Treatment Treatment options TREATMENT OPTIONS AS DISEASE SEVERITY

Treatment

Treatment options TREATMENT OPTIONS AS DISEASE SEVERITY INCREASES Pain Killers and Steroid Injections Key Hole Surgery (Arthroscopy) Hip Replacement Physiotherapy Please note each case of hip and/or groin pain is specific and treatment options will vary from patient to patient.

Pain Killers and Steroid Injections Aid in alleviating swollen joints and therefore can possibly help reduce pain in the hip. Advantages: • Avoid surgery Disadvantages: • Often improves but does not resolve pain • May not improve function • Steroids require injection and may only work for a limited period of time

Key Hole Surgery (Arthroscopy) Through minor incisions, surgeons scrape away the excess pieces of bone rubbing down the joint and causing hip pain. Advantages: • Day-case procedure • May reduce risk of developing OA, but not yet known (see FAIT study) Disadvantages: • Less effective if patient has early stages of OA • Like all surgical procedures there is always a risk of complications • Can take 12 months to derive full benefit

Hip Replacement Major surgery that requires the surgeon to go in and alter the hip with, depending on the case- ceramic on ceramic, ceramic on polyethylene (plastic), or metal on polyethylene. Advantages: • Definite treatment for source of pain Disadvantages: • Major surgery with possible complications • Joint replacements may only last 15 -20 years before revision surgery required (even bigger surgery) • 10% of people have on going pain

Physiotherapy Can be used separately or in addition to any of the other treatment options listed previously. A trained physiotherapist would work with you on your condition to create a treatment regime. Much of their prescribed treatment would require work in your personal time with regular visits over a certain time period to see how you are progressing. Advantages: • Can be used as a non-surgical option • Can be used in addition to key hold surgery or hip replacement • May reduce risk of developing OA, but that is not known yet (see FAIT study) Disadvantages: • Depending on your case it may not be enough to relieve the pain

Surgical Results According to the National Joint Registry (NJR) 86, 488 hip procedures were recorded in the UK in 20128 Patients were followed up post surgery and answered questions about their progress: Q 1: Satisfaction after the operation (Describe the results of the operation) Q 2: Success: Problems now compared to before operation Q 1 Results: Over 73% of the patients recorded Excellent or Very Good Q 2 Results: Over 85% of the patients recorded Much Better 8. http: //hqip. org. uk/assets/Dev-Team-and-NJR-Uploads/NJR-10 th-Annual-Report-2013. pdf. Accessed on 18 Nov 2013.

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