Treatment Options for Hip Pain. Anatomy of the Hip Ball and socket joint. Ball and socket joint. Femoral head or ball is at the end of thighbone or femur.

Slides:



Advertisements
Similar presentations
HealthPartners Medical Group
Advertisements

Joint PREP Class Shoulder Replacement
Rotator cuff tearing and treatment
Vahan Cepkinian, M.D. Orthopaedic Surgery
Hip Arthroplasty.
Reference: Medical Multimedia Group (
ARTHRITIS OF THE HIP Roy I Davidovitch, MD
Surgical Options The available Surgical interventions include:
Minimally Invasive (MI) Knee Replacement: Is it right for you?
Reverse Shoulder Replacement
P OSTERIOR C RUCIATE L IGAMENT By; Maria Guzman. T HE P OSTERIOR C RUCIATE L IGAMENTS (PCL) Is one of a pair of ligaments that are found in the middle.
Treatment Options for Severe Hip Pain. Anatomy of the hip Ball-and-socket joint Ball (femoral head) at the end of the leg bone (femur) Hip socket (or.
Achilles & Ankle Injuries Achilles Tear and Ankle Sprain.
Treatment Options for Wrist Pain
Treatment Options for Knee Pain. Anatomy of the Knee Made up of three bones: Made up of three bones: Femur (thigh bone) Femur (thigh bone) Tibia (lower.
Minimally Invasive Hip Surgery. Introduction Many people suffering from arthritis alter their lives to deal with pain. Many people suffering from arthritis.
Treatment Options for Finger Pain. Anatomy of Finger Joint Each finger has 3 bones: Each finger has 3 bones: Carpals Carpals Metacarpals Metacarpals Phalanges.
Get Hip to Hip Replacement By Anne Eby, RN Nursing made Incredibly Easy! May/June ANCC/AACN contact hours Online:
Arthritis and Podiatric Medicine: Walking Hand-in-Hand Dr. Dennis R. Frisch 30 SE 7 th Street Boca Raton, FL
ARTIFICIAL KNEES Veronica Frattaroli November 29, 2011.
The Hip Joint Exercises and Injuries. Pelvis Abnormalities To appreciate the abnormalities that may occur, picture a box around the pelvis. The two most.
Treatment Options for Severe Shoulder Pain. Anatomy of the Shoulder Made up of 3 bones: Scapula (shoulder blade) Humerus (upper arm bone) Clavicle (collarbone)
Rheumatoid Arthritis By, Marissa Miuccio.
By: Sydney and Emma Shoulder Problems and Treatments.
Treatment Options for Severe Ankle Pain
Rotator cuff tear.
All About Rheumatoid Arthritis
DePuy Community Education Seminar Thank you for joining us! We hope today’s information will help you on the path toward regaining your mobility and once.
Russell Meldrum, MD Indiana, University, School of Medicine, Department of orthopedics 550 North University Blvd., Room 1250 Indianapolis, IN
Minimally Invasive Surgery for Knee Arthritis
All About Osteoarthritis
By Amy Lovern, RN, BSN.  Osteoarthritis (OA) is one of the oldest and most common forms of arthritis.  Known as the “wear and tear” kind of arthritis.
Rotator Cuff Tears, Shoulder Dislocation, SLAP Tears
Treatment Options for Your Hip Pain 1. How your hip works Anatomy of the hip Ball-and-socket joint Ball (femoral head) at the end of the leg bone (femur)
Treatment Options for End Stage Ankle Pain
Understanding Arthritis Pain and Treatment Options
Dr. Alan G. Lewis Eastern Oklahoma Orthopedic Center MKT Rev B.
Osteoarthritis By: Tilly Paterson and Amanda Elsaesser.
ACL Injuries (Anterior Cruciate Ligament Injuries)
Koco Eaton, M.D. Team Physician – Tampa Bay Rays and Tampa Bay Buccaneers.
Treatment Options for Shoulder Pain. Anatomy of the Shoulder Made up of 3 bones: Scapula (shoulder blade) Scapula (shoulder blade) Humerus (upper arm.
Introduction to the topic Anatomy of the elbow joint Define Epicondylitis Signs and symptoms Causes Pathophysiology Prevention Diagnosis Treatment Surgical.
The Meniscus. Anatomy Lies between the femur and the tibia Two menisci: lateral and medial Avascular- doesn’t have blood vessels inside (prevents it from.
Case #13 Ellen Marie de los Reyes March 15, 2007.
By Sam Urban and Kenny Meyer
Dr. Mahboob Ur Rahman BSPT,PPDPT,EMBA Chief Physiotherapist HMC Peshawar/ Founder &Chairman Mahboob School of Physiotherapy Hayatabad.
Minimally Invasive Hip Surgery. What is Minimally Invasive Hip Surgery? A new surgical technique A new surgical technique Uses traditional hip implants.
Steffany Moonaz, PhD, RYT-500.  Damage to surrounding tissues  Consider lifespan of surgical technique  Don’t take surgery too lightly  Consider all.
Osteoarthritis (OA) Dr. Timothy Payne, MD. What is Osteoarthritis? Osteoarthritis is primarily a non- inflammatory degenerative disorder of moveable joints.
No MRI Needed Osteoarthritic kneeHealthy knee. Burden of Disease 39.4 million visits to physicians offices 750,000 hospitalizations OA cost $125 billion/year.
ARTHRITIS Aaron Calilap Cariane Matela Tyra Wiggins.
Knee Replacement Olivia Losak. Knee replacement surgery During Put under general anesthesia, or either epidural anesthesia. Cut is made in the front of.
Computer Assisted Knee Replacement Surgery. Anatomy of Knee The knee is made up of three bones The knee is made up of three bones Femur (thigh bone) Femur.
MATT MAC ANDREW AND DREW 1 ST BLOCK-SNEEDBIOTECH Joint Redesign Project.
Rheumatoid Arthritis (RA) By: Leon Richardson Period
Treatment Options for Your Hip Pain
Vocabulary: Articulation- A fixed or moveable joint between bones. Arthrology- The study and treatment of joints. Kinesiology- The study of mechanics.
Disease and Injury of the Hip By Ly Nguyen & Hayley Lough.
By: Mairi Sapountzi & Yoginee Sritharen
Information On Bunion Surgery San Francisco. A bunion is a protrusion on the side of a big toe. This toe tends to lean in the direction of the smaller.
Joint Injuries Arthritis By: Alessandro Iunni, Simon Da Silva, and Dylan Mugford.
Preserving what you have to keep doing what you do Irene Jordet, PT Joint health.
Osteoarthritis Name : Abdulaziz Bader ID:
Aging Alice Group 9.
Legg-Calve-Perthes Disease
Soft tissue conditions around the hip
Treating Osteoarthritis Through the SuperPath® Hip Replacement
Reverse Shoulder Replacement
Shoulder Replacement Thomas J Kovack DO.
Brian L. Lohrbach, MD Board-Certified Orthopedic Surgeon
Presentation transcript:

