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Chapter 21 - Osteoarthritic Hip Pain

from Part V - Extremities

Published online by Cambridge University Press:  01 December 2023

By
Kevin Bennett ,
Elyse M. Cornett  and
Jamal Hasoon
Edited by
Omar Viswanath  and
Ivan Urits
Omar Viswanath
Affiliation:
Creighton University, Omaha
Ivan Urits
Affiliation:
Southcoast Brain & Spine Center, Wareham
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Summary

Osteoarthritis (OA) of the hip is a common source of pain and disability associated with aging. Radiographic evidence of hip OA is present in approximately 24.7% of males and 13.6% of females over 50 years old, with symptoms seen in 5.2% of males and 3.0% of females. “Wear and tear” damage to hip joint leading to dysfunctional ECM reorganization leads to chronic onset of pain that is worse with use and associated with decreased hip mobility. Years of conservative treatment with exercise, weight loss, and oral anti-inflammatories can mitigate the disease progression, but severe cases may require intraarticular injections or hip arthroplasty. Some promising injections hope to better manage chronic symptoms by reversing the course of the disease; however, total hip arthroplasty remains a gold standard treatment of severe hip OA.

Keywords

osteoarthritiship painintraarticular injectionstotal hip arthroplastyhip surgery
Type
Chapter
Information
Cambridge Handbook of Pain Medicine , pp. 164 - 172
Publisher: Cambridge University Press
Print publication year: 2023

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