Video Q&A about Hip Pain Prevention & Treatment

Mon, Apr 17, 2017
1:00pm to 2:00pm ET

Description

Watch a Q&A session with Dr. David Hartigan, orthopedic surgeon, at Mayo Clinic in Arizona. Dr. Hartigan answered questions submitted both before and during the event from Facebook, as well as Connect members.

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I have greater tronchanteric fracture and hip dysplasia and that leg also has a fused knee because of recurrent infection of knee. I had knee replacement and revision. Had to remove revision and fuse leg with rod that got infected so had to be removed and during removal tronchanter was fracured. Tried to fix fracture with plate and wires but didnt work. My surgeon doesn’t want to do hip replacement as he worries about infection. Had numerous types including MRSA and VRE. Do you have any other suggestions as the hip pain is increasing.

I have severe rheumatoid arthritis that has included bilateral knee replacements. I also have spinal scoliosis that begins at L2 and have lots of degeneration in my entire spine that includes a laminectomy and discectomy at L4-L5. My gait is ‘off’ as well in part because I have such deformed feet from the RA. My hip x-rays show that I “only” have “hip dysplasia” and I have a great deal of extreme ‘tightness’ in both hips. I am wondering if there is anything to “DO” about my hip pain/tightness. I am currently undergoing Rolfing treatments. Pain meds do not take it and it has really affected my mobility to the point that I need a small electric scooter to get very far as I am unable to walk distances. Thank you in advance for your assistance!

I had an acute multiple trauma accident several years ago. The fractures were involved in numerous areas of my body. They told me my left hip would definitely require replacing. Only I will know when. There is little space in the joint. The acetabulum repair with hardware is holding. I also had numerous repairs of the entire pelvis with SI joint fracture (completely fractured from sacrum) and pubic bone fractures. I take pain meds. I have pain in the left hip, and it will eventually resolve so I can walk okay. Lately, it is flaring up. I want to know if anything can help when dealing with trauma to the joint as far as supplements. I seem to remember there is not much to be done. I am just waiting until the time is right. I am also 55 yrs old and want to hold off as long as possible due to the life span of the replacement. Any suggestions will be greatly appreciated. Thank you for considering my question.

Over a year ago I had a partial right knee replacement, since then I have left hip pain when walking up a slight hill. Also I wake in the middle of the night with severe pain in both hips, but this resolves once I become active.

@vickiekay

I have severe rheumatoid arthritis that has included bilateral knee replacements. I also have spinal scoliosis that begins at L2 and have lots of degeneration in my entire spine that includes a laminectomy and discectomy at L4-L5. My gait is ‘off’ as well in part because I have such deformed feet from the RA. My hip x-rays show that I “only” have “hip dysplasia” and I have a great deal of extreme ‘tightness’ in both hips. I am wondering if there is anything to “DO” about my hip pain/tightness. I am currently undergoing Rolfing treatments. Pain meds do not take it and it has really affected my mobility to the point that I need a small electric scooter to get very far as I am unable to walk distances. Thank you in advance for your assistance!

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There is a book by Sean Schneiderjan, I think the title is How to Cure Tight Hips Anywhere. Just go to Amazon, choose books & enter his name & the books by him will come up. It is a Kindle book. HE gives amazingly simple exercises with great real person pictures. I did them to even my hips & decrease pain before my first hip replacement. They do work. I had my second hip done, but I am waiting to be 90 days out before I do these. Another problem I have learned to control is hip pain at night. My PT guy said it was the hip flexor & he showed me an easy stretch to do before going to sleep. I’ll describe it as I do it for my left hip. Lay as close to the edge of your bed as you can, hang your leg over the side of the bed, hopefully so it won’t touch the floor, just let it relax, pull your belly button towards your back for 10 seconds. Do this 3 times. You may want to sit up before you lift your leg up again, or have someone lift it for you. This also works, but it’s not a permanent fix. You might have to do this every night & then every other night. This does work. I was taking pain pills, but after I learned this hip flexor stretch, no more pain at night! TRy it.

