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hip osteoarthritis This document is to help you with decisions about your hip osteoarthritis. It includes information about the condition and possible treatments. There are some parts you can fill in. You can prepare for your next appointment by completing pages 1 – 5 and 8 & 10.
Sep 24, 2024 · What’s the best treatment for hip arthritis? The best treatment for hip arthritis depends on the type and how severe it is. Regardless of the type, healthcare providers usually start by recommending conservative therapies and lifestyle changes. Conservative treatment for hip arthritis includes:
Sep 5, 2024 · 20 July 2022. Page updated: 5 September 2024. Topic: Patient care, Personalised care. Publication type: Guidance. This decision support tool is to help with decisions about decisions about hip osteoarthritis. It includes information about the condition and possible treatments. Document.
- Overview
- Weight management
- Medication
- Exercise and physical therapy
- Stretching and flexibility
- Self-care routines
- Supplements and alternative therapies
- Walking aids
- Hip replacement surgery
- Takeaway
With hip osteoarthritis (OA), the cartilage that cushions your joints wears away, causing friction, damage to the bones, and inflammation. Pain and stiffness can result.
Your healthcare provider will recommend treatment based on:
•your overall health
•the severity of joint involvement
•the severity of symptoms
•motion and weight-bearing limitations
People with a high body mass index (BMI) have a higher risk for osteoarthritis. The additional weight puts extra strain on the joints. A higher BMI, including having obesity, may also contribute to inflammation.
These factors can make symptoms worse and cause them to progress more quickly.
For people with overweight or obesity, medical experts strongly recommend losing weight.
Your healthcare provider can help you decide if this option is suitable for you and, if so, the best way to approach weight loss.
Pain relief medication can play a role in managing this disorder alongside exercise and weight management.
For those with mild symptoms, oral nonsteroidal anti-inflammatory drugs (NSAIDs) may help manage pain and inflammation. These are available over the counter.
Examples include:
•ibuprofen
•acetaminophen
•naproxen
Exercise is essential for reducing the risk of osteoarthritis and slowing its progress. Exercise not only helps you manage your weight, but it also improves strength, flexibility, and mobility.
Low-impact exercises are less likely to put strain on a damaged joint. Experts strongly recommend tai chi for people with hip osteoarthritis.
Other options include:
•yoga
•cycling or using a stationary bike
•swimming or water exercise
Regular stretching can help relieve stiff, achy, or painful joints. Here are some tips to help you stretch safely:
•Start by asking a physical therapist for suggestions and guidance.
•Do all stretches gently and build up flexibility slowly.
•Stop if you feel pain.
•Increase intensity slowly.
If you don’t feel pain after the first few days of an activity, gradually spend more time on it. At first, you may find it hard to stretch very far, but your flexibility will increase over time, as you practice.
Experts say that self-management is essential for treating osteoarthritis.
This includes:
•learning as much as you can about your condition
•knowing what your treatment options are
•taking an active part in managing your pain and other symptoms
•discussing what is best for you with your healthcare provider
Alternatives to avoid
Some people use glucosamine, fish oil, vitamin D, or chondroitin sulfate supplements, but there’s not enough evidence to show that these are safe and effective. If you opt for supplements, always talk to your healthcare provider first. Some supplements can produce adverse effects or interact with other medications. The ACR/AF do not recommend the following for OA of the hip: •manual therapy •massage therapy •transcutaneous electrical nerve stimulation (TENS) •stem cell therapy •botox There’s not enough evidence to show that these options will help. Some healthcare providers offer botox or stem cell therapy for OA, but there’s no standard treatment for these options and not enough evidence to show they’re safe and effective. Experts advise against them.
Tips for using a cane
When using a cane, remember the following tips: •Ensure the cane isn’t too tall or short. You shouldn’t slump or slouch over when using a cane. Its height should come to the top of your wrist. •Use the cane on your “strong” side. If your affected hip is your right one, hold the cane with your left hand. When you step forward with your right leg, the cane will provide support. Practice moving your affected leg and the cane at the same time. •Advance the cane an appropriate distance. Move the cane about 2 inches to the front or side of you. If it’s too far from your body, you might lose balance. A physical therapist can help you develop a safe technique. Your insurance company may cover the cost of these aids. Your healthcare provider can write a prescription for these mobility aids to help in the reimbursement process. Shop online for canes.
If exercise, weight loss, and lifestyle measures no longer work, or if OA is affecting your mobility or quality of life, your healthcare provider may recommend surgery.
Options include:
•Hip resurfacing. The surgeon trims the damaged bone and cartilage and caps them with a metal shell, which makes an artificial surface.
•Total hip replacement. The surgeon replaces the socket and the head of the femur with an artificial joint.
Hip replacement surgery can improve your quality of life by:
•improving pain levels
There’s no cure for OA of the hip, but there are ways to slow its progress and manage symptoms.
Lifestyle options include weight management, exercise, avoiding stress, and following a healthy diet.
Medical options include over-the-counter and prescription medications. If these options cannot help with pain levels and mobility issues, a healthcare provider may recommend surgery.
If you start to notice symptoms, such as pain and stiffness, speak to your healthcare provider. Starting treatment early can help improve your outlook, and it may eliminate the need for surgery.
Feb 9, 2021 · Hip and knee OA are highly prevalent and disabling. Education, exercise and weight loss are cornerstones of management, complemented by NSAIDs (for patients who are candidates), corticosteroid injections, and several adjunctive medications.
- Jeffrey N. Katz, Jeffrey N. Katz, Kaetlyn R. Arant, Richard F. Loeser
- 2021
Aug 3, 2023 · Treatments. Prevention is the main focus of treatment for stage 1 hip OA. This may involve avoiding activities that aggravate the affected joint, such as strenuous running. People with stage 1 hip OA may need to modify their exercise routine to minimize stress on the hips, such as avoiding squats with heavy weights.
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Oct 27, 2022 · Summary. Arthritis causes inflammation and pain in a person’s joints. When it affects a person’s hips, it can make walking and moving around difficult. Treatment may depend on the type of...
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