the area affected, a cane is used
  3. Pain relief that does not involve drugs
  4. Shedding excess weight
  5. Exercising
  6. Surgery
  7. Alternative and complementary therapies
3703 people found this helpful

Hip Osteoarthritis - Everything You Must Know!

Hip Osteoarthritis - Everything You Must Know!

When joints get inflamed, it is known as arthritis. This causes swelling and pain in the joints of your body such as the hips and the knees. When the cartilage gets damaged at the ends of bones, a type of arthritis called osteoarthritis occurs.

There are two main types of osteoarthritis:

  1. Primary: This type is more generalized. It affects the knees, fingers, hips, spine and thumb.
  2. Secondary: This type can occur after injury or joint inflammation, or as a result of any disease that affects the ligament's composition, like hemochromatosis.

How is the hip affected by osteoarthritis?
Patients have difficulties walking if they have hip osteoarthritis. Diagnosing hip osteoarthritis is difficult. It is because the pain appears in varied locations, such as the groin, buttocks, knee or thigh. The pain can be a dull throb or can be sharp and stabbing. The hip is usually stiff.

What are the causes of hip osteoarthritis?
The causes of hip osteoarthritis are unknown. However, the factors that can lead to osteoarthritis are joint injury, excessive weight and rising age.
Along with the abovementioned factors, the following may contribute as well:

  1. The joints may not have developed accurately
  2. The cartilage may have inherited the defects
  3. If the joints are too irritated due to added pressure on them, like excess body weight or stressful activities that include hip movement, osteoarthritis may develop.

What are the symptoms of hip osteoarthritis?
The symptoms of hip osteoarthritis are as follows:

  1. Joints feel stiff when you get out of bed
  2. Joints feel stiff if you have been sitting for some time
  3. The joints feel painful, swollen or tender
  4. You can hear (a "crunching" sound) or feel the bones rubbing against each other.
  5. You find yourself unable to do certain things, like putting on socks, as it requires your hips to move.

How is hip osteoarthritis treated?
The main objective of treatment is to restore the patient's ability to move around. A part of this objective includes correcting the function of the hip and managing the pain. The treatment can include:

  1. Joint care and rest
  2. To take weight off the area affected, a cane is used
  3. Pain relief that does not involve drugs
  4. Shedding excess weight
  5. Exercising
  6. Surgery
  7. Alternative and complementary therapies

Hip Joint Replacement Surgery - Know More About It!

Hip Joint Replacement Surgery - Know More About It!

Human bones are continuously being removed and formed which is necessary for its proper maintenance. However, in certain cases, especially with aging, some bones and joints will be worn down to an extent where the body will not be able to reform them. This is especially true in the case of hips which may become worn due to age or other problems within the body. 


Hip replacement surgery-
When this happens, a hip replacement surgery can be performed to replace the original joints with a prosthesis or artificial hip which is usually made out of metal or a specially formed composite material or even a combination of the two. Along with other parts, it replaces the natural hip with an artificial hip to restore mobility and other related functions.​

Benefits of hip replacement surgery:
a. Lessening hip pain -
This is one of the major factors as well as symptoms of requiring hip replacement surgery. Due to the grinding down of the bones, even the slightest movement causes pain and after the surgery and the recovery period, the pain is lessened.

b. Correction of bone deformity - When the bones grind down and are abnormally reformed, deformities may occur reducing mobility. Artificial hips will ensure that deformities are corrected and resulting problems are thus eliminated.

c. Return to normal activities and resumption of normal activities - This is possibly one of the primary advantages of this surgery, although it entails a long recovery period. However, most patients can get back to their normal activities and are able to resume a pain-free life.

d. Ability to have painless sleep - Many people who suffer from hip displacements or bone deformities are not able to sleep properly due to pain. After the surgery and the recovery period, they can return to normal functions and habits, thus are able to sleep properly.​

e. Leg strength increase - Many patients tend to have an increase in their leg strength as one side of the hip tends to become very weak due to bone problems before surgery. After surgery and recovery, the same side tends to have an increased strength due to the implant.


f. In most cases, a lifelong solution to hip problems - As the hip replacement prosthesis is made out of metal and if the operation is successful, it usually tends to last till the end of a person's life and this area usually doesn't tend to have problems again.

2600 people found this helpful

Hip Fracture Prevention - 3 Ways It Can Be Done!

Hip Fracture Prevention - 3 Ways It Can Be Done!

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.
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