Ostoarthritis (OA), typically referred to as “wear and tear” arthritis, is the most common form of arthritis.1 It is prevalent in the hip, and structural changes related to osteoarthritis typically occur as we age.2 These structural changes are not always accompanied by symptoms.1
Risk Factors for Hip OA May Include 3,4
- Developmental hip disorders
- Heavy physical work
- Prior injury to the hip
Signs and Symptoms May Include5
- Hip pain
- Loss of hip motion
- Hip stiffness in the morning lasting < 60 minutes
The most common cause of hip pain in older adults is symptomatic hip OA.4 The prevalence of osteoarthrits tends to increase as we age.6 In one large U.S. population study symptomatic hip OA was found in 9.7% of adults older than 45 years.7 Overall, 28% of the study’s 3,068 participants had radiographic hip OA. This suggests only one-third of those with radiographic evidence of hip OA will have symptoms.
Physical Therapy Treatment
A patient may be treated conservatively with physical therapy and medical management. 4,6,8
Physical therapy may consist of:
- Patient education 9
- Gait, function, and balance training 4
- Manual Therapy 10
- Flexibility/aerobic and strengthening exercise 4,11
Surgery including hip joint replacement, may also be considered.8 If surgical management has been elected, physical therapy after the procedure tends to be utilized, depending on the type of procedure performed and the surgeon’s philosophy. In general, post-operative physical therapy treatment applies the same therapy principles as those applied prior to surgery.
Disclaimer: The views discussed on this website are for educational purposes only. Should you have any questions please consult your physician or physical therapist. Copyright© Kinesis Physical Therapy. All Rights Reserved.