{"id":1393,"date":"2022-07-15T01:23:00","date_gmt":"2022-07-15T00:23:00","guid":{"rendered":"https:\/\/ortho-surgery.uk\/?p=1393"},"modified":"2022-12-15T16:56:29","modified_gmt":"2022-12-15T16:56:29","slug":"when-is-hip-replacement-surgery-necessary","status":"publish","type":"post","link":"https:\/\/ortho-surgery.uk\/index.php\/when-is-hip-replacement-surgery-necessary\/","title":{"rendered":"When is hip replacement surgery necessary?"},"content":{"rendered":"\n
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When is hip replacement surgery necessary?<\/h1>\n\n\n\n

by Mr Vipin Asopa, Consultant Hip & Knee Surgeon
20th July 2022<\/em><\/h6>\n<\/div><\/div>\n\n\n\n
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Another evening spent playing tennis. It\u2019s usually your favourite part of the week.<\/em><\/p>\n\n\n\n

But this week that niggling hip pain that you\u2019ve had for a while has become more prominent with each jump, with each step. You\u2019re not sure if you can carry on to the end of the match.<\/em> And then there’s that aching\/burning pain that you have started to experience during the night afterwards<\/em>.<\/p>\n\n\n\n

Of course tennis is just an example here! Maybe you are more of a footballer, a hiker, a runner\u2026 whatever your go-to activity may be, it\u2019s often whilst doing these activities that you notice your hip pain and to what extent it\u2019s starting to affect your day-to-day life.<\/em><\/p>\n\n\n\n

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Unfortunately hip pain is common, with approximately 50% of older adults saying they have either hip or knee pain [https:\/\/www.webmd.com\/healthy-aging\/features\/hip-pain-as-you-age<\/a>]. Pain from arthritis<\/a> is usually in the groin. Other causes of pain around the hip can include inflammation (bursitis) or tendon tears on the outside of the hip (gluteal muscles). Sometimes these occur in isolation and other times they may be associated with osteoarthritis of the hip joint.<\/p>\n\n\n\n

It is important to remember that there are many orthopaedic\/musculoskeletal causes of hip pain both inside the ball and socket joint and outside the joint other than arthritis. Sometimes abdominal (such as hernia) or gynaecological problems can cause hip pain. Back pain is also an important sign: trapped nerves or a tight spinal canal can contribute to pain and difficulty with balance. <\/p>\n\n\n\n

If low back pain or hip pain is severe, troubles you at night, does not settle with simple painkillers, or is getting worse, you should see a specialist.<\/p>\n\n\n\n

Arthritis or injury are common causes of hip pain.<\/strong> Hip osteoarthritis, considered a degenerative condition of the hip joint (sometimes called wear and tear), is related to ageing, previous injury and genetic factors. <\/p>\n\n\n\n

The cause of symptoms is due to the breakdown of cartilage lining the surface of the ball and socket joint. This can result in the bone articulating with bone. Pain is caused by the cartilage degeneration and secondary inflammatory change that can occur. <\/p>\n\n\n\n

Symptoms may become worse as the condition progresses. However, the choice of treatment is not based on what the x-ray looks like, but how you are affected by arthritis.<\/strong> If your symptoms are well controlled and there is little limitation on your activities, it may be appropriate to consider little or no treatment for the time being. If, on the other hand, you have severe symptoms disturbing your sleep and limiting walking, then you may be more likely to consider other treatment options.<\/p>\n\n\n\n

Hip pain may be managed with medication, physiotherapy or even simply doing nothing and waiting to see if the pain subsides. However, for some, hip replacement surgery may be required.<\/p>\n\n\n\n

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So let\u2019s further explore how we know when it is required. What are the tell-tale signs that hip surgery may have become necessary?<\/strong><\/p>\n\n\n\n