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Hip Rehabilitation

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You can find us in Bucharest, Cluj-Napoca, Brasov and Timisoara.
Article written by: GEORGIANA TACHE, MD, Medical rehabilitation doctor


Hip recovery

The most common pathologies found at the level of the hip articulation are represented by:
  • Coxarthrosis;
  • Femoral neck fracture;
  • Hip dislocation;
  • Trochanteric bursitis.
Coxarthrosis: also called coxo-femoral arthrosis or hip osteoarthritis, is a chronic pathology that is characterized by progressive degradation, over time, of the articular cartilage at the level of this articulation. It generally begins after the age of 50, with a progressive and irreversible evolution, which will eventually lead to ankylosis of the hip.

The most relevant symptom is pain, described especially in the morning (which disappears with mobilization - "after the articulation warms up") or after long periods of rest (sitting at the table, driving), pain that over time will become disabling.

The most relevant imaging investigation for the diagnosis of hip osteoarthritis is represented by radiography, which certifies this pathology, being the investigation of choice.

Although it is considered an incurable disease (once it starts, it will progress slowly and progressively regardless of the drug options), there are a number of measures that can improve the symptoms:
  • Hygienic-dietary measures: weight loss, improved posture, comfortable shoes, elimination of demanding activities;
  • Drug therapy: NSAIDs, Mydocalm, Synotabs;
  • Intraarticular infiltrations: with vascoelastic or corticosteroid solutions;
  • Balneo-physical and physiotherapeutic recovery;
  • Surgical: hip replacement is the only curative treatment.

 
Femoral neck fracture: it is found especially in elderly patients (men over 60 years, women over 70 years) when it can occur even after a minimal trauma (falling from one's height). The main culprit for the production of these fractures is osteoporosis, which causes further weakening of an overworked anatomical area. During the inspection we will notice a shortened lower limb and rotated externally, the definite diagnosis being made with the help of a simple radiograph.

In patients who have pain in the groin area, but the pelvic and hip radiographs do not show any fracture trajectory, it is recommended to perform a hip MRI to eliminate any suspicion.

The treatment of choice is the surgical one and consists in the prosthesis of the hip, the conservative one being reserved only for the elderly patients, for whom the operative and anesthetic risk is much too high.

Hip dislocation: posterior dislocations are much more frequent than anterior ones, the ratio being 9 to 1. The most common mechanism involved in hip dislocations is the sudden braking of a car in which the knees hit the edge with the hip and the knees bent. The more the hip is flexed and abducted, the more likely it is to produce a posterior dislocation. Less adduction or less internal rotation will increase the chances of a fracture-dislocation, with fracture of the femoral head or the posterior wall of the acetabulum.

Any attempt to move the hip is accompanied by pain. It is very important to check the sciatic nerve pre-reduction because it can be damaged during the reduction. The diagnosis is made clinically (vicious position of the limb) and radiologically.

The reduction will be made in the emergency department or in the operating room, with the patient under anesthesia and with muscle relaxation.


 
Trochanteric bursitis: is inflammation of the great trochanter, located on the side of the hip. This pathology is found especially in the elderly, but can also occur in young, hyperactive people (prolonged walking, running, cycling). The first symptom is pain, felt in the projection area of the great trochanter. Over time, it will radiate downwards, on the outside of the thigh and the pain will appear even at rest, even causing sleep disturbances.

The diagnosis is made after the clinical examination, and a hip radiography is performed to rule out another pathology. It can be successfully treated with physical therapy, anti-inflammatory medication and rest. If this treatment has not worked, an injection with a corticosteroid may be recommended, surgery being the last therapeutic option and only being applied when all conservative methods have failed and the pain becomes unbearable.

