Hip

The hip is the most mobile joint of the lower limb, moving in many different planes going through the center of this joint. Theoretically, this joint has an infinite number of axes. In connection with a very extensive and complicated muscular apparatus, it enables us to perform precise and smooth movements.

At the Carolina Medical Center, we provide people with hip pain a comprehensive treatment using the most modern methods available in the world. We provide specialized orthopedic consultations, diagnostic tests, including MRI with intra-articular contrast and innovative operating procedures, including hip arthroscopy and BHR arthroplasty of the hip joint.

Hip – diagnostics

The diagnostic process begins with a medical examination. Next, imaging tests are performed. The primary imaging test is X-ray, which assesses bone structures. The image is usually taken in the “frog” position. Another examination is ultrasound, which can detect the presence of exudate in the joint. Additional tests for the diagnosis of the hip joint include tests of synovial fluid in the case of suspected joint disease and blood tests to exclude infectious or rheumatoid arthritis. If the orthopedic surgeon suspects necrosis that has not been confirmed by radiographs, he may order bone scintigraphy and magnetic resonance imaging.

Hip – methods of treatment

The first symptom that accompanies medical conditions (e.g. degenerative diseases), injuries and inflammation of the hip joint is pain, often radiating to the lower limbs. The choice of the method of hip joint treatment depends on the severity of the disease or the injury suffered. The treatment process is determined by the general health condition, the patient’s age, the limitations in everyday life caused by the disease, as well as the patient’s reaction to pain.

Treatment begins with the use of conservative methods (medications, rehabilitation, etc.). However, if they turn out to be ineffective or it is known from the very beginning that they will not successful, surgery should be performed.

PHARMACOLOGICAL TREATMENT

This is the first method of treating ailments of the hip joint. Pharmacotherapy is used in cases of paincaused by trauma (e.g., contusions) or injury. It is also used in degenerative diseases of the joint and the degeneration of articular cartilage.

Pharmacological treatment consists of:

• painkillers and non-steroidal anti-inflammatory drugs (NSAIDs) administered by mouth or by injection into the joint,
• ointments and gels with analgesic and anti-inflammatory properties.
• hyaluronic acid, which reduces friction between the articular surfaces. The effect of a series of hyaluronic acid injections lasts up to several months.

REGENERATION MEDICINE

One of the modern conservative methods of hip treatment is the administration of platelet-rich plasma with growth factors. This is a series of injections that have an anti-inflammatory and analgesic effect for several months. This method is completely safe and uses the body’s natural ability to regenerate articular cartilage.

In the case of degenerative changes with inflammation or exudates, Orthokine or N-Stride therapy is used. As with growth factors, plasma concentrate is obtained from the patient’s venous blood.

At the Carolina Medical Center, we also use stem cell therapy obtained from the patient’s adipose tissue by means of liposuction.

SURGERY

At the Carolina Medical Center, we offer a full range of hip surgeries. We perform hip arthroscopy, which is a minimally invasive method, especially used in people under 50 and who are physically active. We also perform hip arthroplasty with the use of personalized implants and the bone-saving BHR method of hip replacement.

Hip – rehabilitation

Postoperative rehabilitation is based on achieving an upright positioning of the patient. In the case of hip joint treatments, there is no standard rehabilitation process – physiotherapy recommendations are selected individually. In the first days after the procedure, the patient learns to stand up or sit on a chair on their own, as well as to walk on crutches.

At the Carolina Medical Center, physiotherapists apply manual therapy – the most effective method among other rehabilitation techniques, thanks to which the recovery time is shortened. By pressing appropriate points on the body, the physiotherapist is able to apply an individual approach to each patient. Our specialists, when rehabilitating the hip, perform exercises with the patient to strengthen the spine, pelvis and lower limbs.

In the case of diseases or injuries of the hip joint, rehabilitation in water is also recommended, which, without overloading the joint, reduces pain and accelerates the regeneration process.

Hip – training

Systematic exercises to strengthen and stretch the hip joint are recommended for patients who want to alleviate the pain associated with a sedentary lifestyle, injuries, diseases and overload of the hip joint. They help reduce pain radiating from the spine, thighs, groin and lower legs. Training consisting in performing exercises to strengthen the muscles of the hips, legs and torso, as well as stretching the entire joint, relieves pain symptoms and increases mobility in the joints.

Forms of activity recommended for hip joint afflictions: cycling, Nordic walking and water sports.

Treatment methods: HIP

• Releasing the iliotibial tract arthroscopically / open treatment
• Reconstruction of gluteal muscle attachment arthroscopically / open treatment
• Plastic surgery of sports hernia, abdominal muscles, nerve release
• Attachment reconstruction – CITO / old (flexor muscles, adductor, gluteal, QF)
• Hip dislocation – open treatment
• Epiphysiolysis of the femoral head – percutaneous screw fixation
• Subcapital / trochanteric fracture of the femur – stabilization with screws, DHS, intramedullary
• Fracture in the pelvic area
• Fatigue fracture in the pelvic area – revitalization
• Hip replacement – total / half, Custom HIP, SPS
• https://carolina.pl/en/orthopedics-and-traumatology/hip/hip-resurfacing-bhr/
• Revision of the hip joint – after resurfacing, half, total
• FAI – hip arthroscopy
• Fixation of the fracture of the lower / upper anterior iliac spine
• Endoscopic release of the sciatic nerve
• Revision, inspection of the hip joint
• Drilling the femoral head under X-ray
• Fixation of periprosthetic hip fracture – femur
• Pseudarthrosis of the pelvis – pelvic anastomosis

Injuries and ailments: HIP

• Hip degeneration
• Acetabular labral tear
• Snapping hip syndrome
• Damage to the labrum of the acetabulum
• Cartilage damage and loose bodies