Osteoarthritis is a very common condition patients present with. That’s when the cushion within the hip and knee gradually wears out over time and patients can experience a gradual onset of symptoms. They can get stiffness, they can get reduced mobility and sometimes it can affect their sleep when it’s particularly severe. It can affect the full age range but it tends to happen later on in life we don’t know the precise cause of osteoarthritis but we do know that it runs from families so if you do have relatives of osteoarthritis that is a condition to bear in mind as a younger agent to get a prompt accurate diagnosis because we can delay the progression by identifying it.
Orthopedic Doctor in Hyderabad deal with patients who have lots of athletic sports involved in their pastimes who present with more severe onset pain for example acute hip pain and acute knee pain and that’s very common in orthopedic doctor practice recently as covert lockdown has subsided and patients have returned to gyms which have opened in hip type training we’ve seen a huge proportion of patients who’ve become deconditioned and therefore presenting with much more southern onset hip pain and much more southern onset knee pain and an accurate diagnosis is very important for those patients in order to get them back on track and get them back doing what they enjoy doing.
The hip’s an interesting joint it’s a ball and socket type joint patients can present with hip pain which can be located at the front of the hip it may also be located on the side of the hip and patients can sometimes prevent with pain deep in their buttocks and the location of the pain is an important factor in terms of determining what could be causing it. The pain may be due to something within the joint itself so the joint is a ball and socket lined by cartilage.
Sometimes marathon runners or patients who return to excessive activity can develop small stress fractures in the bone and patients can have early osteoarthritis like we discussed before and sometimes patients can get this their blood supply to the hip head and that can cause pain and that’s very good to identify at a very early stage because that can prevent any long-standing progression and so that’s a very good diagnosis to pick up for the patients and patients can also present with pain at the front of their hip juicer problems outside the joints so with explosive type hit training it’s common to irritate the hip flexor tendons at the front of the joints and the tendon is a structure that connects the muscles to the bone and allows our legs to move forward that can become inflamed so that’s one of the causes at the front patients also experiencing pain at the side of the hip joint that’s where our gluteal buttock muscles insert so the tendons in those areas can become partially torn and there’s also a membrane which lines that area called the bursa and that can become red hot and angry and that’s called bursitis and that can be a very painful condition.
Sometimes very strong muscular athletes can even be admitted to hospital as the pain becomes so severe so that’s a common condition and some patients also report pain deep in their buttocks and that can also be related to a gluteal muscle tab but it may also be referred pain from the back so when patients present with what they perceive to be hip pain.
There is a small proportion of patients who may have back spine related pathology and so that’s always something to bear in mind when assessing this cohort of patients so when a patient does present to orthopedic doctor in Hyderabad at Landmark hospital it’s very important to get a good history from the patients because that gives orthopedic doctor a real idea of what could potentially be going on so most patients do present with pain so when orthopedic doctor look at pain he need to assess where is the site of the pain, where does it start did any particular event cause it did it come on gradually what type of pain is it hip pain can often present as a dull ache when it’s deep within the joint but if it’s a more muscular pain it may be more sharp in nature often hip pain is worse on walking whereas back pain which we talked about previously can just take place at rest so it’s important to distinguish between those two types of pain what causes the pain to get better how severe the pain is how it’s affecting upon the patient’s quality of life.
A very detailed history is key to you know providing a really thorough assessment for the patient and when we look at patients with hip problems we’ll do a very thorough examination we’ll observe the patient standing we’ll observe the patient through all the different stages of their gait walking, cycle we’ll assess the power of the hip abductor muscles which can become torn through a special test called the trendelenburg test we’ll also examine the patient lying down in order to determine the range of hip motion because the hip moves through a variety of different actions.
Doctor can bend the hip upwards flexion and rotational movements and there’s also special tests he can perform a condition which is very emerging is something called hip impingement and that can cause pain in athletes who move their hips in certain positions due to their hips having slightly altered an anatomy where they can develop extra sort of lumps of bone on their hip heads called cam deformities and which can catch in the socket of the hip joints he also examine the spine because we talked about before sometimes patients with hip pain can have repaired pain from their spine and it’s always good practice in orthopedic surgery to examine a joint below so he’ll always examine the knee joint as well once he’ve done all these things most commonly he’ll then organize imaging and the images he tend to commonly get are x-rays to begin with because they give us the big picture as to what’s going on allow us to determine what the bony anatomy and architecture is and he can also get MRI scans which give him a much more detailed three-dimensional assessment of what’s going on and it enables him to look at all those structures within the joint the bony structures but also outside the joints like the bursa that we discussed before the gluteal muscles the tendons at the front of the hip so that gives us a good idea what’s going on there.
MRI scans are also very useful to look at the back which may be related to the hip to see if there’s any disc prolapses or any pressure on the nerves supplying that region which may be contributing to the pain also common conditions that patients may find on the MRI scan include osteoarthritis and reduce blood supply to the hip osteoarthritis isn’t a condition there where orthopedic doctor immediately need to rush in and do it’s the condition which can be managed conservatively without surgery in the first instance so he can perform injections for the patients with special materials which supplement the joint they’re called visco lubricants
If he imagine an arthritis the hip becomes like a dry engine by giving this substrate he can re-lubricate the engine and get the joint moving again and hence he slow down the progression of osteoarthritis he’ve also got an excellent physiotherapy team here who can work with patients to strengthen the muscles around the hip joint which stabilizes the hip joint and also slows the progression of osteoarthritis there’s other medications like cholera glucosamine and chondroitin which we can also recommend in order to contribute to good joint health things like loss of blood supply to the joint we have seen patients here who presented a very early stage and those patients have had decompression procedures which has delayed any progression of a vascular necrosis so we’ve avoided major surgery by identifying that condition at a very early stage.
Patients that present with bursitis which is a very common condition where patients experience pain on the side of the hip joints they can receive injection treatments they can receive shockwave therapy and then we can supplement that with physiotherapy in order to stop the pain becoming chronic so if doctor can get on top of pain quickly by getting a good diagnosis he can slow down any potential for these pains to become chronic and can get patients back to their activities which is great for their physical and overall mental global well-being.