CHARLOTTESVILLE MEDICAL RESEARCH Osteoarthritis of the Hip The Osteoarthritis (OA) is estimated to affect more than 25 million people in America. It is a degenerative joint disease in which the natural cushioning in our joints (known as articular cartilage) is worn down leading to bone-on-bone rubbing causing pain, swelling and loss of motion. Like any other weight bearing joint, the hips are at risk for developing osteoarthritis. What are the risk factors? Pulse There are several factors believed to increase your risk for developing OA of the Hip: • Family History - Those with a family history of OA have an increased risk of developing this condition. • Age - It is estimated by the American Academy of Orthopedic Surgeons that 41% of all adults with OA of the Hip are age 65 and older. • Ethnicity - Caucasians of European descent have been shown to be at the highest risk of developing OA of the Hip. • Obesity - Some studies have shown an increased risk of developing OA of the Hip when carrying excess body weight (Body Mass Index > 25) from early 66% 89% 2 million+ adulthood (ages 25 - 40). • Activities/ Injury - If you have sustained an injury or have an occupation and/or hobby that places stress on your hip cartilage, your risk of developing OA of the Hip increases. What are the common symptoms? Typical fi rst signs include discomfort and stiffness in your groin area, buttocks, and/or thighs upon awakening in the morning. This pain flares when you are active and improves when you rest. If you do not seek treatment for OA of the hip, the condition will progress until rest no longer relieves your pain. The hip joint will become stiff and inflamed, and small bony protrusions known as “bone spurs” may build up at the edges of the joint. How is a diagnosis made? Your doctor can make a diagnosis of OA of the Hip based on a physical exam, medical history and xrays. During the physical exam, your doctor may rotate, flex, and extend your hips to check for pain. X-rays can determine if joint damage is present and if so, how much damage has occurred in your hip. Additional tests could also be performed by your doctor to rule out other possible causes of the patient symptoms. What treatments are available? While you cannot reverse the effects of OA, early non-surgical treatment may help you avoid the pain and disability as well as the slow progression of the disease. Surgery can help if your condition is already severe. Non-surgical Treatment If you have early stages of osteoarthritis of the hip, initial treatments could include: of those diagnosed with OA of the Hip are women of those diagnosed with OA of the Hip are Caucasian • Rest your hip from overuse • Follow a physical therapy program of gentle, regular exercise to keep your joint functioning and improve its strength and range of motion • Use non-steroidal anti-inflammatory medications (e.g. ibuprofen) • If overweight, start a weight loss program under the supervision of your doctor Surgical Treatment If you have reached the later stages of osteoarthritis, such that your hip joint hurts when you rest at night, and/or your hip is severely deformed, your doctor may recommend total hip replacement surgery (arthroplasty). In this surgery, you will get a two-piece ball and socket replacement for your hip joint. You may need the use of crutches or a walker following surgery. Rehabilitation will be important to restore the flexibility in the hip and work your muscles back into shape. Charlottesville Medical Research, in conjunction with Dr. Jim Clark, will be conducting an OA of the Hip study as well as an OA of the Knee study beginning in mid to late September. If you would like more information about these studies, please contact us at (434) 817-2442 or visit us on the web at www. cvillemedresearch.com. What is OA of the hip? adult Americans are estimated to be affected by OA of the Hip Source: American Academy of Orthopedic Surgeons Charlottesville Medical Research Current and Future Research Studies • Anxiety • Chronic Constipation • Fibromyalgia • Insomnia • Irritable Bowel Syndrome with Constipation • Migraines • Heartburn • OA of the hip • OA of the knee • Weight Loss device For more information, please call 434.817.2442 or visit our website at www.cvillemedresearch.com
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