Osteoarthritis of the hip

Osteoarthritis is a long term condition that can affect one or more joints in the body and over time cause pain, stiffness, decreased range of movement in the joint and weakness of the muscles around the joint. It happens when there is breakdown of the cartilage in the joint which causes joint space narrowing. Some people report mild symptoms whereas other people may find their symptoms are severe.

These changes may result in pain, stiffness, loss of range of movement and loss of muscle power.

Care sunt cauzele?

Osteoarthritis can affect people of all ages but is more common with people aged 40 and over.

As we get older, many people will encounter osteoarthritis, as the body’s joints go through natural ‘wear and repair’ cycles. Osteoarthritis is the most common type of arthritis and commonly affects the hip or knee joints. Many factors may contribute to having arthritis; obesity, accidents, vigorous sport or a family history may be important. In osteoarthritis (wear and repair), certain changes occur in the joint.

  • The smooth cartilage becomes flaky and develops small cracks.
  • The bone underneath the cartilage becomes denser.
  • The lining of the joint becomes inflamed and may thicken up.
  • Loss of the joint space (narrowing).
  • Formation of bony lumps called osteophytes.

See Versus Arthritis for more detail: https://www.versusarthritis.org/about-arthritis/conditions/osteoarthritis-oa-of-the-hip/

Tratament

Stil de viață

Gestionarea greutății este importantă, prin urmare este încurajată o dietă echilibrată și sănătoasă. Dacă sunteți supraponderal, reducerea greutății va fi benefică pentru picioarele dumneavoastră, pentru a reduce suprasolicitarea articulațiilor, în timp ce o dietă echilibrată este importantă pentru sănătatea dumneavoastră generală.
Fumatul nu ajută la repararea oaselor și a țesuturilor moi, deci se recomandă renunțarea la fumat.

See our “Viață sănătoasă” section for more information on local healthy weight and stop smoking services

Ameliorarea durerii

Medication (such as simple painkillers or anti-inflammatories) may be useful. A pharmacist or your GP can help advise you what to take if needed. You can find further information here on what medications you could take here:

How and when to take paracetamol for adults – NHS (www.nhs.uk)

Ibuprofen for adults: painkiller which also treats inflammation – NHS (www.nhs.uk)

Modificarea activității

Activitatea este încurajată, deși adaptarea este importantă. Uneori, ar putea fi necesară reducerea activităților cu impact puternic. În schimb, introduceți activități care să vă permită recuperarea simptomelor, dar care să vă mențină activ. Monitorizarea numărului de pași sau a intensității mersului sunt modalități de a vă modifica activitatea.

Exercițiu

It is important to keep your hip moving through the range of movement that you have. This will help to reduce the chance of the joint getting stiffer and the muscles around the joint from getting weaker. Exercising ‘little and often’ is key. Sometimes exercises may make your pain worse whilst you are doing them. This does not mean that you are causing damage. Try to balance being active and having periods of rest.

There are a range of stretching, movement and strengthening exercises available on the Versus Arthritis website

ESCAPE-pain

ESCAPE-pain is a group rehabilitation programme for people with chronic joint pain that integrates educational self-management and coping strategies with an exercise regimen individualised for each participant. It helps people understand their condition, teaches them simple things they can help themselves with, and takes them through a progressive exercise programme so they learn how to cope with pain better.

Courses are currently running free of charge for residents of Bristol, North Somerset and South Gloucestershire in the following locations:

  • The Greenway Centre, Southmead
  • Brunel Fitness Centre, Speedwell
  • The Leisure Centres run by Circadian Trust in Bradley Stoke, Kingswood, Longwell Green, Thornbury and Yate.
  • Imperial Sports Ground, South Bristol
  • Age UK Somerset, Weston and Worle
  • North Bristol Trust- Southmead Hospital
  • University Hospitals Bristol and Weston- Bristol Royal Infirmary
  • University Hospitals Bristol and Weston- Weston Hospital
  • Sirona- Cossham Hospital
  • Sirona- Knowle West Health Park
  • Sirona- Marina Health Centre

Please see your healthcare practitioner for a referral. There may be other gyms and leisure centres running ESCAPE courses across BNSSG however these are not free for patients and a charge will apply.

For further information visit the ESCAPE-pain website

 

How do I decide which treatment is right for me?

Decision support tools are designed to support shared decision making between you and a clinician. You may find they are useful before, during or between consultations depending on your care pathway.

A decision aid is designed to help you decide between treatment options. You should go through it and talk to your healthcare professional.

Making a decision about hip osteoarthritis - decision aid

 

Chirurgie

This video explains the different treatment options for Hip Osteoarthritis that you may wish to consider before total hip replacement surgery.

For translated versions of this video, please click the links below:

Arabic
Bengali
Polish
Somali

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