Swabian Joint Center
Your joint pain - hip
Hip pain is one of the most widespread joint pains. It is often difficult for those affected to differentiate whether the pain is really located in the hip or whether other causes are possible. Here you can find out more about the hip joint and the common disease of hip joint arthrosis and the treatment options.
Hip - a fascinating joint
The hip joints are the joints with the most stress and are the second largest joints in your body after the knee joints.
The surface of the hip joint is covered with cartilage, which ensures low friction mobility of the hip joint.
As a ball-and-socket joint, the hip joint allows movements of the leg in all directions.
The acetabulum is made up of three bones that are fused together in adults: the ilium (Os ilium), ischium (Os ischii) and pubis (Os pubis).
Since the hip joint is involved in many phases of movement and has to bear the weight of the body, wear and tear is particularly frequent in this area.
Hip arthrosis - Coxarthrosis
- Hip arthrosis (coxarthrosis) means that there has been wear and tear of the joint cartilage at the hip joint.
- As a result, bone rubs against bone, which causes painful inflammation.
- Increasing changes in the joint lead to painful restrictions in movement.
- Other causes of hip arthrosis are femoral head necrosis, rheumatism, hip injuries (post-traumatic) and hip dysplasia.
- Movement-dependent pain that initially occurs only during prolonged exertion and becomes more frequent as the disease progresses.
- The pain is located in the groin, on the side of the hip joint, in the buttocks or on the front thigh and can radiate into the leg.
- Crunching in the hip joint is also one of the typical symptoms.
- Typical are also so-called start-up pains that occur during the first steps.
- In the course of the disease, patients report an increasing restriction of mobility and activities of daily life.
- The anamnesis provides the hip specialists at the Swabian Joint Centre with the decisive indications of hip arthrosis.
- The X-ray examination shows the reduction of the joint space caused by the wear and tear of the cartilage.
- The ultrasound examination shows the joint effusion in the activated stage, the magnetic resonance tomography (MRT) allows the exact imaging of even small cartilage damages.
- In the initial stages, pain and any inflammation can be treated by means of targeted drug therapy.
- Regular exercise avoiding impact and maximum loads as well as physiotherapeutic treatment to improve mobility are recommended.
- Electrotherapy, heat or cold applications and also acupuncture are used for painful movement restrictions and muscle tension.
- In the case of advanced hip arthrosis, targeted injections of cortisone into the focus of inflammation can relieve the pain.
- Hyaluronic acid and autohaemotherapy (ACP) can improve the lubrication of the hip joint, which can delay the progression of the disease.
- Surgery is required when there has been final wear and tear in the hip joint and conservative therapy no longer provides relief.
- In cases of severe joint pain in the hip, stiffness, restriction of activities of daily living and pronounced suffering, artificial joint replacement with a hip prosthesis (hip-TEP) is a very successful therapy option.
- Your individual level of suffering is decisive for the right time of operation.
- An individual operation planning is carried out for each patient before the operation.
- Most of the hip joint replacement operations can be carried out at the Swabian Joint Center using a muscle-sparing, minimally invasive surgical technique. This shortens the follow-up treatment time, patients become mobile faster and the result is better due to the avoidance of complications such as muscle damage.
- With a patient satisfaction rate of over 90%, hip replacement is one of the most successful operations in medical history.
- Professor Maier's SGZ team has specialised in the minimally invasive AMIS approach to implant a hip TEP. Compared to conventional hip surgery techniques, the AMIS technique is less traumatic because the muscles around the hip are not severed but only pushed to the side.
- We will advise you comprehensively and individually on the extent to which the AMIS technique for implantation of an artificial hip can be carried out on you, so that your quality of life improves again quickly.
- Due to the strong muscle mantle of the hip, artificial hip replacement is a demanding operation which should be performed by experienced, certified hip surgeons if possible.
- It has been scientifically proven that the surgeon who performs the procedure frequently and routinely with his team has better results and a lower complication rate.
