|Dr Chan Kin Yuen|
|Dr Lee Chong Meng|
|Dato’ Dr Lim Boon Ping|
|Dr Tai Cheh Chin|
The hip joint can withstand repeated motion and a fair amount of wear and tear throughout your lifetime. Despite its durability, however, the hip joint isn’t indestructible. With age and use, the cartilage can wear down or become damaged. Muscles and tendons in the hip can get overused. Bones in the hip can break during a fall or other injury. Any of these conditions can lead to hip pain.
The hip joint is one of the most common areas for osteoarthritis. Hip osteoarthritis is more common among the elderly and those who have had hip injuries. Obesity also places extra stress on the hips.
How We Treat It
The first line of treatment for arthritis, in addition to lifestyle changes, include anti-inflammatory medication, hip injections and weight loss.
Intermediate surgical treatments include:
Hip osteotomy: An osteotomy may be appropriate if the arthritis is limited to a small area of the hip joint. It allows the surgeon to rotate the arthritic bone away from the hip joint, placing the weight load on relatively unaffected parts of the joint.
Hip arthrotomy: This is where the joint is opened up to clean out loose pieces of cartilage, remove bone spurs or tumors, or repair fractures.
Hip replacement (arthroplasty): When osteoarthritis becomes so severe that the pain is intense or the hip joint becomes deformed, a total hip replacement (arthroplasty) may be a consideration. The surgeon may recommend a variety of approaches, including Minimally Invasive Hip Replacement in some cases.
A hip fracture is a serious injury, with complications that can be life-threatening. The risk of hip fracture rises with age. Risk increases because bones tend to weaken with age (osteoporosis). Poor vision and balance problems also make older people more likely to fall – one of the most common causes of hip fracture.
A hip fracture almost always requires early surgical repair or replacement, followed by physical therapy.
How We Treat It
Possible non-surgical treatments include the use of painkillers, steroid injections, walking aids, or physiotherapy.
Hip replacement is recommended for severe osteoarthritis and rheumatoid arthritis. Hip surgery may be also required for fractures of the hip secondary to osteoporosis.