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5 Common Causes of Hip Pain

As one of the largest weight-bearing joints in the body, it’s common to experience pain in your hip. Your hip allows you perform many motions, such as walking, sitting, and bending. However, pain in the hip can make these basic motions nearly impossible.
To understand your hip pain, it’s important to know how your hip works. The hip is a stable ball-and-socket joint that consists of the femoral head, or ball at the top of the femur, that fits into the socket or cavity in the pelvis. Ligaments connect the ball to the socket and stabilize the bones. A problem with any of these areas could cause you significant pain.
Osteoarthritis is a degenerative joint disease that causes the cartilage in your joints to break down. The layer of cartilage is meant to cushion your joints and provide padding, but when it wears down, the ends of the bones rub against one another and cause pain.
While there’s no cure for osteoarthritis, there are non-operative treatment methods that can reduce the pain you experience.
Rheumatoid arthritis occurs when the lining of the joint called the synovium becomes inflamed. When inflammation occurs, the synovium thickens and releases chemicals that damage the cartilage and bone. It also causes pain and swelling, which limits motion.
A hip fracture can occur in the upper portion of your thigh bone, or femur. This serious injury often results from a fall and is painful.
There are many factors that can increase your chance of a hip fracture, such as age, disease, and being a woman. A woman is two to three times more likely to suffer a hip fracture than a man. After you’ve reached the age of 50, your chances increase and double every five years.
Hip fracture surgery is done to repair a break in the upper part of the thigh bone.
Osteoporosis causes bones to become progressively weaker, which increases the risk of a fracture. This can occur as part of the aging process and is typically more common in women. If you’re dealing with osteoporosis, your risk of experiencing a fracture in a fall greatly increases.
Osteoporosis can be treated with lifestyle changes, medication, and walking aids. In some cases, patients can benefit from hip replacement surgery.
A hip strain occurs when one of the muscles supporting the hip joint stretches beyond its limit or tears. The pain you’ll experience will depend on the severity of the strain, which can range from mild to moderate to severe.
If you’re experiencing pain in your hip, upper thigh, or groin area, you could be dealing with any of these common injuries or conditions. While not everything is curable, you can treat your hip pain. Visit your orthopedic physician to get evaluated and receive treatment.
Advanced Orthopaedics & Sports Medicine is dedicated to providing quality care to all patients. If you’re dealing with pain in your hip and are considering surgery, contact us at 281-955-2650 to make an appointment with one of our board certified orthopedic specialists.

Prevent Back to School Injury!

Are you ready for the new school year from an orthopedic standpoint?

Finding the Right Backpack: Heavy backpacks are a common cause of back pain in children. When choosing which one to use for school, here are some tips:

  • Backpacks should weigh 10% or less of the child’s total body weight.
  • Choose a rolling backpack if it weighs more than 10% of the child’s body weight.
  • Choose a lightweight backpack. The weight of the backpack should be assessed before any books are placed in it. The lighter the better.
  • Backpacks should have wide, padded straps. Straps should be tightened to keep the load closer to the body.
  • Hip or chest belts are helpful in distributing the weight of the backpack.

Scheduling a Physical Exam: An annual physical exam by your pediatrician should be scheduled around the same time every year. This exam includes a scoliosis screening as well as sports clearance if your child will be participating on a school team. If there is a family history of scoliosis, you should inform your pediatrician. The sports screening can identify any medical or musculoskeletal conditions that need to be addressed before the start of the season and help keep your child safe.

Staying Safe During Preseason Training: Most preseason training for school sports begins in August in preparation for the start of the regular season in September. This usually consists of two or more weeks of intensive conditioning. Many injuries, like sprains, strains, and stress fractures, occur during this time of transition from a less active summer to a high level of activity. In order to prevent injury…

  • Be sure to perform warm-up stretches: Research has shown that warming up your muscles can prevent injury. 3-5 minutes of active stretching like jumping jacks and jogging followed by passive stretching where a stretch in each major muscle group is held for 30 seconds is recommended.
  • Don’t forget cool down stretches: Research has also shown that stretching after activity can reduce muscle soreness and improve flexibility. These gentler stretches should be held for at least 30 seconds.
  • Hydrate: If you are dehydrated, your body will not perform well and you become more prone to injury. Stay hydrated throughout the day, not just during exercise.  During exercise, drink a cup of water for every 20 minutes of activity.


A Simple Overview of Arthroscopic Rotator Cuff Repair

Shoulder Surgeon Houston TX
Rotator Cuff Repair Houston TX

If you have a rotator cuff injury, everyday activities may become difficult. Simple actions like combing your hair or tucking in your shirt can be painful.

