by Dr. Michael Baranov, PT, September 15, 2015
Osteoarthritis and other conditions can cause pain in the hip-joint, making it necessary to see a hip specialists in Fresh Meadows. Although an increasingly common, surgery is not the first-line treatment for hip pain. Conservative physical therapy care should be.
A hip specialist in Fresh Meadows understands the biomechanics, anatomy, kinesiology, and pathology of hip disease. There are options before you see a surgeon. Hip replacement should be a last resort. We know that the outpatient physical therapy can be quite helpful in getting a patient stronger, walking more normally, and to maximize function.
Consider This Study Regarding Hip
A single-blind, randomized clinical trial of 109 hip OA patients was carried out in the outpatient clinic for physical therapy of a large hospital. The manual therapy program focused on specific manipulations and mobilization of the hip joint. The exercise therapy program focused on active exercises to improve muscle function and joint motion. The treatment period was 5 weeks (9 sessions). The primary outcome was general perceived improvement after treatment. Secondary outcomes included pain, hip function, walking speed, range of motion, and quality of life.
Of 109 patients included in the study, 56 were allocated to manual therapy and 53 to exercise therapy. No major differences were found on baseline characteristics between groups. Success rates (primary outcome) after 5 weeks were 81% in the manual therapy group and 50% in the exercise group (odds ratio 1.92, 95% confidence interval 1.30, 2.60). Furthermore, patients in the manual therapy group had significantly better outcomes on pain, stiffness, hip function, and range of motion. Effects of manual therapy on the improvement of pain, hip function, and range of motion endured after 29 weeks.
The effect of the manual therapy program on hip function is superior to the exercise therapy program in patients with OA of the hip.
The Above Reference is an Older Study
Physical therapy treatment plans for hip pain often include exercises at home, patient education, and functional training to improve your daily activities. Here are some ways outpatient treatment can help:
- Improve balance. A replacement hip is not made of bone and tissue and can feel quite awkward. It takes help to learn how to keep a healthy hip and a replacement in proper balance.
- Improve function. It can be daunting to consider walking alone and doing things like going up and down stairs after surgery. It’s easy to remain immobile, but that prevents patients from fully functioning at this most crucial time.
- Improve fitness and strength. The deterioration that caused the need for surgery most likely also decreased physical activity and therefore physical fitness. Outpatient therapy can help improve general fitness. It also helps to improve muscle strength, muscles that might not have been used for quite some time before surgery.
Hip replacement surgery is major surgery that can lead to major benefits but it should be your last resort.
Contact us for a thorough consultation about our conservative, drug-free options.