ARTHRITIS OF THE HIP<\/h3>\n<\/div>\n
The two main forms of arthritis affecting the knee are osteoarthritis (OA) and rheumatoid arthritis (RA).<\/p>\n
Rheumatoid arthritis<\/b>\u00a0is a condition of unknown cause where the lining membrane (the synovium) of joints becomes inflamed. Damage to the joint surfaces follows, resulting in the destruction of the lining cartilage; the joint becomes painful and arthritic. Many joints can be involved, especially those in the hands and feet, but the larger joints such as the hip and knee are also commonly affected.<\/p>\n
Osteoarthritis<\/b>\u00a0is by far the most common form of arthritis. It is estimated that 25% of females and 16% of males over the age of 60 are symptomatic from osteoarthritis. It accounts for more than 95% of knee replacements undertaken in the UK each year (over 40,000). This page concentrates on osteoarthritis.<\/p>\n<\/div> OA is a degenerative disorder in which there is progressive loss of articular (surface) cartilage accompanied by new bone formation and capsular fibrosis (stiffening). In effect, this is \u2018wear and tear\u2019 arthritis. Many joints can be affected or just one.<\/p>\n There are 2 basic types of osteoarthritis; primary and secondary:<\/p>\n<\/div> Estimated 80% of all OA There is no obvious cause of primary osteoarthritis; causes of secondary OA include:<\/p>\n The overwhelming symptom from hip arthritis is pain. The nerve supply to the hip joint is complex, and as a result pain that comes from the hip can be felt in several different sites. Commonly, pain is felt in the groin, but pain can also be experienced down the inside of the leg, into the knee and sometimes down to the ankle. It can also be felt in the buttock, in the top of the thigh, and rarely in the back.<\/p>\n The pain from hip OA is made worse by activities such as walking for any distance and can often disturb sleep. As a result of joint stiffness patients often have difficulty putting on their shoes and socks.<\/p>\n Many patients with arthritic hips do not need a hip replacement. There are many ways of coping with the pain from hip arthritis; they include:<\/p>\n However, in the majority of cases there comes a point when these are insufficient and the amount of pain and its impact on lifestyle become intolerable.\u00a0Hip replacement<\/a>\u00a0then becomes a sensible treatment option.<\/p>\n<\/div> Technological advances have produced bearing surfaces which can withstand higher activity levels and will probably last much longer. These more modern bearing surfaces are usually metal-on-metal or ceramic-on-ceramic. It is now far more common for younger patients to be operated on since most patients with significant pain from an arthritic hip prefer to have quality of life rather than continue in pain.<\/div><\/div><\/div>OSTEOARTHRITIS (OA)<\/h3>\n<\/div>\n
<\/i><\/i><\/span>PRIMARY<\/span><\/a><\/h4><\/div>
\nMany joints involved including fingers, big toe, knees, spinal facet joints
\nUsually starts in the hands
\nMainly postmenopausal women
\nFamilial; i.e. can be inherited
\nSame pathology as single joint osteoarthritis<\/div><\/div><\/div><\/i><\/i><\/span>SECONDARY<\/span><\/a><\/h4><\/div>
\nNormal cartilage having to cope with an abnormal load
\nAbnormal cartilage having to cope with a normal load
\nCartilage break-up occurs due to defective subchondral bone (bone beneath the articular cartilage)<\/p>\n<\/div><\/div><\/div><\/div><\/div>CAUSES<\/h3>\n<\/div>\n
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SYMPTOMS<\/h3>\n<\/div>\n
TREATMENT OPTIONS<\/h3>\n<\/div>\n
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<\/i><\/i><\/span>AM I TO YOUNG TO HAVE A HIP REPLACEMENT?<\/span><\/a><\/h4><\/div>
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