What Are Medical Treatments for Hip Pain?

The cause of the hip pain will direct the treatment provided.

Aside from medications, therapy will be directed to maintain the strength and range of motion of the hip. As with any illness or injury, the goal is to return the patient to their normal level of function. A team approach involving the health care professional, physical therapist, or chiropractic care provider may be considered.


When Is Surgery Needed for Hip Pain?

Hip fractures commonly require surgery to fix the fracture. The type of surgery depends upon the location of the fracture within the hip joint. The underlying health of the patient needs to be assessed, and the risks of general anesthesia need to be considered. Surgery often occurs soon after the injury, if the patient's condition allows, to allow quicker return of activity. Patients who are immobilized and lie in bed for prolonged periods of time are at risk for developing blood clots in their legs (deep vein thrombosis) and breakdown of their skin, or bedsores.

Hip replacement is perhaps the most common joint replacement surgery. It is considered in patients with progressive arthritis that affects the patient's ability to do daily activities. Hip resurfacing is an alternative to hip replacement. The choice of procedure is a joint decision made by the orthopedic surgeon and patient to be able to return the patient to the level of activity that they would like to achieve.

Hip arthroscopy has become more widely available to evaluate and treat hip joint damage, including labrum and cartilage tears, loose bodies within the joint, and early arthritis.


How Can Someone Prevent Hip Pain?

The body is a machine that needs to be well looked after over a lifetime. By maintaining a normal body mass index (BMI) and avoiding obesity, providing a good diet to build strong bones, and by exercising routinely to preserve normal range of motion of the hip, osteoarthritis of the hips and back pain may be avoided or minimized.

Medications that prevent osteoporosis in women should be considered to minimize the risk of hip and back fractures in at-risk women. These include calcium, vitamin D, and bisphosphonates (Actonel, Boniva, Fosamax). Bone mineral density screening is recommended by the U.S. Preventive Services Task Force and the American Congress of Obstetricians and Gynecologists beginning at age 65 for all women, or for younger women with risk factors for bone thinning or fractures.

For older individuals, it is important to minimize the risk of falling and breaking a hip or sustaining other injuries related to a fall. Preventive measures include wearing well-fitting shoes with a good tread, using a cane or walker for stability if needed, and making certain that walking areas in the home are free of clutter. The use of area rugs and mats should be avoided.

For individuals of all ages, it is important to maintain good strength, flexibility, and posture throughout life to allow the hip to move and function normally.


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