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Hips

The hip joint is a ball and socket synovial joint designed to keep the body stable, even when twisting or standing on one leg. The joint and soft tissues surrounding it need to be strong for the hip to function fully. A healthy hip should allow you to walk, turn, kick and squat without pain.

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Hips

Problems with the hips are common. For some, the discomfort may come with age; for others, it is from trauma. The hip is a ball and socket joint, essential for mobility. When hip issues arise, they can stop you from doing the things you love. 

Whether you’re suffering from limited mobility, chronic pain, arthritis, or trauma, we dedicate ourselves to providing outstanding hip care to help you regain your freedom of movement.

Treatment offered by the One Health is FREE at the point of use for all NHS patients. We will liaise directly with the Insurance companies for private patients and with patients themselves if they are self-funding their treatment.

Anatomy of the hip joint

The hip is one of the largest weight bearing joints in the body. It is an intricate network of tendons, muscles, synovial fluid, bone, nerves and cartilage. The Hip is the joint formed where the head of the femur (thigh bone) meets the socket (acetabulum in pelvis). The joint is covered with cartilage, which acts as a cushion and allows for smooth, gliding movement. The function and stability of the hip joint depends on the congruity of the joint, muscles and ligaments. In a healthy hip, all the parts work harmoniously, leading to a freely moving, pain-free joint. Flexion (bending), extension (straightening), abduction(movement away from the body), adduction (movement towards the body) and rotation are the principal movements undertaken at the hip joint. Hip replacement surgery has become more common, due to advances in technique, the types of implants and materials. The operation can greatly improve quality of life by reducing pain, increasing mobility and correction of deformity. 

You will need to have an assessment and possible scans to identify the exact problem causing your hip pain.

Common conditions

Arthritis is the most common cause of hip problems. Wear and tear on this joint can impact your ability to walk, as your joints are stiff and painful. Hip fractures are common in older people but also in young people following an accident. People with rheumatoid arthritis suffer from pain and stiffness and may benefit from replacing the damaged joint with an artificial one. 

Total hip replacement surgery is mainly performed on people over 50. However, adults of any age can be considered for the operation. 

Initially, you may see a Physiotherapist for a specialist assessment. A Physiotherapist will be able to prescribe exercises and perform manual therapies. However, physiotherapy may not help all hip conditions. Some problems require surgery or specialist injections to get patients living life to the full again. 

What causes hip pain?

The hip is a complex structure and pain in the hip can be due to various conditions, such as: 

  • Poor posture
  • Tendon or muscle injury
  • Muscle imbalance
  • Inflammation
  • Degenerative diseases
  • Fractures

An estimated 25% of people are at risk of developing arthritis of the hip. Risk factors for developing the condition include:

  • Abnormal hip joint
  • History of high impact activity
  • Age
  • Genetics
  • Gender 
  • Obesity 
  • Low birth weight

Popular treatments

We offer a range of treatments for conditions affecting the hip joint.

  • Hip replacement following trauma
  • Hip replacement to replace a worn, diseased, or damaged joint 

Preparation 

Before your surgery, a consultant will invite you to a pre-admission appointment to make sure you are well. The consultant may arrange tests to check your health. This is an excellent time to share any additional medical history, ask questions, and raise concerns. 

You should plan for when you get home from the operation. You should ask someone to stay with you and help with everyday activities and buy equipment to make your life easier when you return home. You need to ask someone to drop you off and pick you up from the hospital as you can’t drive or take public transport after the operation. 

On the day of your surgery, you should not eat anything 8 hours before your appointment. You should ask your consultant if you can have a hot drink the morning of surgery. If you have a morning surgery, the default time to arrive at the hospital is 7 a.m. If your admission is in the afternoon, you need to be at the hospital at 11 a.m. 

Risks and complications

As with all surgeries, hip surgery has risks and, in some cases, may lead to complications. You should always discuss the specific risks with your surgeon.

Risks include: 

  • Blood clots or DVT. You can take medicines and wear compression stockings to help reduce the risk 
  • Infection. Surgery carries a risk of infection. Many infections heal quickly with antibiotics. However, if the infection is in the joint, you may need further surgery
  • Difference in leg length. If this happens, you may need a slight raised heel on one shoe
  • Damage to nerves or tissues. The risk is low. Surgery can repair the damage 
  • Hip dislocation and wear. If this happens, you may need another surgery to replace it 

Recovering from Hip Treatments

After your surgery, you will recover in the hospital and receive pain medication. Nurses and physiotherapists will help you move with crutches or a walking frame, so you reduce your risk of blood clots. 

After one to three days, you can go home. At home, you should follow your bespoke physiotherapy plan. Painkillers will help you move around and do your exercises without discomfort.

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Frequently Asked Questions

Do I have to pay if I choose One Health Group?

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Can I choose which Consultant I see?

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Do I need to arrange my own physiotherapy?

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How can patients be referred to One Health Group through NHS e-Referral?

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