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Hip Osteoarthritis (Coxarthrosis) and Treatment Options

What is Hip Osteoarthritis (Coxarthrosis)?

Hip osteoarthritis, medically known as coxarthrosis, is a degenerative joint disease characterized by the gradual wearing away of the cartilage that cushions the hip joint. As the cartilage deteriorates, the bones begin to rub against each other, leading to pain, stiffness, and limited mobility. While hip osteoarthritis commonly develops with aging, certain risk factors can cause it to appear earlier in life.

Causes of Hip Osteoarthritis

The most common causes of hip osteoarthritis include:

Aging: Advancing age increases the risk of cartilage degeneration and subsequent osteoarthritis.

Genetic Factors: A family history of hip osteoarthritis raises an individual’s risk.

Trauma: Injuries, fractures, or dislocations of the hip joint can contribute to later development of osteoarthritis.

Obesity: Excess body weight adds stress to the hip joint, accelerating cartilage wear.

Developmental Dysplasia of the Hip: Untreated hip dysplasia in infancy can lead to early-onset osteoarthritis.

Rheumatoid Arthritis: Autoimmune attacks on the joints can result in cartilage damage.

Symptoms of Hip Osteoarthritis

Hip osteoarthritis is a gradually progressing disease, and its symptoms worsen over time. The most common symptoms are:

Pain in the hip, especially after movement or prolonged inactivity

Stiffness and reduced range of motion in the hip joint

Difficulty walking and limping

Trouble climbing stairs or standing up from a seated position

Leg length discrepancy

Pain persisting even at rest

Diagnosis of Hip Osteoarthritis

Associate Professors Harun Mutlu and Serhat Mutlu emphasize the importance of thorough physical examination and imaging in diagnosing hip osteoarthritis. The diagnostic process includes:

Physical Examination: Assessing gait, range of motion, and pain levels.

Radiological Assessment: X-rays to identify joint space narrowing, bone spurs, and deformities.

MRI or CT Scans: For detailed evaluation of cartilage, ligaments, and soft tissues.

Treatment Options for Hip Osteoarthritis

Treatment depends on the severity of symptoms and may include both non-surgical (conservative) and surgical approaches.

1. Non-Surgical (Conservative) Treatments

In the early stages, the following methods can help manage pain and improve mobility:

Medications: Pain relievers (acetaminophen, NSAIDs) and cartilage-protecting supplements (glucosamine, chondroitin sulfate) may be recommended.

Physical Therapy and Exercise: Strengthening exercises for hip muscles can reduce joint stress and alleviate pain.

Weight Management: Losing excess weight helps decrease the load on the hip joint, potentially slowing disease progression.

PRP and Hyaluronic Acid Injections: Intra-articular injections can provide pain relief for some patients.

Use of Cane or Walker: To assist with daily activities and reduce joint strain.

2. Surgical Treatments

When the disease progresses and significantly impairs quality of life, surgery becomes a viable option.

Hip Replacement (Total Hip Arthroplasty): Replacing the damaged hip joint with an artificial implant relieves pain and restores function.

Osteotomy: Cutting and realigning the bone to improve joint mechanics, often used in younger patients.

Advice for Patients with Hip Osteoarthritis

Exercise Regularly: Low-impact activities (swimming, cycling) are joint-friendly.

Avoid Heavy Lifting: Minimize stress on the hip joint.

Eat a Balanced Diet: Support joint health with nutrients like omega-3, vitamin D, and calcium.

Follow Your Doctor’s Recommendations: Adhere to the guidance of orthopedic specialists like Associate Professors Harun Mutlu and Serhat Mutlu.

Conclusion

Hip osteoarthritis is a progressive condition, but with early diagnosis and appropriate treatment, it can be managed effectively. Associate Professors Harun Mutlu and Serhat Mutlu highlight the importance of personalized approaches in preserving hip joint health and treating osteoarthritis. If you’re experiencing hip pain, stiffness, or difficulty in movement, it’s crucial to consult an orthopedic specialist without delay.