Rotator cuff injuries can occur for many reasons & are often the result of repetitive strain. Any job or activity that requires repeated overhand motions, can lead to this type of injury. Sudden powerful raising of the arm against resistance or in an attempt to cushion a fall. In other cases, a rotator cuff injury may develop due to years of wear and tear.

In this blog, the fellowship-trained shoulder specialists at Advanced Orthopaedics & Sports Medicine will provide an overview of arthroscopic rotator cuff repair.

What is arthroscopy?
So, in simple terms, arthroscopy is defined as looking at the interior of a joint via a camera inserted through a small incision. Using this technique, the camera image is transmitted to a television screen so an orthopedic surgeon can closely examine the joint in great detail. Arthroscopy is used both for surgical procedures as well as for diagnostic purposes.

When is arthroscopic rotator cuff repair recommended?
Not all rotator cuff injuries require surgery, particularly if they’re treated early when symptoms first appear. However, you may be advised to have surgery if your symptoms have persisted for several months without improvement with non-surgical treatment, if you have suffered a severe rotator cuff tear, or if it’s a recent, acute injury or if your daily activities require you to do a lot of overhead reaching.

What does an arthroscopic rotator cuff repair involve?
There are numerous types of rotator cuff repair surgeries. The shoulder specialists at Advanced Orthopaedics will recommend the appropriate procedure depending upon the type of injury you have and your unique needs.

Arthroscopic rotator cuff repair offers several benefits over traditional open shoulder surgery, which may include:
• Fewer complications
• Less postoperative pain
• Faster recovery time

While proper healing and rehabilitation takes time, the arthroscopic procedure usually allows you to return to work, athletics, and daily activities faster than conventional surgery.

How long will recovery take after arthroscopic rotator cuff repair?
While the time frame varies from person to person, arthroscopic rotator cuff repair typically means a recovery period of several months, with immobilization directly following surgery and a guided physical therapy program starting after 2-4 weeks. Most people have a functional range of motion & strength for daily activities by 3 months after surgery and will continue to improve for 6 to 9 more months.

Looking for an arthroscopic rotator cuff repair surgeon in Houston?
Don’t be limited by the pain of a rotator cuff injury. Schedule a consultation at one of Advanced Orthopaedics & Sports Medicines’ numerous practice locations around Houston to get more details about arthroscopic rotator cuff repair, and to learn whether you are a candidate for this procedure.

Pro athletes may safely return to competition after lumbar microdiscectomy

Source: Healio

CHICAGO — The pooled rate of return to play following lumbar microdiscectomy for herniated disc nucleus was 83.5%, according to results presented at the North American Spine Society Annual Meeting, and the overall return to play rate for elite athletes with a herniated disc after this procedure was 84.5%.

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Satisfactory results seen in revision THA with acetabular reinforcement, HA granules, autograft

Source: Healio

Using acetabular revision for loosening as an endpoint, investigators of this study found more than 90% acetabular component survival at 10 years among patients who underwent revision total hip arthroplasty for acetabular bone deficiency using a Kerboull-type acetabular reinforcement device to support hydroxyapatite granules and structural autograft.

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Recommendations for patient activity after knee replacement vary among surgeons

Source: Healio

During recovery after knee replacement surgery, exercise is critical. After initial recovery, patients will want to resume more strenuous activities. In addition to exercise prescribed by a physical therapist, several studies have shown patients who participated in athletic activities prior to surgery will want to continue this practice after surgery. However, how much activity and how strenuous this activity should be remains unclear.

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Most patients return to activity without pain after surgery for tarsal coalitions

Source: Healio

A survey of patients who underwent surgical excision of tarsal coalitions at age 18 years or younger showed 73% reported their activity was not inhibited by foot pain at midterm follow-up, and investigators found no significant differences in patient- reported outcomes between those treated for calcaneonavicular and talocalcaneal conditions.

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Activity could help keep knees lubricated

Source: Science Daily

Cartilage is filled with fluid — about 80% of the volume of the cartilage tissue — that plays the essential roles of supporting weight and lubricating joint surfaces. Loss of this fluid, called synovial fluid, results in a gradual decrease in cartilage thickness and increase in friction, which is related to the degradation and joint pain of osteoarthritis. Since cartilage is porous, fluid is readily squeezed out of the holes over time. Yet the symptoms associated with osteoarthritis usually take decades to develop. Researchers have now proposed a mechanism that explains how motion can cause cartilage to reabsorb liquid that leaks out.

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Osteochondral autograft transplantation may offer higher rate of return to pre-injury athletics

Source: Healio

Among patients who underwent cartilage repair of the knee, osteochondral autograft transplantation enabled a much higher rate of return to pre-injury athletics, according to results presented at the International Cartilage Repair Society Annual Meeting.

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