Hip Preservation: When To Consider Surgery vs Alternative Treatments

Keeping Your Hip In Check

The hip is crucial for supporting the upper body and helping with efficient movement. As one of the largest joints in the body, hip preservation is crucial for long-term health and well-being. Damage due to injury or wear and tear is common. At least 14% of American adults experience hip conditions. Early intervention in the form of alternative treatments or surgery can improve the quality of life. Identifying hip issues and what type of action to take reduces the risk of progressive or more severe challenges.

Common hip problems you may encounter

The hip is a ball and socket joint that consists of the head of the femur connecting to the acetabulum of the pelvis. Several ligaments connect the femur to the pelvis and the pelvic bone to the spine. Multiple hip conditions can necessitate hip preservation techniques. For instance, labral tears of the cartilage around the hip socket can lead to pain and limited movement. Femoroacetabular impingement (FAI) is another typical issue where abnormal bone growth causes painful rubbing during movement. One or more ligaments can also experience damage, leading to pain. Perhaps the most common and severe hip issue is osteoarthritis, which is damage to the cartilage that covers the joint. Failing to address hip issues can lead to further pain, lack of mobility, and increased medical expenses.

What are your options?

Most hip conditions come from repetitive motions in sports, falls, or activities that place stress on the hip joint. Long-term wear and tear can also lead to osteoarthritis. Diagnosis and treatment are possible through consultation with an orthopedic surgeon or hip specialist. Through physical tests and imaging, the doctor can pinpoint the root cause of the issue. Certain factors like age, genetics, previous injuries, and obesity increase the need for hip preservation. Some people can benefit from alternative treatments, while others require surgery. Each option has pros and cons depending on severity, lifestyle factors, age, and pre-existing medical conditions.

Alternative treatments at your disposal

Some patients benefit from alternative treatments, which are primarily non-surgical means to reduce symptoms. Doctors will suggest physical therapy and exercise as a form of treatment. These are a series of stretches, movements, and manipulations performed under the guidance of a physiotherapist. Pain management through non-steroidal anti-inflammatory drugs (NSAIDs), opioids, or corticosteroid injections can improve the quality of life. There is a recent shift to regenerative medicine, which uses the body’s natural healing factors to reduce pain and improve function. Examples of regenerative medicine include platelet-rich plasma (PRP) and stem cell therapy to reduce pain and even restore tissue. Alternative treatment is an excellent entry into hip preservation.

The power of hip surgery

Surgery aims to repair or make changes to the hip. Arthroscopy is an effective surgical strategy that uses minimally invasive incisions to repair issues with the hip. For instance, the surgeon can perform labral repair or reconstruction through small incisions and a special scope. Some patients may require osteotomy, which cuts and reshapes damaged bones in the hip. These procedures can improve hip function while preserving the natural hip components. Some patients may benefit from a partial or total hip replacement. The joint is surgically removed, and a surgeon installs a metal or ceramic prosthesis. These procedures often need a long-term recovery plan before the patient can return to everyday activity.

When to consider these options

Alternative treatment is ideal for mild to moderate hip pain, stiffness, and discomfort. If a doctor notices mild damage or degeneration, alternative options are a great initial strategy. Some patients choose to avoid surgery for health, personal, or financial reasons. Alternative treatments can still provide pain relief without the risk of surgery. At the same time, surgery is ideal for moderate to severe conditions that are clearly impacting quality of life. Patients with mobility problems may need surgery, especially if non-surgical treatment fails. Those looking for long-term improvement and have time for recovery can benefit from surgery.

An important strategy in both cases

Lifestyle modifications are vital after surgery or alternative treatment. Typical examples include ergonomic adjustments at work or home, practicing good standing and sitting posture, and wearing proper footwear. Building a stretching and exercise habit can reduce the risk of injury or limit wear and tear. Adopting a healthy diet, maximizing hydration, and avoiding high-risk activities can go a long way in preserving the hip. Preserving the hip is not just about getting treatment but maintaining a standard that minimizes further damage over the years.

The journey toward a healthier hip

Hip damage can happen to almost anyone. Years of wear and tear, sports injuries, or long-term health issues can damage the joints or ligaments. The pain, stiffness, and limited mobility can contribute to poor health outcomes. Both surgery and alternative treatments are available to someone struggling with an underlying hip condition. The severity of the condition will guide if surgery or alternative options are best. Seek out a consultation from a doctor and follow all guidelines and advice. Feedback helps to make the best decision based on individual needs and circumstances.