Hip pain is a common complaint, especially as patients age.
There are numerous potential causes of hip pain.
- soft tissue inflammation around the hip, such as bursitis or tendinitis;
- hip arthritis, where there has been irreversible damage to the cartilage within the hip joint itself;
- femoral-acetabular impingement (or FAI), in which structural abnormalities in the development of the ball and/or hip socket leads to pathology;
- tears of the acetabular labrum (the cartilage rim of the hip socket itself);
- loose bodies within the hip joint;
- hip dysplasia, where there has been underdevelopment of the hip socket.
Occasionally, hip pain will present as a manifestation of lumbar spine pathology, in which a nerve to the hip area will be pinched in the lower back area, leading to the hip pain.
Dr. Kaper routinely sees and evaluates patients with hip pain – to help them, first and foremost, the source or cause of the pain; and then secondly, to development a treatment plan to treat the hip problem and thereby alleviate the pain. Treatments options range from the use of oral non-steroidal anti-inflammatory medications (NSAID’s such as Ibuprofen, Advil, or Aleve) to physical therapy to surgery. Hip replacement surgery is often recommended for patients with severe arthritis of the hip that has failed to respond to appropriate conservative or non-operative treatment.
Dr. Kaper routinely performs total hip replacement surgery through the Direct Anterior surgical approach. In the approach, the hip is replaced through a small incision on the front of the hip/thigh. The benefit of this approach is that the procedure is done working between the muscles on the front of the hip, such that minimal muscle damage occurs as a result of surgery- leading to an early functional recovery. See the section on Total Hip Replacement for more surgical details.