• Total Hip Arthroplasty/Replacement

     What are the Causes of Hip Pain?

    Common causes of hip pain can involve a variety of muscle imbalance issues. The most common causes of hip pain include IT band syndrome, Greater trochanteric bursitis, Piriformis syndrome, Sciatica, labral tear, tight hamstrings, tight quadriceps, and general degeneration of the hip joint.

    What are the Symptoms of Hip Pain?

    Symptoms of hip pain include:

    • Sharp pain or pinch in the front of the hip
    • Dull ache in the back or side of the hip
    • Pain in the front or side of the thigh running down to the knee joint
    • Pain or dull ache at night 
    • Limping or altered gait with walking
    • Grinding or popping within the hip joint

    Consult a Doctor if the following Occur:

    • Unable to bear weight on the leg
    • Fall or suspected fracture
    • Weakness or instability
    • Unable to move at the hip joint
    • Walking causes increased hip pain
    • Throbbing, redness, or excessive swelling

     

    Having a healthy hip is important. Over a lifetime there is a cumulative wear and tear on our knee joints. Chronic hip pain can continue to progress and cause many issues with a person’s walking or everyday activities. Candidates for a total hip replacement usually fall under some type of arthritic category. The most common arthritis conditions that may lead to a total hip replacement include osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, and avascular necrosis. 

    Considering total hip replacement is a big decision for many people. A person should consult with a doctor if a total hip replacement is a good option to improve their hip pain.  

    Who is eligible for a Total Knee Replacement?

    Indications for a total knee replacement include:  

    • Intractable hip pain
    • Walking, going up stairs, getting out of a chair is painful
    • Hip pain during sleep
    • Bone or joint deformity
    • Chronic irritation or inflammation to the hip 
    • Overall function and daily activities significantly affected by hip pain

    What are common Treatments for Total Hip Replacement?

    Physical therapy can help delay the need for surgery or improve the outcomes after surgery and speed up the recovery process. Physical therapy will help improve hip stability, balance, gluteus and gross hip strength, improve range of motion, improve gait or walking abnormalities, and improve overall level of function. Performing physical therapy even before surgery can vastly improve outcomes and can increase performance after surgery as many studies show.

    • There is a positive correlation between preoperative and postoperative function following joint replacement
    • Preoperative walking capacity and range of motion significantly influenced walking and range of motion after surgery
    • Improvements in function, pain, stiffness, hip flexion range of motion and strength

    F.I.T. physical therapy sets therapy goals specific to each patient’s needs and functional goals for themselves. We focus on the best evidence-based techniques and treatment protocols to help eliminate pain and dysfunction with hip joints.

    References:
    1. Roder C, Staub LP, Eggli S, Dietrich D, Busato A, Muller U. Influence of Preoperative functional status on outcome after total hip arthroplasty. The Journal of Bone & Joint Surgery 2007; 89-A(1):11-17.
    2. Topp R, Swank AM, Quesada PM, Nyland J, Malkani A. The effect of prehabilitation exercise on strength and functioning after total knee arthroplasty. PM&R 2009; 1:729-735.

    New Patients are Always Welcome!