Since hip arthritis is a progressive condition, the earlier that it is diagnosed and treated, the more likely it is that you can lessen its impact on your life. In some cases, hip arthritis pain can be well controlled with nonsurgical treatments. Dr. Danoff is committed to personalized care for all of his patients, using evidence-based methods and nonsurgical treatment options whenever possible. Initial treatment includes rest, avoidance of vigorous weight bearing activities, and the use of anti-inflammatory medications and physical therapy. Dr. Danoff advises avoidance of narcotic medications whenever possible as these medications are not effective in treating joint pain. Weight loss can be very helpful in some patients. Use of a cane or walker is appropriate in some patients to avoid risk of falls. With worsening symptoms a cane or a knee brace may be helpful. For more severe symptoms, an injection of cortisone into the joint is frequently advised and can be quite helpful.
Physical therapy or aquatherapy (pool-based physical therapy) can be very helpful to improve the lubricationa of the joints and strengthen the surrounding muscles, putting less stress on joints. It also helps with weight reduction and offers an improved sense of well-being. When conservative measures have been exhausted and are no longer helpful, and the arthritis has become disabling, surgery may be recommended When hip arthritis is severe or is not responding well to nonsurgical treatment options, a surgical procedure may be necessary.
In this case Dr. Danoff may recommend a total hip replacement. In this procedure, the hip joint is completely replaced with a new socket (acetabulum) and ball (femoral head)