@vickiekay

I have severe rheumatoid arthritis that has included bilateral knee replacements. I also have spinal scoliosis that begins at L2 and have lots of degeneration in my entire spine that includes a laminectomy and discectomy at L4-L5. My gait is ‘off’ as well in part because I have such deformed feet from the RA. My hip x-rays show that I “only” have “hip dysplasia” and I have a great deal of extreme ‘tightness’ in both hips. I am wondering if there is anything to “DO” about my hip pain/tightness. I am currently undergoing Rolfing treatments. Pain meds do not take it and it has really affected my mobility to the point that I need a small electric scooter to get very far as I am unable to walk distances. Thank you in advance for your assistance!

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Thank you @shbertrand!!! I just purchased the book and am very anxious to begin using it! I really appreciate your recommendation! Hooray!!!!

I have right hip pain sometimes after running short distances and also sometimes at night when I lay on my right side (and this happens even if I have not been running.) I have MAI/MAC lung infection, which is a micobacterium infection. Another girl who has MAI/MAC also said she gets hip pain.
Two questions:
1) I was wondering MAI/MAC lung infection bacteria could be affecting the hip area, or is it likely due to something else?
2) Are there basic recommendations on how to prevent the hip pain.

Please address lower buttock pain.

I can NOt get on this seminar. Help!

Liked by zinniagal

There seems to be a delay. The live Q&A will now start at 5:25 pm CT time.

How do I connect

We will upload the archived video on this Connect page shortly.

@colleenyoung…hi. I wanted to get on the Facebook Live video today about hip pain, but I completely forgot. Will it be loaded to Facebook somehow that we can listen to it after the fact? Thank you for your help! Amy

@lynettegable

I have greater tronchanteric fracture and hip dysplasia and that leg also has a fused knee because of recurrent infection of knee. I had knee replacement and revision. Had to remove revision and fuse leg with rod that got infected so had to be removed and during removal tronchanter was fracured. Tried to fix fracture with plate and wires but didnt work. My surgeon doesn’t want to do hip replacement as he worries about infection. Had numerous types including MRSA and VRE. Do you have any other suggestions as the hip pain is increasing.

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Hi Lynette, thank you for the question. Here is the response from Dr. Hartigan:

“This is a complex issue! Unfortunately with the infection in the knee it can be very difficult to treat. One of the complications of joint replacement is infection. Bacteria stick to the prosthesis and can not be treated like a normal infection. I agree with your treating surgeon that no arthroplasty should be performed until all infection has been eradicated. If the pain is coming from the fractured trochanter this is a very difficult problem as well because this bone is very small and does not have a lot of substance to accept traditional fixation techniques. If it is pain from the actual hip joint then I would consider injections of cortisone, this would allow you to determine if the pain is from the trochanter or the hip joint. If you are interested requesting an appointment with a Mayo Clinic hip/knee arthroplasty surgeon, please contact us at 800-446-2279.”

@vickiekay

I have severe rheumatoid arthritis that has included bilateral knee replacements. I also have spinal scoliosis that begins at L2 and have lots of degeneration in my entire spine that includes a laminectomy and discectomy at L4-L5. My gait is ‘off’ as well in part because I have such deformed feet from the RA. My hip x-rays show that I “only” have “hip dysplasia” and I have a great deal of extreme ‘tightness’ in both hips. I am wondering if there is anything to “DO” about my hip pain/tightness. I am currently undergoing Rolfing treatments. Pain meds do not take it and it has really affected my mobility to the point that I need a small electric scooter to get very far as I am unable to walk distances. Thank you in advance for your assistance!

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Hi Vickie, thank you for the question. Here is the response from Dr. Hartigan:

“Rheumatoid arthritis, as you likely know, is when your inflammatory cells attack the cartilage, this leads to arthritis. Dysplasia is shallowness of your hip socket which also loads the cartilage more. This combination of issues leads to a joint at risk for progression to arthritis. With that, I can suggest a few tactics you might want to explore further and discuss with your doctor 1)talk with your rheumatologist to ensure that your rheumatoid is under optimal control. There are some tests/exams to determine if this is the case 2) start working on the dynamic stabilizers of your hip. With 26 muscles crossing the hip joint they impart stability to your hip that can sometimes substitute for the bony shallowness (dyspasia) of your socket 3)Consider trying an injection of cortisone in the hip to attempt to control the inflammation in your joint.”

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