According to the American Academy of Orthopedic Surgeons (AAOS), more than 10 million people in the United States have been diagnosed with osteoarthritis. Characterized by joint pain and stiffness, it occurs as the weight bearing joint begins to deteriorate. Risk factors for hip osteoarthritis include family history, previous injury to the joint and age. There are several pain management options for those suffering with hip osteoarthritis.
Exercise and Therapy
Various exercise regimens and therapies may be recommended for the individual diagnosed with hip osteoarthritis. As indicated by the AAOS, physical therapists may work with an individual to develop an exercise program that will help strengthen the joint. Water activities and cycling can also strengthen the joint and improve function. Therapists may also help the individual to find alternative ways to complete daily tasks to avoid putting unnecessary stress on the joint and therefore reducing pain for the individual. In addition, orthotic inserts may be designed depending on the severity of the disease for use in shoes. In extremely severe cases when ambulation is impaired, assistive walking devices, such as walkers and canes may be used to take pressure off of the joint.
Medication
There are several drug interventions available to the individual suffering with hip osteoarthritis. These interventions range from relatively mild over-the-counter medications, to more invasive medications treatments that must be administered by a physician. Medications, such as acetaminophen, and NSAIDS, like ibuprofen and naproxen, are sold over-the-counter and help by reducing the sensation of pain and inflammation. Prescription pain killers are available through a physician. These medications are stronger and have a higher risk of causing chemical dependency. Prescription pain medications, such as hydrocodone and tramadol, are used in cases of osteoarthritis with more severe pain. In more persistent cases of pain cortisone, steroid injections may be used to relieve discomfort. The medication is injected by a physician directly to the joint to elevate pain.
Surgical Treatment
In cases that are severe and cannot be remedied by more conservative treatments like medication and therapies, surgical intervention may be needed. Surgery is generally recommended when the joint becomes severely deformed and pain is constant. Surgical interventions include joint replacement and debridement. In joint replacement, part or all of the components that make up the damaged hip joint are replaced. Debridement works by going into the joint and smoothing the rough and damaged surfaces to reduce pain for the individual. The surgical procedure performed depends directly on the level of function, damage and pain in the joint.
