Hip Conditions & Injuries
In the more athletic population, bursitis and tendinitis about the hip region are very common and usually present with localized pain but good range of motion and strength. These conditions usually respond to a course of NSAIDs, ice, physical therapy modalities and a reduction (not necessarily a stoppage) in the offending activity. Hamstring or other muscle pulls in the hip region are notoriously painful initially, and require similar treatment but also may necessitate the use of crutches, taping techniques, and avoidance of athletics or aggressive exercising for three to six weeks.
Recently, the medical community has recognized that a hip problem may be from a labral tear. Typically seen in the younger population, it typically presents as groin pain with certain activities. A snapping hip is a related problem involving the soft tissues around the hip joint. If therapy and anti-inflammatories are unsuccessful, hip arthroscopy often offers excellent relief.
In the more elderly, hip fractures are common. Virtually all these fractures require surgery but these procedures have become very successful and allow the patient to get out of bed quickly and comfortably and avoid lengthy hospitalizations and complications.
Arthritis of the hip is no longer a disease of the elderly alone, but is being seen with increasing frequency in the younger adult population. Arthritic complaints about the hip cause pain, increasing limitation of motion and activities, and limping. Although every attempt should be made to treat arthritis conservatively with medication and walking aids, surgical total joint replacement of the hip is usually very successful and can provide selected patients with a much more comfortable lifestyle, assuming the proper indications are present. The patient needs to clearly understand all the risks of the procedure which include anesthetic problems, infection, breakage or dislocation of the prosthetic devices, blood transfusion and embolism, just to name a few. Patients who are overweight have an increased failure rate of total joint replacement.