![]() Pelvic and hip anterior-posterior (AP) and lateral images are most commonly obtained when assessing for pelvic bony abnormalities as many physicians have greater familiarity with interpreting these particular views. Goel’s excellent post on Pelvic X-rays that provides an excellent review on anatomy and overview on basic radiographic approach. Pelvic and hip X-rays are most frequently obtained when there is concern for fracture, joint dislocation and effusion, and several pediatric pathologies involving the pelvic girdle which are outlined below.īefore delving into the radiographic approach to pelvic and hip X-rays, let us first review some anatomy. While it is vital to have a high suspicion for pelvic injuries in high mechanism traumas, continue to have high concern in low energy traumas as well, especially in patients prone to pelvic injury due to underlying pathophysiology, such as the elderly or bone composition deficiencies, as they can lead to high morbidity if not diagnosed early in the course of illness. ![]() Pelvic and hip X-rays are almost always obtained, and with good reason, in patients presenting after significant blunt trauma to rule out bony abnormalities and underlying structural injuries in patients that are unstable or altered, have an abnormal pelvic exam, or have significant distracting injuries. Total hip replacement. Your doctor will remove both the damaged acetabulum and femoral head, and then position new metal, plastic or ceramic joint surfaces to restore the function of your hip.Plain radiographs are a widely available modality that confer benefits of cost effectiveness and promptness, proving them very useful as an initial diagnostic choice when approaching several musculoskeletal concerns, particularly pelvic and hip pathologies. Your doctor may recommend surgery if your pain from arthritis causes disability and is not relieved with nonsurgical treatment. Corticosteroids (also known as cortisone) are powerful anti-inflammatory agents that can be taken by mouth or injected into the painful joint.Other NSAIDs are available by prescription. Over-the-counter NSAIDs include naproxen and ibuprofen. Nonsteroidal anti-inflammatory drugs (NSAIDs) may relieve pain and reduce inflammation.Be sure to discuss potential side effects with your doctor. Like all medications, however, over-the-counter pain relievers can cause side effects and interact with other medications you are taking. Acetaminophen (e.g., Tylenol) is an over-the-counter pain reliever that can be effective in reducing mild arthritis pain.If your pain affects your daily routine, or is not relieved by other nonsurgical methods, your doctor may add medication to your treatment plan. Using assistive aids like a long-handled reacher to pick up low-lying things will help you avoid movements that may cause pain. Using walking supports like a cane, crutches, or a walker can improve mobility and independence. Your doctor or physical therapist can help develop an individualized exercise program that meets your needs and lifestyle.Īssistive devices. Specific exercises can help increase range of motion and flexibility, as well as strengthen the muscles in your hip and leg. Losing weight can reduce stress on the hip joint, resulting in less pain and increased function.Switching from high-impact activities (like jogging or tennis) to lower impact activities (like swimming or cycling) will put less stress on your hip.Minimizing activities that aggravate the condition, such as climbing stairs. ![]() Some changes in your daily life can protect your hip joint and slow the progress of osteoarthritis. Your doctor may recommend a range of nonsurgical treatment options. Nonsurgical TreatmentĪs with other arthritic conditions, early treatment of osteoarthritis of the hip is nonsurgical. Although there is no cure for osteoarthritis, there are a number of treatment options that will help relieve pain and improve mobility.
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