Hip joint is a ball and socket joint that is covered with large muscles of the thighs, lower back, and buttocks. It often takes a significant amount of force to damage a healthy hip joint. Most sports injuries of the hip are a consequence of chronic overuse of the joint and its associated muscles. Any hip injury results in debilitating pain and loss of hip function, and requires a specialist to ascertain early and accurate diagnosis of the injury and initiation of early treatment.
Hip arthroscopy is a surgical procedure that allows an inside view of the hip joint without making a large incision (cut) through the skin and other soft tissues.
Hip Arthroscopy is used to diagnose and treat a wide range of hip problems but requires advanced arthroscopic skills and training to undertake these treatment procedures.
In hip arthroscopy, a small camera, called an arthroscope, is inserted into the hip joint. The camera displays the inside condition of the hip joint on a video monitor. Other surgical instruments (similar to the camera) are inserted in this visual guidance inside the hip joint by making small cuts on the skin.
These instruments are used to treat the underlying condition causing the hip pain. This results in less pain, less joint stiffness, and shortens the time it takes to recover and return to activities and sports.
Hip arthroscopy is not as common as knee or shoulder arthroscopy and fairly more complex due to the reduced space in the hip joint. This is recommended to be done by specialists only.
Hip arthroscopy is used to relieve hip pain arising from damage the labrum, articular cartilage, or other soft tissues surrounding the joint.
A sprain is an injury of the ligament and strain is injury of the muscles. Strains and Sprains are common types of injury in overuse conditions, they can be from trauma as well. They are classified as –
Grade I – Mild stretching or microscopic tears accompanied by mild pain. The joint functions normally.
Grade II – Moderate stretching or tears accompanied by pain. The hip may periodically give out while standing or walking.
Grade III – The ligament, muscle, or tendon is completely torn. The hip can no longer bear weight.
Patients often have hip pain and weakness, with activities walking or climbing stairs. Patients can experience muscle spasm, swelling around the hip and bruising. Difficulty or a limp with walking.
Though majority of these patients have mild to moderate degree of injury and are commonly seen with repetitive use of the lower body, such as cycling, running, swimming, baseball, and golf.
However, if there is pain and swelling, that doesn’t settle after a few weeks, or if causes severe debilitation, specialist opinion is required for accurate diagnosis and early treatment of the condition.
Inflammation of the tendons or strong tissues around the hip joint is referred to as Hip tendonitis. This inflammation is often due to increased blood supply to the tissue following injury to the tendons. This can also be seen due to degradation of the tendon.
Tendinitis are also part of overuse injuries to the hip. Long-distance runners, swimmers, baseball players, tennis players, and golfers have a higher than average risk of these conditions.
Clinical Presentation includes hip pain, back and leg pain, hip stiffness, hip swelling, Lumps around the hip joint.
Treatment includes use of NSAIDS medications, activity modification and rest. IF the symptoms do not settle down in 3 weeks, injections of PRP can be considered, but a thorough assessment from a specialist is mandatory , who can suggest an appropriate course of management of the problem.
One can lower the risk of recurrent injuries by adequately stretching before exercise and strengthening the muscles around hips, legs, and lower back.
A bursa is a fluid filled sac present around the prominent muscles, bones and tendon. Hip bursa is present on the outer bony prominence of the hip joint. Inflammation of this bursa is called bursitis. Similar to other inflammatory conditions, bursitis is commonly caused by chronic overuse of a joint. Although less likely, bursitis can also occur from acute trauma or infection.
The bursitis pain is often felt in the hip or thigh, outside the hip or thigh, or on one side of the groin. This hip pain and stiffness becomes worse with repetitive motions, hip pain on pressing on the hip or in the groin, Hip Pain when lying on the side or walking up stairs Is common presenting complaints.
The symptoms of bursitis only often last for a few weeks, if the hip is allowed adequate rest. Strengthening of hip, leg, and back muscles help prevent future episodes of bursitis. If bursitis is not settling down, opinion of the specialist should be undertaken for accurate diagnosis and early treatment of the hip pain.
Dr. Omkar is excellent Doctor. My 11 year old son fallen down while playing with both fracture wrist. Left hand wrist operation was so critical and 2-3 Doctors refused to do this operation but Dr. Omkar has given us hope and started the operation immediately after admitted my son at the SRV Hospital-Chembur. His study, observation and experience is too good. He is also a very helpful person as human being.
Dr. Omkar Sadigale is very knowledgeable. He diagnosed my wife’s ankle fracture correctly which other doctors could not do. He follows full ethical practices so you are assured that you are in safe hands. I would highly recommend Dr. Omkar Sadigale for any orthopedic or bone surgery related needs.
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I had a toe fracture as I fell while parking my two wheeler. I was immediately taken to SRV hospital, Chembur under the care and treatment of doctor Omkar Sadigale. Thereafter everything was well handled and taken care by dr.Omkar. There was a small operation conducted on my toe to realign the fractured bones. Now I am fine and able to walk. He is one of the best orthopaedic in Mumbai.
My son has got hip and shoulder fractures due to conversion. I admitted him to SRV Chembur due to RTPCR positive. To be great humanity Dr. Omkar was there at that time in hospital. When I met him at that time I had confidence that I am at the right place. He checked my son and carried operation on the same day afternoon. during the operation, he boosts my morale...Read More
