TREATMENT FOR DEGENERATIVE HIP DISEASE

Degenerative joint disease, also known as osteoarthritis, is the most common type of joint disease. This condition can occur in any joint, but it is most common to find degenerative joint disease in the hip, knees, hand and spine
Degenerative joint disease occurs when the cartilage cushioning the bones breaks down and the bone surfaces become exposed and rub together. This friction and irritation may cause the joint region to become inflamed and painful--resulting in a loss of motion in the joint. Other results of this deteriorated cartilage may include: the development of bone spurs around the affected joint or the ligaments and muscles around the joint becoming weaker and stiffer.
SYMPTOMS
If you or someone you love are experiencing hip pain and are concerned that it may be degenerative joint disease, these may be some of the symptoms you are experiencing:
- Joint stiffness when moving from a seated to upright position
- Swelling in one or more joints
- Decrease range of motion
- The feeling or sound of bones “grating”
- Difficulty sleeping at night
- Difficulty walking
- Limp
Causes
Osteoarthritis has no single specific cause, but there are certain factors that may make you more likely to develop the disease, including:
- Increasing age
- Family history of osteoarthritis
- Previous injury to the hip joint
- Obesity
- Improper formation of the hip joint at birth, a condition known as developmental dysplasia of the hip
Risk factors
Factors that can increase your risk of hip osteoarthritis includes:
- Older age. The risk of hip osteoarthritis increases with age
- Sex. Women are more likely to develop hip osteoarthritis, though it isn't clear why.
- Obesity. Carrying extra body weight contributes to hip osteoarthritis in several ways, and the more you weigh, the greater your risk. Increased weight adds stress to weight-bearing joints, such as your hips and knees. Also, fat tissue produces proteins that can cause harmful inflammation in and around your joints.
- Joint injuries. Injuries, such as those that occur when playing sports or from an accident, can increase the risk of osteoarthritis. Even injuries that occurred many years ago and seemingly healed can increase your risk of osteoarthritis.
- Repeated stress on the joint. If your job or a sport you play places repetitive stress on a joint, that joint might eventually develop hip osteoarthritis
- Genetics. Some people inherit a tendency to develop hip osteoarthritis.
- Bone deformities. Some people are born with malformed joints or defective cartilage.
- Certain metabolic diseases. These include diabetes and a condition in which your body has too much iron (hemochromatosis).
COMPLICATIONS
Osteoarthritis in the hip is a degenerative disease that worsens over time, often resulting in chronic pain. Joint pain and stiffness can become severe enough to make daily tasks difficult.
Depression and sleep disturbances can result from the pain and disability of osteoarthritis.
PREVENTION
One method for preventing osteoarthritis of the hip is
- To maintain a healthy weight.
- Do exercise regularly. Exercise strengthens muscles around joints. Such strengthening can help prevent wear and tear on cartilage in a joint.
DIAGNOSIS
During the physical exam, your doctor will check your affected joint for tenderness, swelling, redness and flexibility.
- X-rays. Cartilage doesn't show up on X-ray images, but cartilage loss is revealed by a narrowing of the space between the bones in your joint. An X-ray can also show bone spurs around a joint.
- Magnetic resonance imaging (MRI). An MRI uses radio waves and a strong magnetic field to produce detailed images of bone and soft tissues, including cartilage
- Blood tests. Although there's no blood test for hip osteoarthritis, certain tests can help rule out other causes of joint pain, such as rheumatoid arthritis.
- Joint fluid analysis. Your doctor might use a needle to draw fluid from an affected joint. The fluid is then tested for inflammation and to determine whether your pain is caused by gout or an infection rather than osteoarthritis.
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TREATMENT
1. Pain medications-Pain management is essential for people living with hip osteoarthritis. People can treat mild to moderate pain with over-the-counter pain relievers, such as acetaminophen and nonsteroidal anti-inflammatory drugs (NSAIDs).
2. Arthritis medications-Some people may require medications to help slow the progression of arthritis or reduce some of the symptoms. Examples of such drugs include:
Corticosteroids
Corticosteroids control inflammation by mimicking the effects of cortisol, a hormone that regulates the immune system.
