Hip Arthritis

The Best Physiotherapists in Pune, New Delhi, Gurgaon, Mohali, Bhubaneswar, and Bangalore give you an understanding on Hip Arthritis!

Arthritis is inflammation of one or more of your joints. By far, the most common types of hip arthritis are osteoarthritis and rheumatoid arthritis, but there are more than 100 different forms of arthritis that can affect a variety of joints in your body; arthritis of the hip is a very common condition.
The hip is your body’s largest weight-bearing joint. This joint is also called a ball-and-socket joint. The ball is the upper end of the thighbone (femur), which fits into the socket (or acetabulum) at your pelvis.
Several muscles cross the hip joint and a strong capsule envelops the hip joint itself. Muscles are connected to bones that make up the hip joint by tendons, which are made from strong fibrous tissue, enabling motion of the joint.
Primary types of arthritis of the hip
Osteoarthritis: The most common form of arthritis in the hip. It is degenerative wear and tear type of arthritis where the cartilage in the hip joint gradually wears away. This causes bone rubbing on bone and can produce bone spurs. Osteoarthritis develops slowly, and the pain increases over time.
Rheumatoid arthritis: A chronic disease that attacks multiple joints throughout the body. It can affect the same joint on both sides of the body. The synovial membrane that lines the hip joint begins to swell, which results in pain and stiffness. Rheumatoid arthritis is an autoimmune disease which means the immune system attacks the body’s own tissues and damages the cartilage and ligaments while softening the bone.
Post-traumatic arthritis: A form of arthritis that develops after an injury to the hip. These injuries can cause instability and additional wear of the hip joint that over time can lead to arthritis.
Hip arthritis symptoms
Pain-often in the groin area, down the front of the thigh
Difficulties with activities, such as putting on shoes and socks, or getting in and out of the car
Physician examination
To determine whether you have arthritis in the hip your physician will ask you for a complete medical history, have you describe your symptoms and conduct a physical examination. An X-ray or MRI may be necessary to confirm the diagnosis and determine if there are other problems.
Hip arthritis treatment
There is no cure for arthritis in the hip or knee; however, there are a number of treatment options. Often, non-surgical treatment can allow a comfortable level of function before any surgical treatment is needed.
Nonsurgical treatment options include:
Activity minimization such as switching from high impact activity to low impact activity
Weight loss
Physical therapy
Assistive devices such as a cane or shoe inserts
Medications such as non-steroidal anti-inflammatories
Corticosteroid (cortisone) injections
If nonsurgical treatment options for hip and knee arthritis symptoms fail to provide pain relief, a total joint specialist may recommend joint replacement.
People with hip or knee osteoarthritis (OA) use oral pain medications more often than nondrug pain treatments, such as physical therapy, knee joint injections and topical creams, according to an analysis of three clinical trials. That’s in spite of guidelines that recommend trying nondrug treatments before medications.
The analysis, which appeared recently in Arthritis Care & Research, looked at trials conducted by researchers at Duke University, the Durham Veterans Affairs (VA) Health Care System, and the University of North Carolina at Chapel Hill, all in North Carolina. A total of nearly 1,200 patients ages 61 to 65 participated in the three studies. All participants had knee or hip OA, and most were overweight and treated by a primary care doctor. None got the minimum 150 minutes of physical activity a week recommended for good health.
Researchers found that 70 percent to 82 percent of the study participants took pills for pain, mainly nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, but sometimes other pain relievers such as acetaminophen (Tylenol) and opioids. The use of pain medications was more common among those with severe symptoms.
About 39 to 52 percent of the participants received physical therapy, half had corticosteroid or hyaluronic acid knee injections and 25 to 39 percent used topical pain creams.
American College of Rheumatology guidelines recommend nondrug therapies, including exercise and weight loss, as first-line treatments for OA. These can not only relieve pain and disability but also help delay further joint damage. Oral analgesics, including full-dose acetaminophen and prescription NSAIDs, can be used if the use of intermittent over-the-counter medications hasn’t relieved symptoms, but they can’t stop disease progression and can cause side effects, including stomach, bleeding, ulcers, high blood pressure and heart or kidney problems – all more common in older adults.
Most studies have found no evidence to support using opioids for chronic pain, and the Centers for Disease Control and Prevention (CDC) and many rheumatologists recommend against it. But nearly 30 percent of patients in the Durham VA Health System took opioids for arthritis. The study didn’t look at past medical histories, so it’s not known if patients using medications had tried and failed other treatments. Still, while the proportion of patients using NSAIDs from each of the three studies is fairly similar and in line with the findings of earlier studies, the proportion of VA patients taking opioids for arthritis pain (almost 30 percent) is more than twice as high as the percentage used by participants in the other two studies (between 10 and 13 percent), says lead author Lauren Abbate, MD, a researcher with the VA Eastern Colorado Healthcare System in Denver and an emergency medicine specialist at the University of Colorado School of Medicine in Aurora.
Doctors speculate that veterans may have more severe arthritis pain or other injuries, or can’t take NSAIDs due to other health problems, such as kidney disease. But she also notes that earlier reports found high rates of opioid use for chronic pain among veterans, which eventually led the U.S. Department of Veterans Affairs to establish guidelines to reduce the use of opioids for chronic pain. Race, sex, and socioeconomic status seemed to play some role in the types of treatments patients received. For example, women and non-whites were more likely than white men to have physical therapy or use topical creams. But in general, Dr. Abbate concludes that there’s a gap between existing guidelines and how OA is treated in the real world and that nondrug therapies for OA aren’t used nearly as much as they should be. She thinks closing that gap will lead to better care for all patients with arthritis.
The clinical guidelines from the American Academy of Orthopedic Surgeons recommend nondrug treatments along with medications, says Geoffrey Westrich, MD, an orthopedic surgeon, and director of research of Adult Reconstruction and Joint Replacement Service at Hospital for Special Surgery in New York City. Those guidelines, similar to the ACR’s, recommend that patients with symptomatic knee arthritis “participate in strengthening their muscles, low-impact aerobic exercises, and physical activity consistent with national guidelines (a minimum of 150 minutes a week),” says Dr. Westrich, who was not involved in the study.
He adds that, although NSAIDs are also recommended for arthritis patients who can tolerate them, “physical therapy or a home exercise program with muscle strengthening may also help patients manage their pain, increase activity and potentially improve their quality of life.”
For patients with severe arthritis whose pain is not helped by conservative measures, he says, “joint replacement surgery may be the best option for permanent pain relief.”
This injury may be present due to instability of scapular muscle; it is also due to asymmetric force transfer from chest to the arm, which can cause over or under activity of shoulder result in abnormal stress in the arm.
AT ABTP, we identify this issue and treat it precisely with the help of a postural bench we can find out where we are getting asymmetry in the body in terms of force transfer & it can be trained to be providing symmetry.it can be treated with the help of care therapy. It works at the ionic level, also it has a super low frequency which is lower than laser therapy, which is very safe to use even in the presence of a metal implant, it causes an exchange of ion which reduces the recovery time. Isokinetic will help to find the correct ratio of quads and hams muscle, which is very important for the optimal use of joints. We can also find the control and strength of core muscle which is very important for optimal use of hip joint and any pelvic movement; core muscle can be trained to provide stability and balance to the body to reduce any unnecessary wear and tear to joints.

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