Although there are many types of joint disorders, osteoarthritis is the most common. This form of arthritis often affects the hips since they must bear the weight of the body. This condition is usually age-related, affecting individuals during middle age and almost everyone by the age of 70. This joint disorder can be caused by obesity, fractures, repetitive use, but most often is due to simple wear and tear of the joints over the years. According to the American College of Rheumatology, it is estimated that about one in every four Americans will develop hip osteoarthritis during their lifetime. With early diagnosis and proper treatment, the symptoms of this condition, including hip pain can be managed.
Because early diagnosis and treatment can be significant in managing symptoms, individuals who suffer from localized hip pain in VA that affects the front and/or sides of the thigh or the groin area, as well as morning stiffness and limited ability to move the hips without pain, may have hip osteoarthritis. These symptoms should prompt the individual to seeking medical attention, as without treatment, pain can worsen and become constant. The physician will take a medical history, perform a physical exam and have x-rays taken to diagnosis the condition. An MRI may be ordered if further information is needed. Blood tests can also be taken for ruling out other forms of arthritis. A confirmed diagnosis of osteoarthritis will be made if the patient has pain and two of the three following symptoms. These include narrowing of the joint space, acetabular or femoral osteophytes and an erythrocyte sedimentation rate greater than 20mm/hr. This symptom criteria for accurately diagnosing hip osteoarthritis is based on the American College of Rheumatology.
Although osteoarthritis is not curable, there are treatments that can help in managing symptoms. These include medications such as acetaminophen for mild cases and opioid analgesics and nonsteroidal anti-inflammatories for moderate to severe cases. Other treatments may include physical therapy to help strengthen the hip and improve range of motion, water exercises and occupational therapy for helping individuals learn how to use assistive devices and help protect the joint from aggravating the condition. Surgery may be considered, although it is usually only done when all other treatments fail to provide relief. Surgical procedures may include arthroscopy that is done using an arthroscope to exam and remove damaged cartilage, osteotomy, which realigns the angle of the joint to relieve stress or total hip replacement to implant new joint components. With an early diagnosis and treatment plan, pain can be decreased and function can improve.
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