People can take oral corticosteroid tablets. Doctors can also inject corticosteroids directly into the hip joint. However, corticosteroid injections offer only temporary pain relief. People will require additional injections going forward.
Hyaluronic acid injections
In the past, some people have used hyaluronic acid injections to treat osteoarthritis.
3. Physical therapy-Physical therapists are trained healthcare professionals who specialize in diagnosing and treating conditions that limit mobility. People with hip osteoarthritis may benefit from physical therapy sessions.During the initial session, the therapist will assess the person’s physical condition and any specific mobility problems they have. The therapist teaches people how to perform each exercise so that they can safely continue their treatment at home. They may also recommend additional treatment options, such as braces, walkers, or hot and cold therapy.
4. Surgery-Some people experience severe hip pain or stiffness that significantly affects their quality of life. These people may benefit from surgery.
There are two main surgical options for hip osteoarthritis:
Hip resurfacing
This procedure involves trimming or shaving away damaged bone on the femoral head. The femoral head is the upper end of the thigh bone, which sits inside the hip socket.After removing the damaged bone, the surgeon covers the femoral head with metal. The surgeon also fits a metal cup inside the hip socket.
Total hip replacement
During this procedure, a surgeon replaces the entire hip joint, including the femoral head and the socket. In their place, the surgeon fits artificial components made of metal, plastic, or ceramic.Each surgical option carries benefits and risks. A doctor will guide people through the available options before deciding on the best treatment to pursue.
5. Stem cell therapy-Stem cells are cells that have the potential to develop into a range of different cell types. Researchers are currently looking into whether stem cell therapies could help to replace and regenerate damaged tissues within the human body.Mesenchymal stem cells could help to repair damaged cartilage and reduce inflammation in knee osteoarthritis.
6. Exercising and stretching-Exercises that may help manage symptoms of hip osteoarthritis include:
- yoga
- strength training
- swimming
- water aerobics
Effectiveness of Acupuncture treatment
Acupuncture is a good option to keep in mind to decrease pain, inflammation and stiffness, and increase range of motion, for degenerative hip disease. And that can improve your overall quality of life, meaning you can better participate in all of your day-to-day activities, whether that’s at work, the park or the gym. Acupuncture is often a successful go-to therapy for hip osteoarthritis. It can be used to treat both acute and chronic hip pain. Research shows that it has positively been helpful for several people suffering from hip osteoarthritis.Painful joints from hip osteoarthritis can have a huge negative impact on quality of life. Acupuncture may offer an alternative way to treat this debilitating condition.
Mechanism of Acupuncture
As an affordable and safe treatment, the efficacy of acupuncture in treating patients suffering from degenerative hip disease has been demonstrated.The pathogenesis of hip osteoarthritis is related to inflammatory factors, cytokines, chemicals, signaling pathways, genetics, and biomechanics which mediate cartilage degradation. It has been demonstrated that IL-1β and TNF-α contribute significantly to the severity and progression of hip pain. They can not only activate various signaling pathways such as mitogen-activated protein kinases (MAPK) signaling pathway and Toll-like receptor 4 (TLR4) signaling pathway but also promote nitric oxide (NO) and prostaglandin-E2 (PGE2) release, resulting in upregulation of matrix metalloproteinases (MMPs) and destruction of collagen II, which induce hip pain. The mechanism of acupuncture in alleviating pain and promoting functional recovery in hip osteoarthritis patients involves:
- inhibiting the overexpression of inflammatory factors such as IL-1β, IL-6, and TNF-α;
- suppressing the activity of some signaling pathways such as MAPK signaling pathway;
- promoting the release of antioxidants; and
- inhibiting hypertrophic differentiation of chondrocytes
BEST CURE FOR DEGENERATIVE HIP DISEASE
Looking for the best relief for hip osteoarthritis in Chennai, here’s why you should reach out to the expert Acupuncturist. A. Shaji Bharath from the best rated clinic Dr.Bharath’s Acu Heal. He is currently treating patients for a wide range of conditions. As a best acupuncture practitioner with 15 years of experience, and having worked with several orthopedician, Acupuncturist. A. Shaji Bharath can create the treatment plan for the best cure for hip osteoarthritis to manage the condition that's tailored to your needs, which can break a cycle of long-lasting pain in the hip joint. As the top acupuncture doctor in Chennai he has witnessed acupuncture doing wonders for people suffering from hip osteoarthritis. The effectiveness rate increases several times just with one course of Acupuncture. So, take some time to find the right pain management and best remedy for acupuncture approach that suits you. Most of the people swear by acupuncture, citing it as a best cure and a ‘miracle’ in improving their quality of life. To contact the top acupuncture doctor in Chennai, Dial: +91 9884746916 or Visit: drbharathsacuheal.com for more details.
