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Hip pain: causes and treatments

Osteoarthritis, inflammation, bone infarct: experts get painful hip problems in the handle

An expert explains the most common orthopedic hip complaints, proven treatment methods, and effective preventive measures – practical Exercises for use at home.

No other joint wears out as often as our hips: “osteoarthritis is the most common cause of pain and restriction of movement in this area,” stresses Dr. Martin Rinio, medical Director of the joint-clinic Gundelfingen. The Tricky thing is: In General, the disease process extends over a number of years insidiously and unnoticed. The first symptoms occur, the layer of Cartilage is damaged usually. The hip is immobile, painful, and stiff.

At the end of hip arthritis, medical also called coxarthrosis, is often the complete failure of the joint. “In this case, a prosthesis function and components of the natural hip joint can support well, or replace,” says the orthopedist. However, to the extent that it need not come to that: beneficial effect on osteoarthritis can be due to plant-rich diet with lots of fruits and vegetables. In time applied physiotherapy, and muscle training to correct the movement and to relieve the pressure on the joint will help. “In any case, you should avoid being Overweight, and joints through exercise and a well-trained surrounding muscles to protect,” advises Dr. Rinio.

In the early stage, damage to mechanical cartilage friction or jamming can be eliminated often by a minimally-invasive arthroscopy (Joint endoscopy). The Defect is not too large, so he is often by means of a cartilage transplant repair. “There’s real tissue grows back, the buffer function of the cartilage reliably again,” explains the specialist. The disadvantage of this method is: two operations are required, the removal and planting, as well as a longer Rehabilitation with discharge to the joint.

If the femoral head hits the roof

The hips, wear it comes often even to the form of disorders of the bones in the Joint. This slide is no more, but beat in the hip joint together. Experts speak in this case of a Hüftimpingement (engl. „to impinge“ = strike, hit). “The recurring Trigger, and the resulting incarcerations cause injury to the Labrum of the acetabulum and articular cartilage”, said Dr. Rinio. Pain medications, electrical therapies, baths and mud bring usually relief. “However, due to the persistence of mechanical problems and the associated further joint destruction, a SURGERY is not bypass master,” said the specialist.

Not infrequently, a &#8218 leads;activated Arthrose‘ also to acute inflammation in the joint. Blame it on the increased cartilage is resistant to abrasion similar to fatal for the functioning of the joint, such as ‚Sand in the Getriebe‘. The result: a significant burden of disability and pain. Fever, fatigue and increase in heart rate are added, a bacterial hip joint inflammation is probably. This infectious disease is caused by pyogenic bacteria.

In both cases, the strict posture of the leg to relieve or prevent joint Dislocation is required. Is recommended also in the case of bacterial inflammation is an immediate puncture of the hip joint. “Pus is aspirated, and in a micro biological laboratory on the germs studied,” explains Dr. Rinio. Then you can start with the anti-biotic therapy. “The destruction of the hip joint to stop, but usually an Operation to discharge cannot be avoided,” says the orthopedist.

If the joint failure of the damper

Or groin pain the most common Symptom of bursitis in the hip joint are the hip. In the human body there are over 150 bursae. These serve as a kind of damper between two joints and protect them from friction damage. You are exposed for too long a pressure, they can ignite, which can lead to severe hip or groin pain. Helpful physical therapy with cold application in this case. Due to the high energy focused shock wave therapy, the inflamed structures are usually good to calm down. Surgery with arthroscopic removal of the Bursa can be often avoided.

Osteonecrosis of the femoral head (bone infarction of the hip) is a severe bone disease of the hip joint. Due to strong disorders of blood circulation in the bone tissue of the femoral head dies in places from – with grave consequences: The affected Bone segments apart, lose strength and break. As in the case of a heart attack, high blood fat, and too much alcohol are also Smoking, this typical civilization disease, the main risk factors. To the best therapeutic measures is the mechanical relief of the hip joint by physiotherapy, a conservation by absolute sport waiver, as well as the immobilization of the hip joint (e.g., orthoses). In a very early stage of the hyperbaric oxygen therapy (hyperbaric oxygenation) can be helpful.

Also in the case of a harmless Plunge the consult a doctor

What many do not know, Even seemingly innocuous, since a relatively fast decay at the end of pain – for example after a fall on the hip joint – can lead to irreversible damage to important structures of the hip. Such consequences exclude, an investigation by the orthopedic Hüftspezialisten with imaging techniques (x-ray, ultrasound, MRI) is recommended. However, fortunately, serious health problems are behind hip pain is not always. Also, in many cases, only strains of the muscles – for example, after a football game &#8211 are; Triggers of the symptoms. Often back behind hip pain problems (very common, for example, a herniated disc). Sometimes the nerves or internal organs in the vicinity of the hip cause the pain, not the hip itself. In General, The earlier the cause of the pain is detected, the faster and better the patient can be helped.

So you can stay hip-to-fit

The hip is the most heavily loaded joint in the human body. It connects the torso with the legs and allows extensive movement of the legs. It also acts as a “shock absorber” when you Walk, Run and Jump. To ensure a smooth mobility, are in a healthy joint, the femoral head and the Cup with a smooth, up to 5 mm thick layer of Cartilage covered. Because it has no blood vessels, is a minimum of movement is required in order to provide you the synovial fluid with important nutrients, and thus to obtain the of life.