Atlanta's All-Inclusive Orthopaedic Surgery
and Sports Medicine Practice.

Hip.

Injuries & Pain

Project Description

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The Birmingham Hip Resurfacing System is a new alternative to total hip replacement and has recently been approved by the FDA (Food and Drug Administration) for use in the United States. This procedure has been used successfully around the world for years to treat patients suffering from hip pain due to arthritis, dysplasia or avascular necrosis. This technologically advanced procedure for the hip resurfaces instead of replaces the end of your femur (thighbone), meaning you can participate in more strenuous physical activities after the surgery. The Birmingham Hip Resurfacing procedure is potentially more stable and longer-lasting than contemporary hip replacement procedures. If a revision surgery is required at a later time, the second procedure may be less complex and far less traumatic than the alternative.

Hip resurfacing is aimed at young, active adults less than 60 years of age in need of a hip replacement. Adults over 60 can still be considered if they are living non-sedentary lifestyles after a review of bone quality. Sometimes, hip arthritis can result in extreme deformity of either the head of the femur or the acetabulum (hip socket) and these cases are generally not candidates for hip resurfacing.

After your hip resurfacing procedure, you will undergo rehabilitation therapy in our Sports Medicine South state of the art Physical Therapy center. It is very important to understand this process because it is a key factor for a positive outcome. The recovery program begins the day after your surgery and starts with a device called an incentive Spirometer. This device measures lung capacity and assists in taking deep breaths. It is important in preventing fluid from collecting in your lungs and prevents the risk of pneumonia.

Some non-surgical alternatives to hip resurfacing are available. Lifestyle modification is the most radical, asking you to typically lose weight, avoid activities that demand long periods of walking or standing, and the use of a cane to decrease stress on the painful hip. Exercise and physical therapy is another option, as well as anti-inflammatory medications or the dietary supplements glucosamine and chondroitin.

A problematic and painful hip can be difficult to live with. Hip pain can be caused by a large number of things, but the most common sources can be a hip fracture that did not heal properly, a chronic illness such as rheumatoid arthritis, or simple wear and tear from constant use. A damaged hip joint can be pinpointed when severe joint pain is not relieved by medication, rest, or other treatments like physical therapy. Should you have increased joint stiffness restricting mobility, or limited movement even with assistive devices like canes or walkers, a damaged hip joint is probable.

Total hip replacement surgery replaces your problem hip joint with a prosthetic. This surgery almost always reduces joint pain and benefits people of all ages. Depending on your age and the amount of damage to your joint, your doctor will choose a surgery option that will benefit you the most. With total hip replacement, the rounded head of your thighbone and your hip socket are replaced with prostheses. In hip resurfacing, your hip socket is replaced with prosthesis and the rounded head of your thighbone is then capped with a prosthesis that fits inside your new hip socket.

A groin pull occurs when the muscles of the inner thigh are stretched beyond their limits. Acute pain and swelling/bruising are common, generally when the injury is set off by a sudden change in direction while running or quick starts and stops. Field or court sports carry a heightened risk factor.

RICE is the general treatment plan for most groin pulls. For up to two weeks, avoid activities that may aggravate the injury further.

A hernia is when parts of the internal tissue bulge through a weakness in the abdominal wall. This brings a risk of strangulation to these internal tissues and may cause intestinal blockage or cut off the blood supply.

A doctor must be seen for treatment of any suspected hernias. Surgery is almost always required to correct the hernia.

The iliopsoas is the powerful muscle used to lift the knee up, starting at the lower back and inserts into the thigh bone. Usually, ruptures of this muscle occur at the tendon where the muscle inserts into the thigh bone.

Symptoms for an ruptured iliopsoas include sudden pain in the groin that returns when you lift your knee to your chest, and weakness in lifting the knee up.

Treating an iliopsoas rupture includes using RICE therapy, use of crutches if necessary, and possibly some physical therapy and rehabilitation.

A hip pointer injury causes bleeding into the abdominal muscles due to an acute injury to the iliac crest of the pelvis. The pain is intense, felt when walking, laughing, coughing, or even breathing deeply. This injury comes about due to a direct blow to the iliac crest, generally from sports like football or soccer.

Treatment mainly involves resting for up to 2 weeks, with ice or medication to help reduce the pain.

Also called arthroplasty, hip replacement replaces parts of the hip joint with artificial parts called prostheses. Hip replacement is generally necessary for patients suffering from osteoarthritis of the hip joint.

Before surgery is recommended, anti-inflammatory medications and/or an exercise program to strengthen the hip joint muscles may be prescribed.

Should surgery be the only option, physical therapy is required once the procedure is complete.

A common cause of sciatica, piriformis syndrome is when the piriformis muscle becomes tight or cramps, putting pressure on the sciatic nerve. Over time, this will produce an aching in the leg and pain in the lower back.

While the shortening of the muscle and compression of the nerve are common cases of piriformis syndrome, overuse of the gluts and other hip muscles can be factors.

Treatment includes stretching and strengthening excercises.

This is the term used for the inflammation of the bursa, a sac that decreases friction between joints moving in different directions. When the bursa becomes enflamed, any further use of it causes increased irritation. This condition arises from overuse of a repetitive movement or continuous and excessive pressure, like resting your elbows on a desktop for long periods of time.

There are many types of bursitis (elbow, knee, shoulder, hip, etc), but most diagnoses are consistent in that each show tenderness and swelling over the bursa along with pain during movement. Inflamed bursas carry a small chance of getting infected. If you experience open wounds around the area of bursitis, redness, or a fever/chills, contact a doctor immediately.

Treating bursitis is a matter of resting and protecting the affected area. Ice it down, take anti-inflammatory medicines to control swelling, with physical therapy & cortisone injections available for persistent cases. Physical rehab may be recommended for serious cases.

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