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BUCHAREST TEAM

ALEXANDRU CRINTEA, MD ALEXANDRU CRINTEA, MD
Orthopedics-traumatology doctor
ANDREI BOGDAN, MD ANDREI BOGDAN, MD
Orthopedics-traumatology doctor
CATALIN GICAN, MD CATALIN GICAN, MD
Orthopedics-traumatology doctor
ADRIAN POJOGA, MD ADRIAN POJOGA, MD
Orthopedics - traumatology doctor
HORATIU ZORILA, MD HORATIU ZORILA, MD
Orthopedics- traumatology doctor

PAUL NASTASE MD. PAUL NASTASE MD.
Orthopedics Surgeon
ONUT CIPRIAN, MD ONUT CIPRIAN, MD
Orthopedics - traumatology doctor
LUCIAN STANCIU, MD LUCIAN STANCIU, MD
Orthopedics - traumatology doctor
GEORGE CIOBOTARU MD. GEORGE CIOBOTARU MD.
Orthopedist
Claudiu Virban MD Claudiu Virban MD
Orthopedics Surgeon
MOHAMMED ALGAYYIM MOHAMMED ALGAYYIM
Orthopedics Surgeon
Oana Alina Humeniuc MD. Oana Alina Humeniuc MD.
Orthopedics Surgeon
ORLANDO MARINESCU ORLANDO MARINESCU
Pediatric surgeon and orthopedist
ALEXANDRU HERDEA, MD ALEXANDRU HERDEA, MD
Pediatric orthopedics doctor
CATALIN NAHOI CATALIN NAHOI
Pediatric orthopedic doctor
CRISTINA BARBU MD CRISTINA BARBU MD
Pediatric Orthopedist
DUSCA ANDREI, MD DUSCA ANDREI, MD
Pediatric orthopedics doctor
ANDREEA STRATILA MD. ANDREEA STRATILA MD.
Pediatric Orthopedist
GEORGIANA TACHE, MD GEORGIANA TACHE, MD
Medical rehabilitation doctor
EDIS MUSTAFA, MD EDIS MUSTAFA, MD
Medical rehabilitation doctor
ADINA MATEI, MD ADINA MATEI, MD
Medical rehabilitation doctor
RENATA CZEGO, MD RENATA CZEGO, MD
Medical rehabilitation doctor
LUNGU ADRIAN MD. LUNGU ADRIAN MD.
Medical rehabilitation doctor
MIHAELA PARNIA MD MIHAELA PARNIA MD
Rehabilitation Doctor
Georgiana Dila Sirbu MD Georgiana Dila Sirbu MD
Rehabilitation physician
BOGDAN ROTARU, MD BOGDAN ROTARU, MD
Neurologist
LAURENTIU SIMION, MD LAURENTIU SIMION, MD
Neurologist
SIMONA MAN, MD SIMONA MAN, MD
Neurologist
ANA GHEORGHIU MD ANA GHEORGHIU MD
Neurologist
RUXANDRA AURSULESEI, MD RUXANDRA AURSULESEI, MD
Pediatric neurologist
CRISTINA ANGHELESCU MD. CRISTINA ANGHELESCU MD.
Pediatric Neurology Specialist
ROBERT CLEMENT MD ROBERT CLEMENT MD
Neurosurgery specialist
COSMIN PANTU, MD COSMIN PANTU, MD
Radiologist
OANA ENACHE (OLTEANU), MD OANA ENACHE (OLTEANU), MD
Rheumatologist
ALIZZI KHALID, MD ALIZZI KHALID, MD
Rheumatologist
MARIUS TRANDAFIR, MD MARIUS TRANDAFIR, MD
Rheumatologist
OCTAVIAN CRETU, MD OCTAVIAN CRETU, MD
Urologist
PETRU STEGARESCU MD. PETRU STEGARESCU MD.
Urologist
CRISTINA NEAGU, MD CRISTINA NEAGU, MD
Vascular surgery doctor
RALUCA POPA MD. RALUCA POPA MD.
Vascular surgery physician
Dr. DACIANA ISPIR Dr. DACIANA ISPIR
Health Coach

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