Hip Pain

The hip is a large ball and socket joint where the thigh bone meets the pelvic bone. The ball is the femoral head and the socket is the acetabulum. The ball is held in the socket by a group of ligaments which form a capsule around the joint. This capsule contains synovial fluid which acts as a lubricant to reduce friction within the joint. The hip joint is lined with a slippery, flexible, resilient tissue called cartilage which allows free, smooth movement of the joint. The hip joint is also referred to as the acetabulofemoral joint.

The hip is a very stable joint which allows a great range of movement and is extremely important in all activities of daily life.  The main function is to support the weight of the body and therefore huge loads can be transferred through the hip joint, for example up to seven times your body weight during activities such as running upstairs.

Damage to any structure of the hip will have an impact on the normal movement of the leg.

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Total Hip Replacement Surgery

Joint replacements are now very sophisticated and are routinely carried out in people with advanced arthritis. This common procedure is a long-term solution for a worn-out joint and aims to provide freedom from the pain of osteoarthritis, improved mobility and quality of life. Hip replacement surgery is an extremely good treatment for arthritis-related hip pain, and modern techniques make the operation very safe with excellent outcomes in the vast majority of patients.

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Hip Replacement Revision Surgery

Modern hip replacements tend to wear out very slowly and can last for up to 20 years although this does varies from patient to patient.

If your hip replacement becomes loose, infected, or simply wears out then revision surgery may be recommended for you and can be carried out by one of our specialists. Revision hip replacements may also be performed for other reasons such as fractures of the bone around the hip replacement or hip dislocation.

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Hip Impingement Surgery

Hip impingement syndrome, also known as Femoroacetabular Impingement (FAI), is a condition affecting the hip when the ball shaped femoral head and the socket rub together abnormally creating friction and damage to the hip joint.
This condition usually affects young and middle aged people and is found most commonly in high level athletes and active individuals.
Symptoms include pain and stiffness in the groin and hip area which can often be bad enough to result in having to give up sporting activities.

If symptoms cannot be managed by adapting activities or with physiotherapy, then surgical intervention may be appropriate.
The aim of surgery is to improve pain and range of movement in the hip and to try to prevent or stop the progression of arthritis in the joint.

Hip impingement syndrome, is often performed by ‘keyhole’ surgery making a great difference to the speed of recovery. There are circumstances however where open surgery may be the recommended approach, for example if extensive damage is found within the joint. Your consultant will discuss these options with you at your consultation.

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Injection Therapy (Hips)

Millions of people experience osteoarthritis of the hip. It is extremely common and sadly the older we get; the more likely we are to suffer with it, which can be incredibly frustrating.

If your hip is painful, stiff or inflamed your doctor may offer you a joint injection.  These injections can help diagnose the source of pain, as well as alleviate the discomfort and can be very effective as the medication is targeted directly to the problem area and often has fewer side effects than oral medication.

There are two main types of injections used for treatment of severe pain from hip osteoarthritis:

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