Arthritis, particularly osteoarthritis, often referred to as wear-and-tear arthritis, is a condition that many people develop as they grow older.
It can occur anywhere in the body, although it typically affects weight-bearing joints like the hips. Arthritis causes pain and stiffness in the affected area, which can have a significant negative impact on mobility and the performance of daily tasks.
There is currently no cure, although treatment options available to help improve quality of life for those with the condition.
The most common symptom of hip arthritis is pain, which may develop rapidly or gradually. The experience of pain, like stiffness, can change over the course of the day, and may be more severe on waking.
Pain in the groin or thigh may radiate to the knees or buttocks, and can worsen during rigorous activity.
Walking is made difficult by joint stiffness and swelling. You may also experience a ‘popping’ sound (crepitus) when moving, as elements within the joint once protected by cartilage rub against each other.
In osteoarthritis, the protective layer of cartilage around the joints gradually wears down over time. As this padding starts to wear away and become frayed and rough, it becomes increasingly difficult for two bones to move smoothly against one another. When this occurs, bone-on-bone friction can develop which causes extreme amounts of pain. Osteoarthritis develops slowly, over months or even years, and its symptoms worsen over time.
There are a number of non-surgical interventions available for the treatment of hip arthritis. These include:
If non-surgical interventions are unsuccessful, you may consider surgical treatment. Common surgeries designed to treat hip arthritis include:
Total hip replacement : damaged parts of the hip can be replaced with an artificial metal element (an acetabular component) as well as two artificial ceramic surfaces (the femoral components).
Hip resurfacing: While a traditional total hip replacement involves removing the head of the femur, hip resurfacing requires only the trimming of part of the bone and the attachment of a metal cap. The procedure provides for easier revision and a lower risk of hip dislocation.
The choice of surgical procedure will be determined by your individual health status and lifestyle goals, as well as by its ability to reduce pain and optimise mobility.
For further more information, or to arrange a consultation, contact Prof. Dr Al Muderis’ office at +61 2 88829011 or book an appointment online.
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Professor Dr Munjed Al Muderis is an orthopaedic surgeon specialising in osseointegration, hip, knee and trauma surgery. He is a clinical professor at Macquarie University and The Australian School Of Advanced Medicine, a fellow of the Royal Australasian College of Surgeons and Chairman of the Osseointegration Group.