BEST ACUPUNCTURE DOCTOR NEAR ME
To choose the Best doctor for Acupuncture, it's important that the Acupuncturist should have a decade of experience and treated at least 1000 to 2000 patients.
You can also search for the Best Acupuncture Doctor near me or ask your primary care physician to refer an experienced Acupuncturist nearby. Once you find the Best Acupuncture Doctor in Chennai, you may go through their google reviews first and then fix an appointment with the doctor only when you are satisfied with the reviews.
The Best Acupuncture Doctor should address your concerns and help you feel more comfortable before your first session. Acupuncture usually takes numerous sessions or several weeks to get a complete cure in any ailment but within 3 or 4 sessions the patients will experience positive differences.
BEST ACUPUNCTURE CLINIC NEAR ME
There are numerous clinics popping up and it is sometimes skeptical to choose the best or even the safe one. To address such concerns, you can look into the following points to choose the best acupuncture clinic for treating hip osteoarthritis. Acupuncture is also offered in hospital pain clinics and by healthcare organizations but it is ideal to visit the best Acupuncture Clinic. If you are not sure, it would be a good idea to contact your local doctor to see if they would be prepared to refer to the best rated acupuncture clinics.Acupuncture is offered in top rated acupuncture clinics near me because conventional treatment has failed or produces unacceptable side effects. Most of the best acupuncture clinics will spell out very clearly what type of acupuncture they practice and how professional they are - at present anyone can set themselves up as an acupuncturist but reputable practitioners will belong to an organization. So while you are filtering the best clinics for acupuncture that treats hip osteoarthritis, you can look out for these factors.Treatment without surgery for hip osteoarthritis is possible through acupuncture and it gives the best result.
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THE BOTTOM LINE
Complications of a degenerative hip disease include the inability to walk properly and the possibility of lifelong treatment for chronic pain. Some people may have permanent deformities of the hip due to the degenerative changes.Dial +91 9884746916 or Visit: drbharathsacuheal.com to get the best treatment for degenerative changes in hip that has no side effects.
SCIENTIFIC REFERENCES
- Whittingham M, Palmer S, Macmillan F. Effects of knee pain and knee pain treatments: a randomized controlled trial. The Journal of orthopaedic and sports physical therapy. 2004;34(9):504–510.
- Roos EM, Lohmander LS. The Knee injury and Osteoarthritis Outcome Score (KOOS): from joint injury to osteoarthritis. Health and quality of life outcomes. 2003;1(1):64.
- Acupuncture for knee osteoarthritis with sensitized acupoints: results from a pilot, feasibility randomized controlled trial.Jia P, et al. Pilot Feasibility Stud. 2020.PMID: 33005432
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FAQ:
What are the services provided for degenerative hip disease by Dr. Bharath’s Acu Heal?
At Dr. Bharath's Acu Heal, the degenerative hip disease is treated with Acupuncture. At first, the soft tissues and the ligaments near the joints will be treated. If the density of the bone is low, treatments will be given to increase the density and the metabolic rate. In this process, the intestines will improve their capabilities or efficiencies by absorbing the vitamins and minerals from the churned food after receiving them from the stomach.
What are the benefits of acupuncture for degenerative hip disease?
This is a drugless therapy and there are no side effects. After completing the course of treatment any form of medication can be stopped and the patients will be advised to do moderate exercise and also some rest.
How many sessions do you need for degenerative hip disease?
It takes around 40 to 50 sessions in a period of 5 to 6 months.