INJURIES AND DISEASES OF THE HIP

Introduction

The hip or coxofemoral joint relates the coxal bone (pelvis) to the femur (thigh), thus joining the trunk with the lower limb. Hips are ball joints is classified as ball and socket of diartrosis type, characterized in that the two articular surfaces involved are spherical or nearly spherical, one concave and one convex, allowing great mobility.

When they are healthy, it takes a lot of strength to hurt them. However, sometimes sports, running, excessive use or falls can lead to hip injuries. These injuries include:

• Strains
• Bursitis
• Dislocations
• Fractures

Some diseases can also lead to injuries or problems with the hips. Osteoarthritis can cause pain and limit movements. Osteoporosis in the hip causes the bones to weaken and break easily. Both pictures are common in the elderly.

Treatment of hip problems may include rest, medicine, physiotherapy or surgery, including hip replacement in Delhi.

Hip Bursitis

Synovial bags are gelatinous sacs that are found throughout the body, including around the shoulder, elbow, hip, knee and heel. These bags contain a small amount of fluid, and are located between the bones and soft tissues, acting as pads or cushions to help reduce friction.

Bursitis is the inflammation of the synovial bag. There are two major bags in the hip that typically suffer from irritation and inflammation. A bag covers the bony bump of the hip bone, called the greater trochanter. The inflammation of this bag is called trochanteric bursitis.

Another bag, the psoas-iliac bag, is located on the inside (side of the groin) of the hip. When this bag becomes inflamed, the condition is also called hip bursitis, but the pain is located in the groin area. This condition is not as common as trochanteric bursitis, but it is treated similarly.

Symptom

Pain at the point of the hip and usually extends to the outside of the thigh area. In the early stages, pain is usually described as stabbing and intense. Later, the pain can become more of a neuralgia and spreads into a larger area of ​​the hip. You may notice more when getting up from a chair or bed, when sitting for a long time and sleeping on the affected side.

Usually, acute bursitis arises within hours or days. Chronic bursitis can last from a few days to several weeks, and may disappear and reappear again. Acute bursitis can become chronic if it reappears or if a hip injury occurs.

Over time, the bag may become thick, which can make swelling worse. This can cause limited movement and cause the muscles to weaken (called atrophy) in the area.

Causes and Risk Factors

Several factors can cause hip bursitis, including the following:

• Repeated excessive use or hip stress.
• Rheumatoid arthritis.
• Hip injury
• Infection with bacteria, such as Staphylococcus aureus (or a staph infection).
• Spinal problems, such as scoliosis.
• Irregular leg length.
• Bone spurs (bone growths above the normal bone) in the hip.

Diagnosis and tests

Orthopaedic in Delhi will examine you and ask about your symptoms. Sometimes, certain tests may be needed to rule out other conditions that may cause similar symptoms. These tests may include x-rays and magnetic resonance imaging (MRI).

Treatment

Usually, treatment for bursitis involves having the joint at rest as much as possible. Non-steroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (brands: Advil, Motrin) or naproxen (brand: Aleve) can be used to relieve pain and swelling. You may also want to use an ice pack on the area to reduce swelling. During this time, be sure to avoid activities that may make the symptoms worse.

Orthopaedic in Janakpuri may recommend exercising the area once your pain subsides. This helps prevent muscle atrophy. Ask your orthopaedic in Tilak Nagar about the exercises to help you strengthen the area. If bursitis affects your ability to function normally, you may need physical therapy to help you move again. This is especially true for people who have chronic bursitis.

If these treatments do not help, you may need to remove fluid from the bag or receive corticosteroid injections to reduce pain and swelling. Usually, corticosteroid injections are very effective in treating bursitis. You may need another injection after a few months.

Surgery is rarely needed to treat bursitis. It is only used when all other treatments fail. For people who need surgery, this is a simple procedure. The orthopaedic surgeon in Delhi removes the hip bag. The hip can function normally without the bag. Usually, the surgery does not require a long hospital stay and the recovery period is short.

Prevention

You can prevent bursitis by avoiding too much effort with your hips. Avoid activities that are particularly difficult or painful, and take breaks for the hips to rest. When exercising, remember to preheat the muscles and then stretch to prevent injuries. If you are overweight, losing weight can help reduce pressure on your joints, including your hips.

Strengthening your hips with an approved physical activity routine can greatly reduce your chances of developing bursitis. Ask your orthopaedic in Najafgarh what types of exercises are best for you.

Questions to ask your doctor

• What could have caused my symptoms?
• What is the best treatment option for me?
• How long will it take until I can wait for my symptoms to get better?
• Is it possible for my symptoms to return?
• Is it safe for me to exercise? What type of exercise should I do?