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Hip pain treatment in delhi


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

Joint related factors such as

  • Joint shape. Abnormal shape predisposes the joint to more stress
  • Previous injury or surgery of the hip
  • Illness and infection – joint infection and conditions such as gout can contribute to the development of arthritis
  • Muscle function
  • Often the pain originating from neighbouring structures such as the lower part of spine is felt in the hip and the correct diagnosis is essential for successful treatment.


What are the symptoms of hip arthritis?

Common symptoms include

  • Pain. This may be felt over the hip, groin or buttock and is described as a poorly localised, dull, aching sensation. It can radiate along the thigh towards the knee. Initially the pain is present only on movement or when the joint is loaded. As the condition progresses pain becomes more frequent and persists even during periods of rest. Some individuals find their arthritis pain increases in the winter months and rainy season.
  • Stiffness. This is worse in the morning and after periods of rest.
  • Reduced range of hip movements can make simple tasks such as walking or bending a challenge. Hip movements may be accompanied by a creaking or clicking noise/ sensation.


 

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Location: Delhi, India

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