Hip Pain and Other Musculoskeletal Conditions Treatment In Delhi

 

Hip Pain & Other Musculoskeletal Conditions

Globally, musculoskeletal pain is a common reason of disability and seeking medical advice. It may be localised to one area or present as a widespread/ multisite pain. Musculoskeletal symptoms may be a consequence of orthopaedic, neurologic or rheumatologic processes and hence a comprehensive history and examination is required. Based on the findings further tests and imaging are requested to confirm the diagnosis or rule out other serious conditions.

This section focuses on minimally invasive non surgical interventions available via pain clinic for joint pain and some other common musculoskeletal conditions. The interventions listed below are most often used as a part of multi-disciplinary management in combination with medications, physiotherapy, complementary therapy and psychology input  as required.

Hip Pain

Hip pain is a common condition and can be quite disabling because of the impact on walking. Pain may be localised to the front, side or back of the hip joint. Common cause for anterior hip pain is joint problems such as arthritis, that on the outer side of hip is greater trochanteric pain syndrome whereas posterior hip pain may arise from multiple sources such as sacroiliac joint, lumbar spine, piriformis muscle etc. It is important to evaluate lumbar spine as spine pathology commonly coexists and can be responsible for producing/ exacerbating hip pain.

When it comes to managing hip arthritis pain, there is a large lacuna in the treatment options as medications often offer limited relief or are limited by side effects and surgery is not always the answer as many are unwilling or unfit to have one. Some in their 40s and 50s are considered to be too young to undergo a joint replacement. Besides 5 to 15% of patients have persisting pain even after having a hip replacement. New treatment options including radiofrequency ablation, cooled radiofrequency and cryoablation offer a ray of hope for hip arthritis patients not keen on surgery. Although these options have been used most often for arthritis pain, they work equally well for other hip joint pain conditions such as avascular necrosis (AVN).

What is hip osteoarthritis (OA) and why does it hurt?

Osteoarthritis is the commonest form of arthritis and is a common cause of hip pain, especially amongst older people. It affects about 7% of men and 10% of women over the age of 45 years.

The main problem in this condition is the degeneration of the cartilage covering the ends of the bones. The loss of cartilage and its shock absorbing, cushioning effect leads to the bones coming closer to each other and their thickening in an attempt to protect the joint. Bony growth called osteophytes form around the joint edges. The joints and the surrounding ligaments, tissues may also develop swelling (inflammation).

Pain in arthritis may result from

• Inflammation (swelling) of joints
• Damage of joint tissues
• Overloading of surrounding structures such as the muscles and ligaments
• fatigue and extra effort required in mobilisation

What all are at risk of developing hip arthritis?

There are several factors that contribute to one’s chances of is developing this condition. These can be classified as those related to an individual and those related to the joint.

Individual factors include

• Age over 50 years
• Being overweight
• Gender. Below the age of 50 years hip OA is more prevalence in men in, whereas above the age of 50 years it is more prevalent in women
• Genetic predisposition
• Occupation. Certain occupations such as farming which involve hard repetitive tasks, heavy lifting or standing for long periods are more at risk

How is hip arthritis diagnosed?

Your doctor can often diagnose osteoarthritis on the basis of your symptoms and examination findings. Tests such as x-rays are commonly requested to confirm the diagnosis. Other tests such as blood tests, CT scan or MRI may also be requested for further evaluation.

 

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