However, certain departments may favor the AP pelvis as it allows comparisons of both hips instead of unilaterally. It is also often requested in post-operative examinations evaluating the placement of existing orthopedic devices. Total hip replacement. Your doctor will remove both the damaged acetabulum and femoral head, and then position new metal, plastic or ceramic joint surfaces to restore the function of your hip.This view helps to visualize any potential fractures, dislocations, bone lesions or degenerative diseases to the hip joint. Sometimes it is necessary to find a way to differentiate pain radiating from the hip. An MRI can reveal fraying or tears of the cartilage and labrum. An X-ray can reveal an excess of bone on the femoral head or neck and the acetabular rim. Your doctor may recommend surgery if your pain from arthritis causes disability and is not relieved with nonsurgical treatment. Medical imaging, including X-rays and magnetic resonance imaging (MRI), is crucial in diagnosing hip pain. Corticosteroids (also known as cortisone) are powerful anti-inflammatory agents that can be taken by mouth or injected into the painful joint. Plain film radiography Plain film radiography of the hip is used in the initial evaluation of any cause of hip pain, including trauma and sports injuries, suspected avascular necrosis (AVN), arthritis, hip arthroplasty, infection, dysplasia, tumor, and microinstability 1.Other NSAIDs are available by prescription. Over-the-counter NSAIDs include naproxen and ibuprofen. Nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve pain and reduce inflammation.Be sure to discuss potential side effects with your doctor. Like all medications, however, over-the-counter pain relievers can cause side effects and interact with other medications you are taking. Acetaminophen (e.g., Tylenol) is an over-the-counter pain reliever that can be effective in reducing mild arthritis pain.If your pain affects your daily routine, or is not relieved by other nonsurgical methods, your doctor may add medication to your treatment plan. Using assistive aids like a long-handled reacher to pick up low-lying things will help you avoid movements that may cause pain. Using walking supports like a cane, crutches, or a walker can improve mobility and independence. Like all X-rays, this test uses a small amount of radiation, so it’s generally not. Your doctor or physical therapist can help develop an individualized exercise program that meets your needs and lifestyle.Īssistive devices. Your pelvis is made up of three bones, the ilium, ischium, and pubis, and it also forms your hip joint. Specific exercises can help increase range of motion and flexibility, as well as strengthen the muscles in your hip and leg. Losing weight can reduce stress on the hip joint, resulting in less pain and increased function. Switching from high-impact activities (like jogging or tennis) to lower impact activities (like swimming or cycling) will put less stress on your hip.Minimizing activities that aggravate the condition, such as climbing stairs. Some changes in your daily life can protect your hip joint and slow the progress of osteoarthritis. Your doctor may recommend a range of nonsurgical treatment options. Nonsurgical TreatmentĪs with other arthritic conditions, early treatment of osteoarthritis of the hip is nonsurgical. Although there is no cure for osteoarthritis, there are a number of treatment options that will help relieve pain and improve mobility.
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