Modern Non-Pharmacological and Non-Surgical Treatments for Hip Pain

Abstract

Osteoarthritis of the hip describes a clinical syndrome of joint pain accompanied by varying degrees of functional limitation and reduced quality of life. Osteoarthritis may not be progressive and most patients will not need surgery, with their symptoms adequately controlled by non-surgical measures. The treatment of hip osteoarthritis is aimed at reducing pain and stiffness and improving joint mobility. Total hip replacement remains the most effective treatment option but it is a major surgery with potential serious complications. NICE guideline has suggested a holistic approach to management of hip osteoarthritis which includes both nonpharmacological and pharmacological treatments. The non-pharmacological treatments range from education ,physical therapy and behavioral changes ,walking aids .The ESCAPE( Enabling Self-Management and Coping of Arthritic Pain Through Exercise) rehabilitation programme for hip and knee osteoarthritis which integrates simple education, self-management and coping strategies, with an exercise regimen has shown to be more cost-effective than usual care. There is a choice of reviewed pharmacological treatments available, but there are few current reviews of possible nonpharmacological methods. This review will focus on the non-pharmacological and non-surgical methods.

Systematic Review and Meta‐Analysis of Health State Utility Values for Osteoarthritis‐Related Conditions

“…These findings align well with previous research (35) advocating a relatively higher efficacy of hip OA joint surgery. Only 2 studies (both based on the EQ-5D) investigated HSUVs in hip OA core intervention patients, which aligned well with the previous findings of the dearth of studies measuring the HSUVs in patients using hip OA core interventions (36,37). No studies on hip OA medication and injection treatments were identified in our review as expected (38,39), hence, no meta-analysis for these treatments was possible.…”

The Feasibility and Performance of Total Hip Replacement Prediction Deep Learning Algorithm with Real World Data

“…The hip disorders include congenital disorders, degenerative disease, avascular necrosis and fracture, which are the main causes to lead to total hip arthroplasty [ 3 , 4 , 5 , 6 ]. Non-surgical treatments are available to reduce pain and improve hip mobility [ 7 , 8 ]. However, if non-surgical treatments fail to provide relief, total hip replacement (THR) may be recommended.…”