Treatment Options for Hip Pain

Anatomy of the Hip Ball and socket joint. Ball and socket joint. Femoral head or ball is at the end of thighbone or femur. Femoral head or ball is at the end of thighbone or femur. Socket or acetabulum holds the ball. Socket or acetabulum holds the ball. Source: www.jointreplacement.com

Hip Joint Healthy hip joint Healthy hip joint Arthritic hip jointArthritic hip joint

Causes of Hip Pain Osteoarthritis Osteoarthritis (Wear and tear) (Wear and tear) Avascular necrosis Avascular necrosis Abnormalities from fractures and congenital abnormalities Abnormalities from fractures and congenital abnormalities Source: www.allaboutarthritis.com

Symptoms of Hip Arthritis Pain Pain Dull, aching pain affecting the groin, outer thigh or buttocks. Dull, aching pain affecting the groin, outer thigh or buttocks. At rest or sleeping. At rest or sleeping. Stiffness and decreased movement Stiffness and decreased movement Bone spurs Bone spurs Source: www.aaos.org

Preparing for Examination Have the following information ready for your exam: Have the following information ready for your exam: Chief complaint (Where it is hurting the most?) Chief complaint (Where it is hurting the most?) Chronology of illness Chronology of illness What effect does the pain have on your life? What effect does the pain have on your life? Family history Family history Source: www.arthritis.org

Diagnosing Hip Arthritis Physical examination and history Physical examination and history Magnetic Resonance Imaging (MRI) Magnetic Resonance Imaging (MRI) X-Rays X-Rays Blood tests Blood tests Blood Count Blood Count Rheumatoid Factor (for RA) Rheumatoid Factor (for RA) C-Reactive Protein C-Reactive Protein Source: www.allaboutarthritis.com

How Can My Life Change with Treatment? A return to mobility A return to mobility Regaining a sense of your former lifestyle Regaining a sense of your former lifestyle A change in pain symptoms A change in pain symptoms

