What is

Osteoarthritis of the hip involves degeneration and wear and tear of this vital joint for leg movement. It occurs “through wear and tear” and triggers limitations in everyday movements such as bending the trunk, stooping or standing up. Its development is usually slow and the pain appears progressively and worsens over time. As there is no cure, the mission will be to stop the deterioration of the joint and provide the ideal conditions for it to last for many years.

Causes

  • Age: the cartilage’s low capacity for repair decreases every year, to which we have to add the wear and tear that occurs.
  • Obesity: the joint is directly overloaded in situations involving excessive weight.
  • Hereditary factors: the shape of our legs, of our pelvis conditions a direct overload of this joint.
  • Limb dysmetries: having one leg longer than the other places a direct overload on the hip joint.
  • Lumbosacral problems: lesions of the intervertebral discs, lumbar arthrosis and other types of pathologies of the lumbo-sacral area place a daily overload on the hip.

Symptoms

The symptoms accompanying osteoarthritis generally do not appear suddenly, but develop over the years. The most frequent are:

  • Pain in the area that due to cartilage wear is no longer protected. It usually manifests itself in the groin region.
  • The crunching sounds that occur when the joint wears out.
  • The effusion that produces inflammation that is triggered in an unprotected joint.
  • The daily and continuous shock of bones devoid of cartilage.
  • Decreased mobility.

Approach protocol

Diagnosis and assessment

A correct medical evaluation by means of a good anamnesis and physical examination will be necessary. The multidisciplinary vision is essential for a comprehensive, personalized approach, focused on achieving a prolonged relief of pain depending on the phase in which it is found.

Complementary tests

X-ray and/or MRI.

Hip osteoarthritis treatment

Treatment for osteoarthritis of the hip will depend to a large extent on the patient’s condition, age and symptoms, the condition of the cartilage, the degree of osteoarthritis in the joint and how much of the total joint is affected by osteoarthritis will determine the approach to be followed. Below, we outline some of the possible treatments:

  • Hyaluronic Acid Blocks
  • Corticosteroid blockades
  • Regenerative medicine
    • Platelet-rich plasma: the compound extracted from the patient’s own blood has a concentrate of anti-inflammatory factors and cytokines that make it very useful for this pathology.
    • Cytokine-rich serum: this is a different process to platelet-rich plasma in which a compound rich in anti-inflammatory cytokines is also obtained from the blood.
    • Stem cells: originating from the patient’s bone or fat, they have a regenerative and anti-inflammatory power that makes them a unique treatment for pain relief.
  • Radiofrequency
  • Physiotherapy: methodology based on knowledge and clinical reasoning in which we combine a series of techniques and treatments both manual therapy and invasive techniques, always associated or complementing them with cutting-edge technology that allows us to accelerate the recovery process. Among other high-tech devices include Magnetolith, SIS, focal shock waves, Indiba, among others. This therapeutic combination allows us to activate the patient early to begin with a routine and a process of specific therapeutic exercises that allow us to enhance and strengthen the lost functional patterns.

Here begins your life without pain

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Insurance companies

Ask your MIVI centre for information on the agreements with insurance companies.