Hip Pain & Other Musculoskeletal Conditions
Globally, musculoskeletal pain is a common reason of disability and seeking medical advice. It may be localised to one area or present as a widespread/ multisite pain. Musculoskeletal symptoms may be a consequence of orthopaedic, neurologic or rheumatologic processes and hence a comprehensive history and examination is required. Based on the findings further tests and imaging are requested to confirm the diagnosis or rule out other serious conditions.
This section focuses on minimally invasive non surgical interventions available via pain clinic for joint pain and some other common musculoskeletal conditions. The interventions listed below are most often used as a part of multi-disciplinary management in combination with medications, physiotherapy, complementary therapy and psychology input as required.
Hip Pain
Hip pain is a common condition and can be quite disabling because of the impact on walking. Pain may be localised to the front, side or back of the hip joint. Common cause for anterior hip pain is joint problems such as arthritis, that on the outer side of hip is greater trochanteric pain syndrome whereas posterior hip pain may arise from multiple sources such as sacroiliac joint, lumbar spine, piriformis muscle etc. It is important to evaluate lumbar spine as spine pathology commonly coexists and can be responsible for producing/ exacerbating hip pain.
When it comes to managing hip arthritis pain, there is a large lacuna in the treatment options as medications often offer limited relief or are limited by side effects and surgery is not always the answer as many are unwilling or unfit to have one. Some in their 40s and 50s are considered to be too young to undergo a joint replacement. Besides 5 to 15% of patients have persisting pain even after having a hip replacement. New treatment options including radiofrequency ablation, cooled radiofrequency and cryoablation offer a ray of hope for hip arthritis patients not keen on surgery. Although these options have been used most often for arthritis pain, they work equally well for other hip joint pain conditions such as avascular necrosis (AVN).
Other Common Musculoskeletal Conditions
Tennis/Golfer’s Elbow (Lateral/Medial Epicondylitis)
These are common problems involving staining/overuse of forearm tendons which attach to the bony prominences on the upper arm bone close to the elbow joint. Tennis elbow involves the tendons attaching to the outer side of elbow and repetitive activities involving gripping or twisting of forearm makes this pain worse. It may affect one or more tendons and it’s not uncommon for the pain to radiate down further into the forearm. Golfers elbow involves the tendons on the inner side of elbow.
Treatment involves activity modification, physiotherapy and painkillers. In clinic diagnostic ultrasound scan followed by PRP or steroid injection and physiotherapy can help effectively deal with the condition.
Tag : Hip pain treatment in delhi,Body pain treatment in Delhi ,Pain Treatment in Delhi
If you are looking for Hip Pain and Other Musculoskeletal Conditions Treatment do consult with Dr. Amod Manocha.
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