Non-surgical Treatment Options for Hip Pain: Over-the-Counter Medications Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) Usually first drug used to treat arthritis Usually first drug used to treat arthritis Can reduce pain, swelling and redness Can reduce pain, swelling and redness Relief can take several months Relief can take several months Examples: Examples: ibuprofen ( Advil®, Motrin®) ibuprofen ( Advil®, Motrin®) naproxen ( Aleve®) naproxen ( Aleve®) Aspirin Aspirin Reduce joint pain and inflammation Reduce joint pain and inflammation Form of NSAIDs Form of NSAIDs Source: www.AllAboutArthritis.com

Non-surgical Treatment Options for Hip Pain: Over-the-Counter Medications Acetaminophen Reduces pain Reduces pain Lowers fever Lowers fever Does not reduce inflammation of arthritis Does not reduce inflammation of arthritis Examples: Examples: Tylenol ® Tylenol ® Datril ® Extra Strength Datril ® Extra Strength Tempra ® Tempra ® Source: www.AllAboutArthritis.com

Non-surgical Treatment Options for Hip Pain: Prescription Medications NSAIDS NSAIDS Most popular type for osteoarthritis treatment Most popular type for osteoarthritis treatment Includes ibuprofen ( Motrin ® ), naproxen sodium ( Anaprox ® ), oxaprozin (Daypro ® ), sulindac (Clinoril ® ), etc. Includes ibuprofen ( Motrin ® ), naproxen sodium ( Anaprox ® ), oxaprozin (Daypro ® ), sulindac (Clinoril ® ), etc. Analgesics Analgesics Provide pain relief, but do not reduce inflammation Provide pain relief, but do not reduce inflammation Includes Acetaminophen with codeine (Tylenol ® with Codeine), Oxycodone (OxyContin ®, Roxicodone ® ), Hydrocodone with acetaminophen (Vicodin ®, Dolacet ® ), etc. Includes Acetaminophen with codeine (Tylenol ® with Codeine), Oxycodone (OxyContin ®, Roxicodone ® ), Hydrocodone with acetaminophen (Vicodin ®, Dolacet ® ), etc. Source: www.AllAboutArthritis.com

Non-surgical Treatment Options for Hip Pain: Prescription Medications Biological Response Modifiers Biological Response Modifiers Treat rheumatoid arthritis; may postpone injury to the joints Treat rheumatoid arthritis; may postpone injury to the joints Includes: Infliximab (Remicade ® ), Etanercept (Enbrel ® ) Includes: Infliximab (Remicade ® ), Etanercept (Enbrel ® )Remicade ® Remicade ® Glucocorticoids or Corticosteroids Glucocorticoids or Corticosteroids Treat rheumatoid arthritis; fight inflammation Treat rheumatoid arthritis; fight inflammation Includes: cortisone, hydrocortisone (Cortef ®, Hydrocortone ® ), Prednisolone (Prelone ® ) Includes: cortisone, hydrocortisone (Cortef ®, Hydrocortone ® ), Prednisolone (Prelone ® ) DMARDS DMARDS Treat rheumatoid arthritis; slow joint destruction Treat rheumatoid arthritis; slow joint destruction Includes: methotrexate, injectable gold, penicillamine (Depen ® ), Azathioprine (Imuran ® ), etc. Includes: methotrexate, injectable gold, penicillamine (Depen ® ), Azathioprine (Imuran ® ), etc. Source: www. AllAboutArthritis.com, 2003www. AllAboutArthritis.com

Non-surgical Treatment for Hip Arthritis Cortisone Injections. Cortisone Injections. Powerful anti-inflammatory medication. Powerful anti-inflammatory medication. Temporary pain relief lasting several weeks to a month. Temporary pain relief lasting several weeks to a month. Assistive devices. Assistive devices. Walking (cane, walker). Walking (cane, walker). Getting around (seat lifts). Getting around (seat lifts). Bathing and hygiene. Bathing and hygiene. Dressing. Dressing. Rest and activity modification. Rest and activity modification. Source: www.AllAboutArthritis.com

Non-surgical Treatment for Hip Arthritis Physical therapy Physical therapy Help increase range of motion and maintain muscle tone. Help increase range of motion and maintain muscle tone. Swimming is good for hip arthritis patients. Swimming is good for hip arthritis patients. Weight control Weight control Foods with lower saturated fats help avoid swelling in tissue. Foods with lower saturated fats help avoid swelling in tissue. Eat a variety of foods from food groups. Eat a variety of foods from food groups. Avoid fad diets. Avoid fad diets. Source: www.allaboutarthritis.com