- Patients are hospitalized for about 4 days after hip joint replacement. During the in-patient stay, targeted physiotherapy begins.
- The loss of pain and the improvement of hip function are usually so good after hip joint replacement that sporting activity can be resumed after intensive rehabilitation.
- Fitness, Nordic walking, hiking, swimming and cycling are among the recommended sports.
- We recommend clinical and radiological follow-up according to 1, 3, 5 years and then every 5 years.
- Hip arthrosis (coxarthrosis) means that there has been wear and tear of the joint cartilage at the hip joint.
- As a result, bone rubs against bone, which causes painful inflammation.
- Increasing changes in the joint lead to painful restrictions in movement.
- Other causes of hip arthrosis are femoral head necrosis, rheumatism, hip injuries (post-traumatic) and hip dysplasia.
- Movement-dependent pain that initially occurs only during prolonged exertion and becomes more frequent as the disease progresses.
- The pain is located in the groin, on the side of the hip joint, in the buttocks or on the front thigh and can radiate into the leg.
- Crunching in the hip joint is also one of the typical symptoms.
- Typical are also so-called start-up pains that occur during the first steps.
- In the course of the disease, patients report an increasing restriction of mobility and activities of daily life.
- The anamnesis provides the hip specialists at the Swabian Joint Centre with the decisive indications of hip arthrosis.
- The X-ray examination shows the reduction of the joint space caused by the wear and tear of the cartilage.
- The ultrasound examination shows the joint effusion in the activated stage, the magnetic resonance tomography (MRT) allows the exact imaging of even small cartilage damages.
- In the initial stages, pain and any inflammation can be treated by means of targeted drug therapy.
- Regular exercise avoiding impact and maximum loads as well as physiotherapeutic treatment to improve mobility are recommended.
- Electrotherapy, heat or cold applications and also acupuncture are used for painful movement restrictions and muscle tension.
- In the case of advanced hip arthrosis, targeted injections of cortisone into the focus of inflammation can relieve the pain.
- Hyaluronic acid and autohaemotherapy (ACP) can improve the lubrication of the hip joint, which can delay the progression of the disease.
- Surgery is required when there has been final wear and tear in the hip joint and conservative therapy no longer provides relief.
- In cases of severe joint pain in the hip, stiffness, restriction of activities of daily living and pronounced suffering, artificial joint replacement with a hip prosthesis (hip-TEP) is a very successful therapy option.
- Your individual level of suffering is decisive for the right time of operation.
- An individual operation planning is carried out for each patient before the operation.
- Most of the hip joint replacement operations can be carried out at the Swabian Joint Center using a muscle-sparing, minimally invasive surgical technique. This shortens the follow-up treatment time, patients become mobile faster and the result is better due to the avoidance of complications such as muscle damage.
- With a patient satisfaction rate of over 90%, hip replacement is one of the most successful operations in medical history.
- Professor Maier's SGZ team has specialised in the minimally invasive AMIS approach to implant a hip TEP. Compared to conventional hip surgery techniques, the AMIS technique is less traumatic because the muscles around the hip are not severed but only pushed to the side.
- We will advise you comprehensively and individually on the extent to which the AMIS technique for implantation of an artificial hip can be carried out on you, so that your quality of life improves again quickly.
- Due to the strong muscle mantle of the hip, artificial hip replacement is a demanding operation which should be performed by experienced, certified hip surgeons if possible.
- It has been scientifically proven that the surgeon who performs the procedure frequently and routinely with his team has better results and a lower complication rate.
- Patients are hospitalized for about 4 days after hip joint replacement. During the in-patient stay, targeted physiotherapy begins.
- The loss of pain and the improvement of hip function are usually so good after hip joint replacement that sporting activity can be resumed after intensive rehabilitation.
- Fitness, Nordic walking, hiking, swimming and cycling are among the recommended sports.
- We recommend clinical and radiological follow-up according to 1, 3, 5 years and then every 5 years.