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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@beatitnow

@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

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Hello @beatitnow. Were you able to watch the video? It is archived at the top of this discussion. If you are receiving this message via email, scroll to the bottom and click on VIEW & REPLY and you will be brought to the discussion and the video will be at the top.

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@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 very much for your suggestions!

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@kljones761

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.

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

“As far as general medications, the non-steroidal anti-inflammatory of choice done under the supervision of your primary care physician is an option. Alternative medications such as MSM, glucosamine, and chondroitin are precursors to cartilage. There have been studies that show they may help the pain in your hip, but likely not doing as advertised, restoring the damaged cartilage from your previous injuries. Another option would be an injection of cortisone in the hip. In my experience, this will help 75% of patients with their hip pain for a variable amount of time. If this is unsuccessful you may consider viscosupplementation injections. Again, about 75% chance of helping for a variable amount of time. These work best in patients with minimal to moderate arthritis. If severe, it is often times not as successful. In that setting, you may consider putting it off until the hip informs you it is time (can’t sleep, do activities of daily living, significant pain requiring medications…etc).”

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@beatitnow

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.

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

“The MAC is unlikely to cause hip symptoms, more likely a coincidence.
Basic recommendation to prevent hip pain is to cross-train instead of doing just one type of exercise. Stretch prior to exercise. Include core, lumbar spine, abductor and adductor strengthening into your workout regimen. Also, yoga and swimming are very good for building core/hip strength without irritating the hip significantly.”

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@karencar

Please address lower buttock pain.

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

“Lower buttock pain can be a variety of issues. Tight piriformis, SI joint problems, sciatic nerve entrapment, ischiofemoral impingement, trochanteric bursitis, Lumbar radiculopathy, femoroacetabular impingement in the back as opposed to the front which is more common, and the list goes on. This is a very complicated specialty, please contact us at 800-446-2279.”

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@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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Vickie, I can’t find this book by name, Schneiderja or title. Where did you purchase it? Thanks…

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@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 Janet, I think I found the book that @shbertrand recommended.
“Cure Tight Hips Anywhere: Open Locked Up Hips and Pelvis Anytime, Anywhere” by Sean Schniederjan http://amzn.to/2pJoVNk

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@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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Colleen, there it is. Thanks so much

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