Surgical Options for Hip Pain Synovectomy Synovectomy Total hip replacement Total hip replacement Minimally invasive hip replacement Minimally invasive hip replacement Source: www.aaos.org

Synovectomy Early stages of rheumatoid arthritis. Early stages of rheumatoid arthritis. Removes inflamed tissue lining. Removes inflamed tissue lining. Potentially saves joint from further damage. Potentially saves joint from further damage. Source: www.AllAboutArthritis.com

Synovectomy Small incision is made. Small incision is made. Arthroscope is used to inspect the joint. Arthroscope is used to inspect the joint. Diseased synovium is removed. Diseased synovium is removed. Physical therapy usually required. Physical therapy usually required. Source: www.AllAboutArthritis.com

Synovectomy Benefits Alleviates rheumatoid arthritis pain in the joint. Alleviates rheumatoid arthritis pain in the joint. Joint may be saved from further damage. Joint may be saved from further damage. Synovium could grow back over time. Synovium could grow back over time.Disadvantages Not a permanent solution. Not a permanent solution. Source: www.AllAboutArthritis.com

When is Hip Replacement Surgery Right for You? Experience significant pain and loss of function despite non-surgical treatments. Experience significant pain and loss of function despite non-surgical treatments. Typical patients have severe: Typical patients have severe: Rheumatoid Arthritis Rheumatoid Arthritis Osteoarthritis Osteoarthritis Hip fracture Hip fracture Source: www.allaboutarthritis.com

Hip Replacement Components Acetabular component, made of metal shell with a medical grade plastic or metal inner socket liner. Acetabular component, made of metal shell with a medical grade plastic or metal inner socket liner. Cup Shell Source: www.jointreplacement.com

Hip Replacement Components The femoral component (stem portion), is made of metal. The femoral component (stem portion), is made of metal. Femoral head is made either of metal or ceramic. Femoral head is made either of metal or ceramic. Neck Stem Head Source: www.jointreplacement.com

Hip Replacement: Cemented or Uncemented Cemented implant is held in place by a type of epoxy cement that attaches the metal to the bone. Cemented implant is held in place by a type of epoxy cement that attaches the metal to the bone. Uncemented implant has a fine surface (mesh of holes) allowing tissue to grow into. Uncemented implant has a fine surface (mesh of holes) allowing tissue to grow into. Source: www.jointreplacement.com

Choice Among Cups and Liners Cross-linked polyethylene- Cross-linked polyethylene- High medical grade plastic High medical grade plastic Strong Minimal debris Strong Minimal debris Metal Metal Usually titanium Usually titanium Strong Strong Matches your natural hip joint movement Matches your natural hip joint movement Ceramic Ceramic Least amount of debris Least amount of debris Less wear Less wear Most fragile Most fragile Source: www.jointreplacement.com

Benefits to Patient from Surgery Return to mobility Return to mobility Restores lifestyle Restores lifestyle Freedom Freedom

Total Hip Replacement The goal is to reduce hip pain and improve the motion in your hip. The goal is to reduce hip pain and improve the motion in your hip. More than 220,000 people in the United States annually undergo hip replacement surgery. More than 220,000 people in the United States annually undergo hip replacement surgery. Source: www.jointreplacement.com

Surgical Procedure Incision made on the side of the thigh. Incision made on the side of the thigh. Socket is re-shaped to fit new cup implant that replaces the diseased socket. Socket is re-shaped to fit new cup implant that replaces the diseased socket. New cup is placed in the socket. New cup is placed in the socket. Source: www.Allaboutarthritis.com

Surgical Procedure Femur is prepared for the stem. Femur is prepared for the stem. Hip stem is implanted and the ball is put in place on top of stem. Hip stem is implanted and the ball is put in place on top of stem. Incision is closed. Incision is closed. Source: www.Allaboutarthritis.com

Minimally Invasive Hip (MIH) Surgery New surgical technique. New surgical technique. Smaller incisions with traditional hip implant components. Smaller incisions with traditional hip implant components. Different techniques, including mini- incision and two-incision. Different techniques, including mini- incision and two-incision. Individual results may vary. There are potential risks and recovery can take time. The performance of any new joint will depend on your weight, activity level, age and other factors.

