HIP PAIN : Prevntion and treatment : Dr. Raju Vaishya

Treatment for Hip Pain
The treatment of hip pain depends upon the diagnosis and any underlying illness that may be present.
Aside from medications, therapy will be directed to maintain the strength and range of motion of the hip. As with any illness or injury, the goal is to return the patient to their normal level of function. A team approach involving the health-care professional, physical therapist, or chiropractic-care provider may be considered.
Surgery for Hip Pain
Hip fractures commonly require surgery to fix the fracture. The type of surgery depends upon the location of the fracture within the hip joint. The underlying health of the patient needs to be assessed, and the risks of general anesthesia need to be considered. Surgery often occurs soon after the injury, if the patient’s condition allows, to allow quicker return of activity. Patients who are immobilized and lie in bed for prolonged periods of time are at risk for developing blood clots in their legs (deep vein thrombosis) and breakdown of their skin, or bedsores.
Hip replacement
Hip replacement is perhaps the most common joint replacement surgery. It is considered in patients with progressive arthritis that affects the patient’s ability to do daily activities. Hip resurfacing is an alternative to hip replacement. The choice of procedure is a joint decision made by the orthopedic surgeon and patient to be able to return the patient to the level of activity that they would like to achieve.
Total Hip Replacement
The end portion of the thighbone affected by arthritis is replaced with a metal head that can be cemented with special glue to the stem of the thighbone (or) can be uncemented (in younger patients). The socket is replaced with a metallic cup and high density plastic is used as an insert into it. The socket is usually left uncemented (screws are used to connect to the thighbone). The Total Hip Replacement procedure enables restoration of the natural gliding motion of the joint.

Vinod Kumar

Health Journalist & writer. Editor of monthly health magazine "Health Spectrum."

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