The Hip joint is the most crucial weight-bearing joint of our body. Any hip joint disorder results in adversely affecting the weight-bearing capacity and reduced range of motion. If you are experiencing any discomfort while standing, walking, or sitting, contact an Orthopedic immediately.

Disorders of the hip joint and their treatments:

The hip joint is a Ball and Socket joint. It is filled with synovial fluid, which plays a significant role in mobility.

The hip joint connects the pelvic girdle to the lower limb using the ligaments, muscles, and tendons. It is designed for stability and weight-bearing. No one is better than an orthopedic doctor to explain the skeletal structure of our body. Dr. Saurabh Talekar specializes as an orthopedic surgeon and is based in Kandivali, Mumbai. Today he has tried to explain this complex joint’s function and associated disorders. He has also spoken about its treatment plan in brief for the             benefit of common readers in a simple language.

 The Hip Joint:

The hip joint is called the ball and socket joint.

The socket or the acetabulum is a part of the hip bone (pelvis) that is connected to the ball (femoral head) of the thigh bone (femur). It consists of cartilage lining the articulating surfaces for smooth movement of the joint. 

Although it is the most stable and strong joint, it can often be injured or dislocated due to impact. In some cases, the hip joint is affected by a degenerative disease.

You can find Dr. Saurabh Talekar on Practo, Clinicspots, Lybrate, Linkedin, and many other social platforms.

Dr. Talekar mentions below some of the hip joint disorders and how they approach the patient’s treatment.

Disorders affecting the hip joint:

 1.Osteoarthritis:

 It is caused to due wear and tear of the cartilage between the two bones. 

Common symptoms: Stiffness, Pain in the crotch and front of the thigh radiating towards the back of the knee.

 2.Rheumatoid arthritis: 

 It is a disorder wherein the immune system attacks the healthy cells of the body ( autoimmune). 

This leads to inflammation in the synovium and pain, swelling, difficulty in day-to-day movements. You may also notice raised temperature and redness in the joints.

 3.Sciatica:                                                                                                   

It occurs due to prolonged sitting hours, with poor exercise and mobility leading to the sciatic nerve being pinched under pressure. It presents as pain in the hips radiating down towards the thigh and the knee on sharp movements and may feel numb occasionally.

 4.Dislocation:

When the thigh bone is knocked out of the socket in the pelvis, it is said to be dislocated. This dislocation usually occurs after a sudden jolt or a severe fall. It can damage blood vessels, nerves, tendons, ligaments, cartilage, and other structures surrounding the area and may sometimes cause a fracture as well.

  1. Dysplasia:

Hip dysplasia is a term used to describe a condition where the hip socket does not fully cover the ball portion of the thigh bone. This condition leads to relatively lesser joint stability and plausible ‘jigglyness’ of the joint. It may further lead to partial or complete dislocation of the bone. Most people with this disorder are born with it, and breech babies are more likely to be afflicted.

  1. Fracture of the hip:

 A hip fracture is usually a break in the upper quarter of the thigh bone. It may be accompanied by hip joint dislocation. It can be a life-threatening condition and people aged over 60 years are at more risk. It also affects those with osteoporosis or weakened bones and may occur after a severe injury or a sudden jolt.

 Risk factors include advanced age, Vitamin D deficiency, bone disorders like osteoporosis, lack of physical activity, tobacco and alcohol use.

Common symptoms experienced are inability or difficulty in walking, severe hip, and groin pain, outward turning of the injured side with less ability to bear stress. 

 7.Hip strain:

It occurs when the muscles attaching to the hip joint overstretch, leading to a tear. You can manage the hip strain by Cold compression, heat application, and rest. 

Over -the -counter Non- Steroidal anti-inflammatory drugs can help manage the pain and accelerate the healing process.

How do we diagnose the disorder of the hip joint?

 Dr. Saurabh Talekar explains that we start with medical histories like any doctor or physician.

We combine the history with radiological Imaging to ascertain the disorder you are suffering from. Usually, the Imaging includes X-Rays, CT-Scans, MRIs, Ultrasound, or Arthrogram.

We may also require blood tests to ascertain if it’s arthritis.

How do we treat these disorders of the hip joint?

 Please note that you should seek medical attention immediately if the disorder is due to an impact. That way, the treatment is simpler, more accurate, and faster. 

If you decide to wait and watch, thinking it might heal on its own, it may result in more extensive injuries, including the improper joining of the bone in case it might be a fracture.

The treatment for a hip disorder typically includes rest, medication, physiotherapy, and sometimes surgeries.

The surgery could even include hip replacement surgery.

Surgeries for the hip:

As far as possible, your doctor will try to heal you without surgeries. But if the outcome is not satisfactory and you continue to be uncomfortable, various surgery options are available for different disorders. 

Arthroscopic surgeries are at the forefront in current times. Every orthopedic surgeon is well trained and experienced in carrying out various technologically assisted surgeries in recent times. Your doctor will plan the best for you.

The recovery times are faster and better with all the assisted physiotherapy sessions.