Different Techniques Used for MIH Two-incision Two-incision Two incisions of approximately 2 inches long on both the front and rear of the thigh. Two incisions of approximately 2 inches long on both the front and rear of the thigh. Mini-incision Mini-incision One incision generally 3 to 4 inches on the thigh. One incision generally 3 to 4 inches on the thigh. Two basic types of mini-incision: Two basic types of mini-incision: –anterior –posterior

Preparing for Joint Replacement Surgery Ease anxiety by mentally preparing with: Ease anxiety by mentally preparing with: Breathing exercises Breathing exercises Meditation Meditation Talking with friends and family Talking with friends and family Learn more about hip replacement surgery Learn more about hip replacement surgery Brochures Brochures Handouts Handouts Websites Websites Videos Videos Source: www.jointreplacement.com

The Night Before Surgery Avoid medications, such as “blood thinners” (aspirin, ibuprofen, etc.) Avoid medications, such as “blood thinners” (aspirin, ibuprofen, etc.) Do not consume any food or liquid after midnight. Do not consume any food or liquid after midnight. Make sure you have everything you’ll need at the hospital. Make sure you have everything you’ll need at the hospital. Ask any questions you may have before surgery. Ask any questions you may have before surgery. Source: www.jointreplacement.com

After Surgery Switch to a pain drug taken by mouth that you may need for up two weeks. Switch to a pain drug taken by mouth that you may need for up two weeks. Basic range-of-motion exercises are started. Basic range-of-motion exercises are started. Begin a physical therapy program a few days after surgery. Begin a physical therapy program a few days after surgery. Source: www.jointreplacement.com

Artificial Hip Dislocation Precautions Limited range of safe motion during healing process. Limited range of safe motion during healing process. For about 3 months, follow special safety rules to protect hip. For about 3 months, follow special safety rules to protect hip. Source: www.jointreplacement.com

Artificial Hip Dislocation Precautions Don't bend hip past 90 degrees. Don't bend hip past 90 degrees. Don't raise your leg in bed. Don't raise your leg in bed. Don't raise thigh past 90 degrees Don't raise thigh past 90 degrees Even when sitting or laying down. Even when sitting or laying down. Source: www.jointreplacement.com

Artificial Hip Dislocation Precautions, continued Don't bend too far when standing. Don't bend too far when standing. Source: www.jointreplacement.com

Artificial Hip Dislocation Precautions, continued Don't roll leg inward. Don't roll leg inward. Especially important when on side or turning in bed. Especially important when on side or turning in bed. Source: www.jointreplacement.com

Artificial Hip Dislocation Precautions, continued Don't turn foot of operated leg inward. Don't turn foot of operated leg inward. Keep toes pointed forward when standing, sitting or walking. Keep toes pointed forward when standing, sitting or walking. Source: www.jointreplacement.com

Hospital Discharge You will be released from the hospital as soon as you: You will be released from the hospital as soon as you: Use hospital precautions with all activities. Use hospital precautions with all activities. Get in and out of bed safely. Get in and out of bed safely. Walk with the right amount of weight on your hip using a walking aid. Walk with the right amount of weight on your hip using a walking aid. Do exercises by yourself. Do exercises by yourself. Expect a three or four day hospital stay after surgery. Expect a three or four day hospital stay after surgery. Source: www.jointreplacement.com

A Caregiver’s Role Provide support and show patience Provide support and show patience Help with needs that the patient can not do, like: Help with needs that the patient can not do, like: Dressing Dressing Bathing and Hygiene Bathing and Hygiene Everyday chores Everyday chores Walking Walking Source: www.jointreplacement.com

Recovery in the First Week Begin physical rehabilitation to regain strength in your hip. Begin physical rehabilitation to regain strength in your hip. Decrease medication because pain is decreasing. Decrease medication because pain is decreasing. Source: www.jointreplacement.com

Recovery in the First Month Expect some personal limitations on activities. Expect some personal limitations on activities. Important not to place too much stress on the hip. Important not to place too much stress on the hip. Motion exercises should be progressing. Motion exercises should be progressing. Source: www.jointreplacement.com

Recovery After Six Weeks You may begin participating in more activities. Limits are reduced. You may begin participating in more activities. Limits are reduced. Begin active range-of-motion exercises and move to strengthening exercises. Begin active range-of-motion exercises and move to strengthening exercises. Ability to return to work will depend on progress and type of work. Ability to return to work will depend on progress and type of work. Source: www.jointreplacement.com

Questions?

Thank You